CN101410842A - Service order system and user interface for use in healthcare and other fields - Google Patents

Service order system and user interface for use in healthcare and other fields Download PDF

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Publication number
CN101410842A
CN101410842A CNA2004800205862A CN200480020586A CN101410842A CN 101410842 A CN101410842 A CN 101410842A CN A2004800205862 A CNA2004800205862 A CN A2004800205862A CN 200480020586 A CN200480020586 A CN 200480020586A CN 101410842 A CN101410842 A CN 101410842A
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order
user
service
group
initial
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D·W·鲁克
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Siemens Medical Solutions USA Inc
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Siemens Medical Solutions Health Services Corp
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Abstract

A system provides a user interface display allowing clinicians to perform computerized treatment order entry by concurrently applying multiple strategies for placing computerized orders for a specific patient. A system provides a displayable list of services available for order by a healthcare provider in providing health care to a patient. The system includes a display processor for initiating generation of data representing a hierarchical sequence of display images. The display images include a first menu of display items enabling a user to select an initial set of services for order from predetermined candidate sets of services, in response to first criteria. The display images also include a second menu of display items enabling a user to select a service to add to the initial order set from a set of orderable services associated with a healthcare provider organization department, to produce a combined order set. An order processor initiates ordering of the orders in the combined order set in response to user command.

Description

The service order system and the user interface that are used for health care and other fields
This sequence number that to be D.Rucker submit on May 21st, 2003 is the non-provisional application of 60/472283 provisional application.
Technical field
The present invention relates to a kind of system and user interface, this system supports the user to order the service relevant with Hospital Authority that is used for patient treatment with user interface.
Background technology
The doctor orders for patient treatment carries out computerize, only is used in the United States Hospital of suitable small scale, although the obvious improvement of patient safety when having a large amount of scientific and technical literatures to show to use this system.Input is too slow and too loaded down with trivial details because the doctor thinks the computerize order seldom to use this treatment technology to be.Known doctor's order input system adopts the navigation level that separates for each booking method.And, this system known per generally with one group of display menu search some in groups ordered treatment and search each individual order with on the same group display menu not.In addition, when a desired order was mixed be used for the treatment of one group predetermined order and individual orders, system known per usually required the user to carry out twice loaded down with trivial details processing to order to start.This makes the user all will repeat to order and analytical procedure when selecting the order group and select individual orders from a plurality of predetermined candidate sets.Existing system does not support to visit other when ordering menus and order group of edlin (this mode can be got rid of loaded down with trivial details twice processing procedure).Therefore, make the doctor face heavy and cause the affairs fatigue that makes mistakes easily that the parameter that promptly will remember the previous input relevant with selecting the order group is to call when selecting the individualized treatment order of compatibility in addition subsequently.
System known per does not usually allow combined order set in whole or in part, and does not support being admitted to hospital and treating and order strategy based on section office of sequence.Existing systems requires the predetermined order group (even the specific order of this group is not suitable for the patient) of the whole acceptance of doctor, perhaps uses slower independent being admitted to hospital and subscription process based on section office.And, system known per can not be accomplished: user-friendly visit is provided, goes up the selection of supporting the individualized treatment order with some flexible points (flexible points) of the workflow task sequence (workflow task sequence) that relates to when providing health care to the patient.The doctor who attempts to visit individual orders for example usually is limited in using consuming time and clumsy text string to search and go here and there the instrument of finishing and searches the desired individual orders of ordering.System according to the principle of the invention can solve the not enough and associated problem of above identification.
Summary of the invention
Seamless navigation is so that select the system of treatment order group from predetermined order group between user interface to the invention provides a permission doctor, and predetermined order group comprises standard sequence be admitted to hospital order group and individual other medical treatment order based on section office.The present invention also provides such system, but provide can be for the display list of the service item of being ordered when providing health care to the patient by healthcare provider in this system.Described system comprises a video-stream processor, in order to the generation of the data of initial representative hierarchical sequence of display images.Above-mentioned display frame comprises the first display items display menu, and this menu allows the user select one group of initial service to order from some predetermined candidate sets according to first standard (for example, be admitted to hospital, before the art, sick or cure other order group).Display frame also comprises the second display items display menu, this menu allows the user can select service to add in the initial order group from the one group of service that can order that is associated with the organization department of healthcare provider, to produce combined order set (for example, additional nursing, chemical examination, radiation or medicine order).Order processor responds user command and initial order to the order in the combined order set.
The accompanying drawing summary
It is of the present invention in order to handle and the system of management treatment order information and the embodiment of user interface that Fig. 1 illustrates a foundation.
Fig. 2 illustrates according to user interface display image menu of the present invention, in order to support that the user selects initial therapy order group to order.
Fig. 3 illustrates according to second user interface display image menu of the present invention, and this menu also supports the user to select the order relevant with hospital department except initial therapy order group.
Fig. 4-8 illustrates according to the user interface display image menu in the custom menu navigation sequence of the present invention (picture that comprises Fig. 2 and Fig. 3), and the order of user to the treatment of particular patient is described.
Embodiment
Diagnosis and treatment subscription process system adopt a user interface, the computerized physician order of this user interface management various ways and the demonstration and the selection of order group.Particularly, it allows doctor's seamless navigation between display menu, the user can be constituted and the initial order that comprises selected predetermined order group, and this selected predetermined order group comprises be admitted to hospital order group or (for example being used for medicine or chemical examination or radiological study) another order group and the individualized treatment order based on section office such as standard sequence.Described system advantageously becomes the classification display picture that a series of users can navigate with a plurality of clinical order set of strategies that uses under doctor's use or the physician guidance.Show a plurality of windows that present a plurality of order strategies respectively concurrently with a composite user interface display image.A kind of strategy advantageously adopts section office's order structure, and this structure is classified to the order that shows by being associated with hospital department or function, and is integrated in the desired order sequence.
As used herein, the order group comprises one or more individual orders, and order comprises a record, and indication (or data representation) treatment, medicine, service or other can be by being used for the treatment of of ordering of doctor or the resources that health care or support is provided or is convenient to provide to the patient health care to the patient.And the therapy that service comprises the service that health care worker carries out for the patient, material, the medicine that will give the patient that will use when providing service for the patient, the treatment that will offer the patient maybe will offer the patient.Described system also provides and makes the user interface of ordering robotization based on section office, and make the user subscription procedure or order course of the review fast (basically immediately) visit order group and individual orders.During the subscription process and before the service of selecting to be included in for particular patient in the order, system also supports to provide for example rule, warning or prompting information for supporting some decision such as (for example, the potential drug reaction condition that indicates clinical warning or be associated with treatment) to the user concurrently.For this purpose, described system is with a contextual information that is proposed treatment, the order based on section office that wherein comprises other treatment order, order group or be associated with the order strategy of being admitted to hospital.Decision-support logic can be in the inside or the outside of ultimate system.
Individualized treatment and treatment order group that user interface system makes the user can utilize selection to order strategy based on being admitted to hospital of section office.The doctor is known section office's sequence by the abbreviation of initial, generally is " ADCVANDIML " or " ADCVANDISSL ", and wherein the section office of hospital or the core order of being tackled by specific section office of hospital represented in the letter of each in the acronym sequence.Therefore for " ADCVANDIML ", this acronym comprise " aDmission (being admitted to hospital), dIagnosis (diagnosis), cOndition (situation), vItal signs (vital sign), aLlergies (allergy), dIet (diet), iNputs/outputs (absorption/discharge), mEdications (medicine) and lAbs (laboratory) ".User interface system navigates to the user " next " section office of section office's correlated series automatically according to the acceptance or the selection of current department associated orders.The also favourable twelve Earthly Branches of described system are held the user and are selected the compound of department associated orders group and individual orders, need not to navigate by independent user interface navigation layers aggregated(particle) structure specially.Treatment order group and individual orders that described user interface system monitors and storage are ordered are usually selected for the user as predetermined order.In addition, described system adopts and can be used to search individual orders from ordering the locating function of picture window visit, need not the user and just arrives this through a plurality of menus guidings and search menu.System menu provides in order to navigation to the user can supply option by section office relevant order group and the parallel of individual treatment order menu, to select desired order group operating period single user, need not initial a plurality of executable application programs of user and relevant navigation feature.
Fig. 1 illustrates one and is used to handle and manage the system of treatment order information and the embodiment of user interface.But user interface adopts order group of sorting out by type and the independent subscribed services of sorting out by hospital department (for example nursing order, diet, chemical examination, x ray and drug therapy order).By ordering and the gathering that hospital department is classified and is convenient to order individual orders, be that particular patient is selected the treatment order to support the user.System 10 comprises executable user interface client application program 11, and client applications 11 comprises the doctor's order input application program that is used to order clinical service (for example, chemical examination, medicine, radiation, diagnostic test or therapeutic process).Client computer 11 can comprise executable application program (order processor 17) by the server 12 of network 13 visit, generates tabulation to given patient's the clinical service ordered in order to the calibration-based hearing loss evaluation that provides via user-interface application program 11 based on the user.Application program 11 among other embodiment and order processor 17 (and any other function of server 12) can be combined into single (or a plurality of) application program, are arranged in any treating apparatus on the hierarchical communication network.Described the client-server framework though should be appreciated that Fig. 1, can use any suitable computing environment framework to come realization system 10 such as P2P (equity) or principal and subordinate.Network 13 can comprise any suitable network configuration, and for example Intranet, LAN (LAN (Local Area Network)), WAN (wide area network), P2P, global computer network (for example, the Internet), cordless communication network or its are any compound.Those skilled in the art based on the argumentation of this paper easily anticipation be used to realize order the various architectures of the system of clinical service, and this paper should be interpreted as and limit the scope of the present invention.
The user-interface application program of moving on teller work station for example 11 comprises: the interface module 14 that is used to present GUI (graphic user interface) for example (or such as speech interface or compound voice/gui interface or explorer any other interface that is fit to); Be used to produce the order processor 16 of special-purpose input form/menu; And the interactive window that is used for the selected processing order of process user that presents by user interface 14.Local data base 15 comprises the information bank of one or more patients' patient data.Patient data comprise be associated with one or more patients can be by the user in order to order the medical information of medical services.Order that server 12 response is accepted from the teller work station and that handled by application program 11 is by network 13 and user-interface application 11 two-way communications.But server 12 comprises the database 19 and the individual service order of order processor 17, clinical information database 18 and subscribed services item group.But database 19 comprises subscribed services item group and specific function (for example, by aforesaid ADCVANDIML kind) that the organization department by healthcare provider is organized into.
System 10 makes the user use single or multiple different order strategies to constitute and initial order at patient treatment by parallel.What these strategies comprised sequence orders the indivedual of strategy, non-sequence or based on the order strategy of section office and individual treatment order selection strategy (for example, order based on database search and select) based on being admitted to hospital of section office.Also comprise any order group based on disease, process or therapy design.The order group selection may be depended on user's knowledge.For example, as heart disease expert during as the user, the interested order group of cardiologist can be displayed by priority.The relation information that predetermined treatment order group that clinical information database 18 preservations will be preserved in various clinical conditions and the database 19 and individualized treatment order interrelate.The design of described system is based on such supposition: have the strategy of the initial order group of a plurality of generations, initial customization collection comprises that they are based on the policy of medical institutions, doctor's preference, doctor's specialty, medical feature, statistical correlation, calculating inference or the preferential clinical diagnosis based on sign.
System 10 is with hospital information system (not shown) (or as its part) operation that connects via network 13.Hospital information system is also preserved the record of order group and individual orders, and order is sent to such as the appropriate purpose of database 19 ground.Hospital information system comprises in order to support to import and handle with the treatment order clinic information system of relevant patient's particular task.That order processor 17 adopts is rule-based, the decision support function of warning, prompting, and adopts database 19, comprising the treatment order group of being ordered usually, individualized treatment order and about the customization tabulation of the order options of preference.The generation of application program 11 and order processor 17 common initial user interface images, user interface images support the user to treat that order is selected and the arrangement of management and the relevant workflow task carried out by health care worker.User interface images makes the user can watch the specific treatment order of patient and other current or unsettled orders, and allows the user to watch order by signature (or other are authorized) appointment with initial subscription process.User interface images is also supported by date or searching and classify by the order of other standards.
Fig. 2 illustrates the user interface display image menu that the multimode user of supportive treatment order group selects, in order to by customization.The user interface images of Fig. 2 is used by the doctor usually, also can be used by clinic information system by nurse or other licensed-in doctors or the people who is trained.The user selects the one or more initial order group of service (comprising treatment) according to first standard from predetermined candidate sets via the menu display items display of Fig. 2.Predetermined candidate sets is by at least one classification in the selected classification of for example medical professionalism, medical condition, medical procedure, COS and user.First standard comprise patient's certain criteria for example, user's selection, user preference and the prediction of deriving automatically based on patient's certain criteria and historical treatment data and treatment results information by prediction processor at least one.One or more in drug dose, patient treatment, sex and the patient's preference that patient specific information comprises height, body weight, age, patient disease, open the patient.The user can be by selecting order group 201 by the classification of row 219 indications from the relevant group of specialty, disease association group, the relevant group of process and customization group (for example predetermined by the doctor).Perhaps, initial order group can be based on the tabulation of the suggestion order of inference process.Select initial order group (for example pneumonia order group 203) selected for one, and after the navigation of the optional order function of being correlated with, be customized subsequently by the section office that enter via picture shown in Figure 3.The initial order group of service is presented on the independent picture of hierarchical sequence of the relevant optional order picture of section office of supporting the order function.Selection according to the user makes with button 215 (Fig. 2) produces the illustrative department associated orders group of pictures of Fig. 3.
Use multiple different treatment to order a kind of picture and selecting order group in the strategy by Fig. 2.For example can select the order group based on professional knowledge and other Considerations of doctor, described factor for example comprises patient main suit (205), disease, background and patient's height and the body weight (213) that is used for calculating (based on inference) expection candidate item or treatment type.Patient's height and body weight (213) also are used for medication dose calculation.The user can navigate to via the selection of button 217 and support the other treatment that comprises user customizable order strategy to order tactful menu.And the user can indicate the individual orders of a service via searching frame 209 initial seeks, and will be added in other order groups to produce a combined order set through the service that indicates.By using text string coupling or part text string coupling, system 10 adopts the user to search order via the text of frame 209 inputs.User's candidate's order that also can roll is tabulated and is selected desired order.
Order processor 17 is obtained, is put in order order and represents data and it is stored in the database 19, but order processor can be configured to be used for the special stator pack that comprises tabulation (being counted as service master in hospital information system usually) of initial seek order.This service master comprises the file or the file directory of the order representative items of dividing by section office and other parameters.Order processor 17 can according to comprise the section office relevant, data, signature and workflow task sequence state with order (for example order whether by signature, common signature, checking, delay or work out again) standard to ordering the representative data item and search and classifying.Therefore, order processor 17 can be initial be searched ordering in the special stator pack that comprises the order tabulation that menu is associated with the current hospital department that the user has navigated.In other order related user interface images, can enter similar locating function.Therefore, the user can be by searching predetermined Gong item or searching individual orders by the more concentrated order that is associated with particular hospital section office of searching.Should concentrate search capacity to retrieve to comprise still less, the lookup result of more relevant candidate item.This advantageously reduces the doctor for example for finding order also to constitute the time that desired order group is consumed for particular patient.
Fig. 3 illustrates second user interface display image menu, and this menu is also supported the selection of user to hospital department associated orders except initial therapy order group.But the user selects service to add selected initial order group to from the one group of subscribed services that is associated with healthcare provider organization with the display items display of the menu of Fig. 3, to produce combined order set.Webmaster web or user adopt customized menus to come the operating characteristics of the user interface images of arrangement plan 3.This operating characteristics comprises and for example is used for section office's sequence that selectable buttons row 230 that department associated orders selects indicate, and decision support rule, warning, or supports the preference item tabulation via the initial function of Fig. 3.These features were determined before the order selection phase.The initial order group (item 237 that comprises pneumonia order group) that section office's order menu can be selected the front user is followed with (ADT) the relevant order of being admitted to hospital, leaving hospital and transfer from one hospital to another and is combined with each other.
Subscription procedure generally comprises two steps, promptly selects the signature step of the step and the security of the additional affirmation that the doctor is provided.Chosen order moves on to the signature that is denoted as 247 zone and waits for from this zone by button 249.Described system is supported in and carries out order selection and order affirmation on the single screen.
The button of row 230 comprises the order picture that the user is progressively indicated by a series of bands easily, the selection of each self-supporting user pair treatment order that is associated with hospital department.The picture that single band indicates presents selective treatment order and the order group that is associated with specific section office to the user, and normally used order that is associated with specific section office and the individual orders of using the order locating function to obtain.The left side of Fig. 3 picture can be carried out order and be selected.Specifically, the selected initial order group (via the selected item 237 of the menu of Fig. 2) in front presents together simultaneously with other relevant order representative items 239 that comprise ADT type order in this example.Based on the current navigation position in the predetermined sequence of the section office that indicate in the optional button row 230, from service entry group that the predetermined sequence of corresponding healthcare provider organization is associated options 239 automatically.The right side of Fig. 3 picture (comprising window 247) provides and allows the user can observe new order viewer function current or maintained (carrying out after a while) order.This function provides to be ordered and navigate mode.
In first mode, the user activates " select and stop " button 243, and selected order representative items (237 and 239) is moved on in the order viewer window 247, as will be by the selected order of doctor's electronic signature.Order processor 17 (Fig. 1) sorts to the order representative items that is presented in the window 247 automatically according to the consumer premise criteria for classification.The user can be by alphabetical sequence, sort according to sequence, the key feature of treatment, the seriousness of spinoff or the standard of another user's appointment of order type, relevant section office, dispensing patient's order.This first mode is supported can determine that via the user button 230 in the order is in relevant the selecting to order between the picture and navigate of orderly section office.In first mode, the user can sign order, transfers another section office (not according to normal sequence) to or withdraw from this order function.In case these orders are signed electronically, with regard to initial management these or these are offered the patient's of appointment processing.
In second mode, the user activates " select and continue " button 241, and selected order (237 and 239) is moved on in the order viewer window 247, as will be by the selected order of doctor's electronic signature.Yet in this second mode, the activation of button 241 causes ordering from current order picture to next that is associated with the predetermined sequence of corresponding healthcare provider organization the automatic picture navigation of picture.Specifically, the user of response button 241 activates, and 239 are updated the order that is associated with next section office in the sequence of the corresponding healthcare provider organization that indicates in the optional button row 230 to comprise.This second order mode is supported the self-navigation of (by button row 230 expressions that comprise that the tape label user can navigate and order picture) from section office to section office of section office's order sequence with all " ADCVANDIML " as described previously sequence.
Fig. 2-8 comprises the user to the order of particular patient treatment graphic custom menu navigation sequence in addition.As previously mentioned, the user interface display of Fig. 2 supports the multimode doctor of initial therapy order group (the pneumonia order group in this example) to select, to select to order by follow-up navigation and option.General this picture that from the specific patient search screen of patient's census list or hospital information system, enters.Fig. 3 illustrates second user interface display image menu (being associated and optional ADT order picture with button label 234).Except initial therapy order group (the pneumonia order group in this example), the picture of Fig. 3 makes the doctor create desired order group for particular patient by selection from the hospital department associated orders (the ADT related orders this example) that provides.By comprising or deleting indivedual ADT (section office relevant) order representative items 239 or by comprising or deleting indivedual ADT order representative items in the initial order group that is included in shown in item 237, the doctor can constitute the order group of being wanted.And according to user's selection of check box 313, ADT order that 239 expression is determined by check box 235 is organized the most frequently used order of (isolating order group here).Perhaps, according to user's selection of check box 311, all orders that ADT order that 239 expression is determined by check box 235 is organized.The doctor also can be initial to being retained in database 19 (Fig. 1) but in the hospital of order or the text of the specific order in the health care industry service master list (to being included in the item in the desired order group) search.As previously mentioned, represent the item of desired order group shown in the window 247.The user activates button 241, makes selected ADT represent (item 237 and 239) to move in the window 247, and causes the automatic picture navigation of next customization image ordering picture (picture is ordered in the allergic reaction of Fig. 4).
The doctor by indicate particular patient the user interface allergic reaction menu (referring to Fig. 4) of irritated item select the allergy conditions (also selecting) of particular patient via the button label 269 of row among Fig. 4 230.Selected allergy conditions comprises material (comprising microbiotic 263 and other drug 265) and environmental element 267.With with mode like the picture menu class of Fig. 3 (and Fig. 5-8), user's activator button 241 makes selected allergy representative items (263-267) move on in the window 247 and causes next to order picture (nursing, VS and the I﹠amp relevant with button label 271; The O live image) automatic picture navigation.User's activator button 243 moves on in the window 247 selected allergy representative items, but does not cause the automatic picture navigation.Menu item 273 presents the allergic reaction feature about specific allergic reaction item (under the title of reaction, seriousness, note) of particular patient to the user, so that the selection of allergic reaction item.
The doctor nurses menu (referring to Fig. 5) via user interface and selects to be used for the order relevant with nursing section office of particular patient (also selecting via the button label 271 of the row 230 of Fig. 5).Be included in the nursing department associated orders in initial (pneumonia) order group (selecting), be rendered as and comprise vital sign (" VS ") and take in and discharge (" I﹠amp via Fig. 2; O ") first window area in element 303.Other nursing orders commonly used are listed as the element 305 in second window area.Specifically, the item 305 of second window area comprises the data item of a son group (being used for indicating the patient's Activity Level that is allowed in this example) of representative nursing order, and described nursing order selects the sub-category of order not determine by the user via check box 307.305 illustrate the item of the relevant activity of the child group of the nursing order that representative can be used for selecting, because the movable check box of check box 307 is selected as shown in Figure 5.Item 305 in second window area can be used for selecting with item 303 expediently, need not the additional user navigation.And, according to the selection of user to check box 313, the most frequently used order that nursing order that item 305 representatives of second window area are determined by check box 307 is organized.Perhaps, according to the selection of user to check box 313, all orders that nursing order that item 305 representatives of second window area are determined by check box 307 is organized.On behalf of (item 303 and 305), user's activator button 241 move on in the window 247 selected nursing, and causes ordering the automatic picture navigation of picture (diet that is associated with button label 309, sleep and enteron aisle picture) to next.User's activator button 243 moves on to selected nursing order representative items in the window 247, but does not cause the automatic picture navigation.
The doctor selects to be used for the order relevant with diet, sleep and the enteron aisle of particular patient (also selecting via the button label 309 of Fig. 6 row 230) via user interface diet menu (referring to Fig. 6).Comprise that the relevant order of diet, sleep and bowel department in initial (pneumonia) order group (selecting via Fig. 2) is rendered as the element 323 in first window area.Other diet commonly used, the sleep order relevant with enteron aisle are listed as the element 325 in second window area.Specifically, the item 325 of second window area comprises the data item of the child group of representing diet, sleep and enteron aisle order (indicating the common standard diet in this example), and diet, sleep and enteron aisle order select the sub-category of order not determine by the user via check box 327.Item 325 in second window area can be selected for being used for expediently with item 323, need not the additional user navigation.And, according to user's selection of check box 313, the most frequently used order that diet, sleep and enteron aisle order that item 325 representatives of second window area are determined by check box 307 organized.And, according to user's selection of check box 311, all orders of the diet that item 325 representatives of second window area are determined by check box 327, sleep and the sub-group of enteron aisles customization order.User's activator button 241 moves on to selected diet, sleep and bowel representative items (item 323 and 325) in the window 247, and causes ordering the automatic picture navigation of picture (the chemical examination picture that is associated with button label 383) to next.User's activator button 243 moves on in the window 247 selected diet, sleep and enteron aisle order representative items, but does not cause the automatic picture navigation.
The doctor chemically examines menu (referring to Fig. 7) via user interface and selects to be used for the laboratory related orders of particular patient (also selecting via the button label 383 of Fig. 7 row 230).Be included in the laboratory department related orders in initial (pneumonia) order group (selecting), be rendered as the element 343 in first window area via Fig. 2.Other laboratory related orders commonly used are listed as the element 345 in second window area.Specifically, the item 345 of second window area comprises the data item of the child group of representative chemical examination order (indicating the general microbiology order in this example), and the chemical examination order selects the sub-category of order not determine by the user via check box 347.Item 345 in second window area can be selected for being used for expediently with item 343, need not the additional user navigation.And according to user's selection of check box 313, the item 345 of second window area is represented the most frequently used order of the subset of laboratory orders of being determined by check box 347.Perhaps, according to user's selection of check box 311, the item 345 of second window area is represented all orders of the subset of laboratory orders of being determined by check box 347.User's activator button 241 moves on to selected laboratory representative items (item 343 and 345) in the window 247, and causes ordering the automatic picture navigation of picture (the dept. of radiology's picture that is associated with button label 385) to next.User's activator button 243 moves on to selected chemical examination order representative items in the window 247, but does not cause the automatic picture navigation.
The doctor selects to be used for the radiology related orders (also selecting via the button label 385 of Fig. 8 row 230) of particular patient via user interface radiology menu (referring to Fig. 8).Be included in the radiology department related orders in initial (pneumonia) order group (selecting), be rendered as the element 363 in first window area via Fig. 2.Other radiology related orders commonly used are listed as the element 365 in second window area.Specifically, the item 365 of second window area comprises the data item of the child group of representing dept. of radiology's order (indicating the CT scan order in this example), and dept. of radiology's order selects the sub-category of order not determine by the user via check box 367.Item 365 in second window area and item 363 can be advantageously used in selecting, and need not the additional user navigation.And, according to user's selection of check box 313, the most frequently used order that dept. of radiology's order that item 365 representatives of second window area are determined by check box 307 is organized.Perhaps, according to user's selection of check box 311, all orders that dept. of radiology's order that item 365 representatives of second window area are determined by check box 367 is organized.User's activator button 241 moves on to selected radiology representative items (363 and 365) in the window 247, and the automatic picture that causes next to order picture (the medicine picture relevant with button label 387) navigates.User's activator button 243 moves on to selected dept. of radiology's order representative items in the window 247, but does not cause the automatic picture navigation.
The generation of the initial clinical decision support information of order processor 17 (Fig. 1), this information be presented on shown in the picture menu of Fig. 8 in warning window zone 400 (also the hierarchical sequence with the display image menu of Fig. 3-7 presents).Order processor 17 usefulness patient certain criteria provide the clinical decision support information of demonstration in warning window 400.Clinical decision support information can comprise rule, warning, prompting, instruction, the information relevant with the service of the combined order set that adopts the user to select or other information of being correlated with the particular subscription menu that warning window 400 is provided.Clinical decision support information also can comprise the information about the specific nursing unit resource of the device that indicates the specific enforcement treatment of drug dose, drug interaction warning, patient and required patient.In the user interface radiology menu of Fig. 8, warning window 400 provides decision support to explain, and for example indicating before ordering iodine contrast CT scan needs renal function is assessed.
With with the similar mode of the hospital department associated orders of Fig. 3-8, the doctor is that particular patient is selected medicine related orders (also select via the button label 387 of row among Fig. 8 230, but not shown) via user interface medicine menu also.The user signs (using Fig. 3 and other section office to order the buttons 249 shown in pictures) to the order of the combined order set that comprises generation, and this combined order set is by obtaining by the relevant user's navigation forward of ordering the hierarchical sequence of picture of hospital department.Resultant combined order set can generate expediently, need not the back navigation.
The user selects the generation of the button label (" all " labels) of Fig. 8 with initial menu, and this menu provides the option of representing desired other order representative items of (from pneumonia order group) and a user to merge initial order group to the user.Order processor (Fig. 1) response user command, the order group (or another combined order set) of creating and storing this merging is as new order group.This system also makes the doctor can select the several portions of the predetermined order group that obtains from database 19, need not to obtain whole group.The doctor of using system 10 can select an order group and get rid of the order representative items that comprises for example chemical examination test and medicine.For this purpose, the doctor carries out the navigation by section office's order sequence of row 230, receives order via button 241, but does not accept the chemical examination test of order sequence and the order of medicine menu.And when being positioned at chemical examination test and medicine menu place, the user can initial alternative order strategy (as previously mentioned).
The system that presents among Fig. 1-8, processing and user interface display format are not unique.Can derive the other system, processing and the user interface formats that realize identical purpose according to the present invention.The principle of the invention is applicable to the multiple order strategy that sundry item is provided, and just is not applicable to the project relevant with health care, as in spendable those projects of other non-health care industries.

Claims (24)

1. one forms the displayable system that supplies service list, in order to allow healthcare provider order when the patient provides health care, comprises:
Video-stream processor, in order to the generation of the data of the single compound display frame of initial representative, described single compound display frame comprises:
The first area presents the data item that representative of consumer is selected initial service item group;
Second area, but present the data item of from the one group candidate subscribed services related, adding the representative candidate service of described initial set to healthcare provider organization, to generate complex group; And
The 3rd zone is the data item of the order of representing described complex group; And
Order processor is in order to the initial order to the described order in the described complex group of response user command.
2. the system as claimed in claim 1, wherein:
Described single compound display frame comprises the zone that allows user's energy initial seek indicate the individual orders of a service and described service through sign is added to described combined order set.
3. the system as claimed in claim 1 comprises:
Processor, the response user command is created and is stored one according to described initial set and some orders related with healthcare provider organization compound and newly organizes.
4. the system as claimed in claim 1, wherein:
Represent the described data item of the candidate service that shows in the described second area,, from a plurality of service entry groups related, select automatically with the predetermined sequence of healthcare provider organization according to current navigation position in described predetermined sequence; And
According to the selection of user to section office's subclass identifier, the described candidate service that shows in the described second area comprises and the related individual service of specific health nursing provider organization.
5. the system as claimed in claim 1, wherein:
Navigation position according to user in described predetermined sequence determines is chosen in the described candidate service that shows in the described second area automatically from a plurality of service entry groups related with the predetermined sequence of healthcare provider organization.
6. one forms the displayable system that supplies service list, in order to allow healthcare provider order when the patient provides health care, comprises:
Video-stream processor is used for the generation of initial data, and the described data represented hierarchical sequence of display images that comprises at least one picture comprises:
The user can be selected from predetermined candidate sets for the initial service item group of ordering according to first standard for the first display items display menu; And
The second display items display menu, but allow the user can from the one group subscribed services related, select service to add described initial order group to healthcare provider organization, to produce a combined order set; And
Order processor, the initial order of response user command to the described order in the described combined order set.
7. system as claimed in claim 6, wherein:
But the described subscribed services item group related with described healthcare provider organization comprises and (a) is admitted to hospital, leaves hospital or transfer from one hospital to another (b) allergic reaction (c) nursing (d) diet (e) sleep (f) chemical examination (g) dept. of radiology and (h) at least one one group of related predetermined service in the medicine; And
But the described subscribed services item group related with described healthcare provider organization selected from a plurality of order groups related with specific health nursing provider organization the selection of section office's subclass identifier according to the user.
8. system as claimed in claim 6, wherein:
According to the selection of user to section office's subclass identifier, but described subscribed services item group comprises an order of the individual service related with specific health nursing provider organization.
9. system as claimed in claim 6, wherein:
The described second display items display menu comprises a plurality of users optional button related with corresponding a plurality of healthcare provider organization;
The selection of response user pair certain button related with described healthcare provider organization, but the described subscribed services item group related shown with described healthcare provider organization; And
The optional button of described a plurality of users corresponding to described a plurality of healthcare provider organization is arranged in described second menu in an orderly manner with predetermined sequence.
10. system as claimed in claim 6, wherein:
But described hierarchical sequence of display images comprises the display frame of a series of user's navigation hierarchicals, comprising the first area of first picture that is used for showing described initial service item group and described Additional Services;
Respond second user command, the selected service of described initial service item group and described Additional Services are transferred to the second area in described first picture; And
Respond described second user command, but the one group subscribed services related with healthcare provider organization shows automatically in described second menu.
11. system as claimed in claim 10, wherein:
According to the current navigation position in described predetermined sequence, but from a plurality of service entry groups related, be chosen in the described subscribed services item group that shows automatically in described second menu automatically with the predetermined sequence of healthcare provider organization.
12. system as claimed in claim 6, wherein:
The generation of the data of the single compound display frame of the initial representative of described video-stream processor, described single compound display frame comprises:
The first area presents according to the selected described initial service item group of described first standard; And
Second area, but present to from the one group subscribed services related, add described initial order group to healthcare provider organization, to generate the described service of described combined order set.
13. system as claimed in claim 6, wherein:
Described hierarchical sequence of display images comprises,
Picture unit, but the user can be increased or delete from described initial service item group and individual service from the described subscribed services Xiang Zuzhong related with described healthcare provider organization, to generate described combined order set.
14. system as claimed in claim 6, wherein:
Described hierarchical sequence of display images comprises:
Picture unit allows the user can select all orders of (a) service at least one of described first menu and described second menu and at least one side of (b) having got rid of in common order of the service of seldom being ordered is shown.
15. system as claimed in claim 6, wherein:
Described first menu presents predetermined service candidate sets, and service is by (a) medical professionalism (b) medical condition (c) medical procedure (d) service type and (e) at least one classification in the selected classification of user; And
Described first standard comprise (i) patient certain criteria, (ii) the user select, (iii) at least one in user preference and the prediction of (iv) deriving automatically according to patient's certain criteria and historical treatment data and treatment results information by prediction processor.
16. system as claimed in claim 6, wherein:
But described hierarchical sequence of display images comprises user's navigation hierarchical sequence of display images, described display frame comprises selection the zone to the picture of user display message in of response to the combined order set of described generation, described message comprises (a) warning (b) rule (c) indication (d) prompting that is associated with the employing of the described service of described combined order set and (e) at least one in the information, and comprises:
Message handling device, when the information of determining in described message, to provide, use patient's certain criteria, described message to comprise (a) drug dose (b) drug interaction warning (c) and implement the ad hoc fashion of treatment and (d) at least one in the specific required nurse unit resource of patient.
17. system as claimed in claim 6 comprises:
Described first standard comprises patient's certain criteria, comprising (a) height (b) body weight (c) age (d) patient disease (e) to medicine (f) patient treatment (g) sex that the patient opened and (h) at least one in patient's preference, and wherein:
Described hierarchical sequence of display images comprises to be allowed the user can initial seek indicate the individual orders of service and adds zone in the picture of described combined order set with described to through the service that indicates; And
Described zone in the described picture supports that the user imports text string, searches with by (i) text string coupling and during (ii) the part text string mates at least one.
18. system as claimed in claim 17, wherein:
Described zone in the described picture comprises (A) candidate individual service and (B) at least one side's scrollable list in candidate's order group, and described user comes initial described searching by navigation in described scrollable list.
19. system as claimed in claim 6, wherein:
Described hierarchical sequence of display images allows the user indicate and selects allergic reaction at described patient;
Described service comprises the therapy that medicine (d) that the material (c) that will use when service (b) that (a) health care worker carries out for the patient provides service for the patient will give the patient will offer patient's treatment and (e) will offer the patient;
Described initial service item group is presented in all described hierarchical sequence pictures; And
Described combined order set is navigated in described hierarchical sequence picture by the user and is generated, and need not to navigate backward.
20. a system that forms displayable for service list in order to allow healthcare provider order when the patient provides health care, comprises:
Video-stream processor, in order to the generation of the data of initial representative hierarchical sequence of display images, described display frame comprises:
First menu comprises and allows the user can carry out in the following operation at least one picture unit:
(a), from the predetermined candidate sets of service, select initial service item group, to be included in the order group that is used for ordering according to first standard; And
(b) generation of the initial second display items display menu, but allow the user can from the one group subscribed services related, select service with healthcare provider organization, being included in the described order group that is used for ordering,
Order processor responds user command and initial order to described order group.
21. one in the user interface system of the processing of supporting to comprise task sequence, comprise following method of operating:
The demonstration of the hierarchical sequence picture that initial user can navigate, described picture comprises:
First standard that display items display allows the user select according to the user is selected from predetermined candidate sets for the initial service item group of ordering; And
The a plurality of users optional button related with corresponding a plurality of healthcare provider organization, but allow the user from the one group subscribed services related, select a service to add in the described initial order group, to generate combined order set with specific health nursing provider organization; And,
The order of the initial described order in described combined order set of order processor response user command.
22. method as claimed in claim 21, wherein:
But response will be added described initial this operation of order group to from the selected described service of the described subscribed services Xiang Zuzhong related with described concrete healthcare provider organization, automatically show an order group related with second healthcare provider organization, described second healthcare provider organization is determined in an orderly manner according to the subscription task sequence.
23. a method that forms displayable for service list in order to allow healthcare provider order, comprises following operation when the patient provides health care:
The generation of initial data, but described data represented user's navigation hierarchical series picture comprises:
The user can be selected from predetermined candidate sets for the initial service item group of ordering for the first display items display menu;
The second display items display menu, but allow the user can from the one group subscribed services related, select service to add described initial order group to healthcare provider organization, to produce a combined order set; And
Respond user command and initial order to the described order in the described combined order set.
24. a method that forms displayable for service list in order to allow healthcare provider order, comprises following operation when the patient provides health care:
The generation of the data of the single compound display frame of initial representative, described single compound display frame comprises:
The first area is the data item of representing according to the initial service item group of first Standard Selection;
But second area presents the data item of adding the representative candidate service of described initial set from one group of candidate's subscribed services related with healthcare provider organization to, to generate complex group; And
The 3rd zone is the data item of the order of representing described complex group; And
The response user command, initial order to the described order in the described complex group.
CNA2004800205862A 2003-05-21 2004-04-15 Service order system and user interface for use in healthcare and other fields Pending CN101410842A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102567789A (en) * 2010-12-09 2012-07-11 金蝶软件(中国)有限公司 Data distribution method and system
CN103843029A (en) * 2011-09-30 2014-06-04 瓦里安医疗系统公司 Systems and methods for implementing medical workflow
CN104166881A (en) * 2013-05-17 2014-11-26 株式会社日立制作所 Analysis system and health business support method
CN104885117A (en) * 2012-10-31 2015-09-02 惠普发展公司,有限责任合伙企业 Visual call apparatus and method

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102567789A (en) * 2010-12-09 2012-07-11 金蝶软件(中国)有限公司 Data distribution method and system
CN102567789B (en) * 2010-12-09 2014-05-14 金蝶软件(中国)有限公司 Data distribution method and system
CN103843029A (en) * 2011-09-30 2014-06-04 瓦里安医疗系统公司 Systems and methods for implementing medical workflow
CN104885117A (en) * 2012-10-31 2015-09-02 惠普发展公司,有限责任合伙企业 Visual call apparatus and method
CN104166881A (en) * 2013-05-17 2014-11-26 株式会社日立制作所 Analysis system and health business support method

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