CN1790400A - System for managing patient clinical data - Google Patents
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- CN1790400A CN1790400A CNA2005101199973A CN200510119997A CN1790400A CN 1790400 A CN1790400 A CN 1790400A CN A2005101199973 A CNA2005101199973 A CN A2005101199973A CN 200510119997 A CN200510119997 A CN 200510119997A CN 1790400 A CN1790400 A CN 1790400A
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Abstract
A system dynamically refreshes stale patient clinical data during a clinical workflow sequence of tasks concerning treatment ordering, patient diagnosis, or patient condition assessment and warns a clinician if patient clinical data has changed since starting a work session. A system for managing patient clinical data includes at least one repository associating sources of clinical data with data representing a form. The form incorporates clinical data derived from the sources. An interface processor automatically interrogates particular sources of clinical data associated with a particular form to identify updated clinical information of a particular patient in response to a user command to process the particular form. An update processor initiates generation of an indication to a user identifying updated clinical information of a particular patient is available prior to processing of the particular form.
Description
Technical field
The present invention relates to a kind of system that is used for managing the renewal of the clinical data in patient clinical data that form shows and the form that in health service stream task sequence, uses.
Background technology
This by people such as J.Hart in the non-provisional application that on October 12nd, 2004 submitted to, sequence number is the 60/617th, 892 provisional application.
Clinical information is used the health care information system that patient's health care sends by a plurality of different supports.Such health care information system for example comprises clinic information system, patient management system, and the laboratory results system, the medicament system receives, provides and shift (ADT) management system, nursing system and dietary systems.Such health care information system is used to support medical personnel with patient clinical data in execution provides process to task (workflow) sequence of patient's treatment.Existing health care information system generally fails to provide following ability to the user, promptly determine, whether change such as the relevant clinical patients value of experimental result, developing mode (for example, MRI, CT, X ray, ultrasound wave or the like) information with between the vital sign readings of patient monitor is when the task sequence of patient treatment (workflow) beginning is provided and when this task sequence is instructed to finish.For example, completed workflow actions is indicated by stopping to move.Therefore, medical personnel might indicate patient treatment workflow task EOS mistakenly based on non-current data, if in fact at that time for the workflow task sequence provides current patient clinical data, then this workflow task sequence is indicated necessary additional step.In addition, if for example paper chart is not current, then medical personnel omit related data easily to the hand inspection of patient's states.System is devoted to solve these shortcomings and relevant problem in accordance with the principles of the present invention.
Summary of the invention
The present inventor advantageously recognizes, whether expectation can determine, change such as relevant patient's value of experimental result, developing mode information with between the vital signs observations of patient monitor is when task sequence (workflow) begins and when this task sequence is instructed to finish.The system that is used for managing patient clinical data comprises at least one storage vault, and this at least one storage vault interrelates the data of clinical data source with the expression form.The clinical data that this form will derive from this source merges mutually.Interface processor is the particular source of the clinical data that interrelates of inquiry and certain table automatically, to come the clinical information of the particular patient that identification renewal crosses in response to the user command of handling this certain table.More new processor starts the indication that generates the user, and this sign can obtain the clinical information of the renewal of particular patient before handling certain table.
Description of drawings
Fig. 1 illustrates the system of the clinical and non-clinical data that is used for managing patient according to the principle of the invention.
Fig. 2 illustrates the workflow task sequence that relates to pro forma interview sheet according to the principle of the invention, has filled patient's current clinical and non-clinical data in this form.
Employed user interface (UI) display image when Fig. 3 is illustrated in the availability of ordering treatment and the clinical data that upgraded of indication for patient according to the principle of the invention.
Fig. 4 illustrates the warning dialog box according to the principle of the invention, and this dialog box is illustrated in the shown document, and the document is such as by clinician's employed document when the assessment of record patient medical conditions.
User interface (UI) the display image form that Fig. 5 uses when being illustrated in the information of importing the assessment that relates to the patient medical situation and indicating the patient data that upgraded according to the principle of the invention.
Fig. 6 illustrates process flow diagram flow chart according to the principle of the invention, and this process is used for the managing patient data and makes it possible to the clinical and current non-clinical data that the patient is current being filled in form.
Embodiment
Fig. 1 illustrates the system of the clinical and non-clinical data that is used for managing patient.This system dynamics is upgraded expired patient clinical data value and the outstanding previous not variation of record, this changes such as key results and observations, so that the medical personnel of the sequence (workflow) of executing the task can determine the action that the next one will be carried out in response to patient's exclusive data of the patient clinical data value of having revised or other variation.This system is for example relating to that treatment is ordered, is upgrading expired patient clinical data during the clinical workflow sequence of the task of patient diagnosis or status of patient assessment, and whether warning clinician patient clinical data since the clinician starts working session changes.This upgrades automatically or takes place as requested, and outstanding data item that upgraded or that changed.This renewal or in response to for example opening incomplete document or closing complete document and take place.The clinician can advantageously use the information of the renewal that is identified to improve and/or change the action of being planned.This is valuable especially under vertiginous emergency and severe disease medical care situation, occurs in emergency ward or critical wards such as this situation.
Existing systems fails to open well afoot and be easy to upgrade and the document that changes provides automatic renewal expired numerical value in response to medical personnel.System orders and the clinician of diagnostic task sequence (workflow) provides up-to-date patient-related data to support comprehensive clinical decision for relating in assessment, treatment in accordance with the principles of the present invention.
This system reduces medical treatment decision expensive and mistake by showing up-to-date current available information, and clinical data is made into chart simultaneously, and the also outstanding value that has changed of this system, and these values may be important when making key decision.For example, the clinician who orders treatment for particular patient need know patient's allergy data.If the allergy value is as changing with ordering other evaluation results that process workflow carries out simultaneously, so, when the user started the order that the expression order finishes, the value of the dynamically updating function that is adopted by system renewal was automatically ordered patient's allergy information in the disposal system.The clinician that the further prompting of this system is being ordered verifies according to new allergy information or dual this order of checking, and this alarm is recorded in the clinical record of patient.
Comprise in this employed executable application program and to be used for realizing the code or the machine readable instructions of predetermined function that this predetermined function for example comprises the function of operating system, health care information system or other information handling system in response to user command or input.Executable program is that the part of other differentiated part of code segment (machine readable instructions), subroutine or code or executable application programs is so that carry out one or more particular procedure, and this executable program can comprise according to input parameter (perhaps in response to the input parameter that the receives) executable operations that receives, and final output parameter is provided.Processor is equipment and/or the set of machine-readable instruction that is used to execute the task as used in this.Processor comprises any one or its combination in hardware, firmware and/or the software.Processor, and/or comes information is taked to move to output device by routing iinformation so that used by executable program or information equipment by manipulation, analysis, correction, conversion or transmission information.For example, processor can use or comprise the ability of controller or microprocessor.Video-stream processor or generator are known elements, and it comprises electronic circuit or software, and perhaps its combination is used to generate display image or its part.User interface comprises one or more display image, and this display image makes the user to carry out reciprocation with processor or miscellaneous equipment.COS is current order session.Form as used herein is that document, record or other structural data editor's electronic data is represented, these documents, record or other structural data editor can be interpreted into image, the document that prints or electronic data and be used for communication.The regenerative process of form comprises that information element that utilization has changed or that upgraded generates the data of this form of expression as used in this.Document is that document, record or other structural data editor's electronic data is represented as used in this, and these documents, record or other structural data editor can be interpreted into image, the document that prints or electronic data and be used for communication.
Fig. 1 illustrates the hospital information system of networking, the document management application program 42 that it adopts the Task Distribution Workflow system 36 of robotization and provides automatic stale data to check.Health care information system 10 comprises client device 12, data storage cell 14, first LAN (Local Area Network) (LAN) 16, server apparatus 18, second LAN (Local Area Network) (LAN) 20 and department system 22.Client device 12 comprises processor 26 and storage unit 28, and can comprise for example personal computer.Health care information system 10 is used by care provider, and this care provider is responsible for monitoring health and/or the welfare of the people under its treatment.The example of care provider includes, without being limited to hospital, sanatorium, auxiliary life treatment equipment, family health care treatment equipment, collecting post's equipment, emergency and severe disease medical care equipment, health clinic, physical medicine clinic, massage clinic and hospital of tooth section.For providing the people's of service example, it includes but not limited to patient, resident and client by care provider.
42 pairs of document and data of using in system 10 in the form of document management application program provide automatic stale data to check, and support the process of Fig. 2 and Fig. 6.In another embodiment, application program 42 is arranged in client device 12.User interface system 40 (it also can reside in the client device 12) comprises and allows the user input equipment of information to be provided and the output device of the demonstration of the menu of tabular form and out of Memory is provided to the user to client device 12.Preferably, input equipment is keyboard and mouse, and can be touch-screen or the microphone that possesses speech recognition program, perhaps for example is the call voice responding system.Output device is a display, and can for example be loudspeaker.Output device provides information in response to the input equipment that receives information from the user or in response to other activity of client device 12 to the user.For example, display is input to client device 12 via keyboard with information in response to the user and comes expression information.
Server apparatus 18 comprises processor 30, storage unit 32, and this storage unit 32 comprises treatment ordering system and workflow engine 36 and the database 38 that comprises patient's record.Unit 36 also comprises patient evaluation data acquisition and processing (DAP) application program and clinical data management system.Document management application program 42 starts document storing (or opening) operation in response to the user and one or more document of opening simultaneously (or form) is automatically performed stale data checks.Application program 42 is carried out stale data for the document that is for example used by the treatment ordering system in the unit 36, patient evaluation system and clinical data management system and is checked.Application program 42 is also carried out stale data to the document that uses and is checked in board of Health door system 22, need have the right visit information or health and/or the relevant information of welfare with patient under the care provider treatment are provided of this board of Health door system 22.Department system 22 comprises laboratory system 44, medicament system 46, financial system 48 and nursing system 50, and can comprise register system, patient management system, radiology system, administration of accounts system, bill system and any system that other needs in health care information system or requires.
Server apparatus 18 can be implemented as personal computer or workstation.Database 38 is provided for the position of store patient record, and data storage cell 14 writes down for the patient and the out of Memory of hospital information system 10 provides storage backup.Information in data storage cell 14 and the database 38 can be visited by a plurality of users from a plurality of client devices.Document management application program 42 is automatically in response to the user command of access document or in response to the edited document of user storage or stop access document and inquire about data source such as patient's record.Patient's record can visit from the storage unit in storage unit the client device 12 28 or the department system 22.Patient in the data storage cell 14 record comprises that the information relevant with the patient, these information include but not limited to and life, finance, clinical, workflow, treatment plan and patient's experience (prescription on individual diagnosis) relevant information.
First LAN (Local Area Network) (LAN) 16 (Fig. 1) provides the communication network between client device 12, data storage cell 14 and the server apparatus 18.Second LAN (Local Area Network) (LAN) 20 provides the communication network between server apparatus 18 and the department system 22.The one LAN 16 and the 2nd LAN 20 can be same or different LAN, and this depends on particular network configuration and the specific communication protocol that is realized.Replacedly, among a LAN 16 and the 2nd LAN 20 or both can be implemented as wide area network (WAN).
Communication path 52,56,60,62,64,66,68 and 70 allows the various elements shown in Fig. 1 to communicate by letter with a LAN 16 or the 2nd LAN 20.Each bar in the communication path 52,56,60,62,64,66,68 and 70 is applicable to preferably and uses one or more data layouts (otherwise being called agreement) that this depends on the type and/or the configuration of each element in the health care information system 10.The example of data of information system form includes but not limited to RS232 agreement, Ethernet protocol, medical interface bus (MIB) compatible protocol, DICOM agreement, Internet protocol (I.P.) data layout, Local Area Network agreement, wide area network (WAN) agreement, IEEE bus compatible agreement and healthy seven grades of (Health Level Seven, HL7) agreements.
Fig. 2 illustrates the workflow task sequence of using workflow and document (form) management application program 36 and 42 (Fig. 1) to carry out, and this workflow and document (form) management application program 36 and 42 relates separately to the document that patient's current clinical and non-clinical data has been filled in visit.In step 221, application program 36 transfers a request to the clinical document of document management application program 42 with the visit well afoot in response to the order from clinician 203 (Fig. 2).The clinical document of well afoot is also unclosed document or form and not in being prepared for the end-state of further handling, described further processing is such as reopen document in editing process.In step 223, document management application program 42 obtains the current version 208 of document, and in the request of step 225 startup, so that the data value of the patient's special use in the current version of document is compared with the data value of corresponding available recent renewal from other data source to executable program 211.
In step 227, executable program 211 obtains the data value of corresponding recent renewal from data source 1 (215); And in step 229, executable program 211 obtains the data value of corresponding recent renewal from data source 2 (217).In step 233, executable program 211 with the data value of the patient's special use in the current version of document with accordingly from data source 1 (215) and data source 2 (217) data value of available recent renewal compare, change with sign.In step 235, document management application program 42 starts the generation that image shows, the generation that described image shows (for example, by outstanding) is identified at the data value of the patient's special use that has changed that obtains in the step 233.Application program 42 obtain automatically and show the up-to-date clinical value that from data source, obtains (just, the data of managing or visiting via the Another Application program), these data sources be not by the Doctype owner all.Application program 42 is the outstanding zone that comprises the value of this renewal in order to allow customer inspection.
Will available data source and the information of being scheduled to that links of relevant visit information and independent document and the data field in the document by using, document management application program 42 is visited the data source that is provided at the data of using in the clinical document.In response to the user command of visit " well afoot " document, perhaps to preserve edited document or stop access document in response to the user, document management application program 42 is inquired about other data source automatically.
The application program 42 outstanding document data fields that have been updated.In the user interface image that comprises the structure of for example tabulating (chapters and sections structure), this tabulation structure makes the user to select to open a plurality of documents via tabulation, application program 42 is upgraded tabulation comprising the designator that identify document, and these documents have the field that has been updated (as the tabulation 510 of passing through Fig. 5 and 512 examples).The document of opening with a reading mode is not updated and shows the data of the value that comprises last preservation.Document management application program 42 automatically performs stale data and checks for being presented at data in the single page UI document.If the user wants to select to upgrade data item in a plurality of documents of visiting simultaneously and showing in response to the user in the tabulation of tabulation in the structure, then application program 42 shows request users' dialog popups automatically.
Start the document storing operation in response to the user, document management application program 42 also automatically performs stale data to one or more document of opening simultaneously and checks.User (such as the doctor) one starts the electronic signature of document, preserves operation and just takes place, and the document is such as currently ordering startup in session (COS) image window for the order document of ordering of patient's treatment or service shown.User (such as the doctor) one starts the electronic signature or multiple other document of signing of the patient evaluation record of doing based on patient, preserves operation and also takes place.Document management application program 42 determines automatically also whether the data of upgrading are available for being presented at by the data item of user in the document of visiting in another (for example, previous or the while) task sequence workflow.The data of such renewal can be used as the result of being carried out by medical personnel of task and produce in the second different task sequence workflows.In addition, if be detected corresponding to the data of the renewal of the shown data item in the first workflow document, application program 42 utilizes up-to-date value to upgrade field and the outstanding value of upgrading in the shown document so.
Fig. 3 illustrates user interface (UI) display image, and it is used for the availability that the patient orders treatment and indicates the clinical data that upgraded.Patient treatment is ordered application program and is started via the button in the row 325 320 by the clinician.Ordering in the task sequence workflow at the patient treatment of being carried out by the clinician, whether the data item that the relevant clinical data that the signature (expression is finished) that document management application program 42 starts order in response to the user is determined to upgrade is ordered in the form for shown treatment is available.Especially, start the signature of order in response to the clinician, application program 42 determines whether relevant clinical informations change at the specific patient who is identified in the option 301.Before pointed out for ordering in image window 303 of particular patient request.Ordering of being asked comprises that medicine order 350, laboratory examination order 353, diet orders 356, nursing orders 358, radiation cure orders 359.Image window 305 illustrates current session (COS) order of ordering for the patient who is identified in the option of being selected by the clinician 301, and waits the signature by the clinician, with beginning patient's treatment processing orders.Current order the session order comprise medicine order 340 and laboratory examination order 345.
Be enabled in the current signature of ordering the order of selecting in the session image window 305 and showing in response to the user, application program 42 update image windows 305 are to be included in alarm and the collision message under the current relevant order of ordering in the session.Especially, alert message 309 (the indication order comprises that lose or invalid order details) is shown under digoxin (Digoxin) order 307.Simultaneously, alert message 315 (indication order can be can reproducible order) is displayed under kreatinin (Creatinine) order 313.Application program 42 also can the alert message of update image window 305 to comprise that the indication clinical related information has been upgraded by another user.The data of this alert message and the relevant order of sign and also can the collision message relevant being indicated on together in the image window 305 with other.Before allowing user's signature and starting processing orders in the session in the window 305, application program 42 can require the information of the clinical relevant renewal of user's manual unlocking information and inspection and order.
Fig. 5 illustrates the information of the assessment that is used to import the medical conditions that relates to the patient and user interface (UI) the display image document of the patient data that indication was upgraded.In the patient evaluation task sequence workflow of carrying out by the clinician, start the signature (expression is finished) of the document in response to the user, document management application program 42 determines whether the data of upgrading are available for the data item in the shown assessment document.Especially, the clinician is preparing under the situation of big assessment document therein, because the user begins to prepare the assessment document, so clinical (and other data) may change.The data that changed may influence this assessment significantly.Document management application program 42 is in response to user's signature assessment document and determine that the data of upgrading are the available demonstrations that starts the Alert Popups menu for the data item in the document.
Fig. 4 illustrates the warning dialog box 400 that is illustrated on shown document, all documents as shown in Figure 5, and the document is used in the assessment of record patient medical conditions by the clinician.This dialog box notifies the clinical data of the renewal of user's particular patient relevant with patient's assessment to check for can be used for via user's selector button 403, and perhaps the user can select to proceed assessment by selector button 405.In another embodiment, the user is under an embargo and continues evaluation tasks sequence operative stream, and need not at first select and check the data of upgrading.The data of upgrading are carried out the action of another task sequence workflow for same patient and are produced in response to for example another different user.
User in response to the figure table button 507 in the button rows 505 of Fig. 5 selects, and application program 42 starts the generation of the user interface image of supporting the patient evaluation data capture.The patient evaluation user interface image comprises the tabulation structure by tabulation row 517 examples of the evaluate image of Fig. 5.This tabulation makes the user can open a plurality of documents.Application program 42 provides the designator mark, for example as the yellow (or other color) partly (perhaps another display properties in different embodiment) in tabulation 510 and the tabulation as shown in 512, the data of the renewal that in via the document of the tabulation visit that is marked, can use with indication for data item.
Select the tabulation marked in response to the user, application program 42 shows the assessment documents, and this assessment document is outstanding to use those data fields with data that changed of upgrading (or data field of being given prominence to by another display properties) of yellow background.Select in response to the user who receives tabulation 512, application program 42 is enabled in the generation of the assessment document shown in the file and picture window 520.The assessment document comes the data (patient's name of user's input) of variation in the indicator data field 513 by the background color of outstanding data field 513.In order to ensure remind the user any as the data of upgrading the result and the patient safety danger that identified is being allowed to proceed before signature assesses document, the user is required to watch the data item of assessing the renewal in the file and picture window 520.In another embodiment, other display properties can be used to tabulation mark or data item is outstanding, replace such as text, color, symbol, shade, icon shape and font.In addition, user one preserves the assessment document that comprises the outstanding data item of upgrading, and the mark (for example, yl moiety) in the relevant documentation tabulation is just deleted.
In the clinical data management system, when the signature document, the document of signing name keeps the form of document applicatory (form) and the value and the content of the data in the document, is " unsigned " up to the document.The form of action reserving document of document of unsigning, but start for the up-to-date value of data in the document and the collection of content.Finish and sign clinical document or order treatment for the patient before, the outstanding automatically clinical values that upgraded of application program 42.
Fig. 6 illustrates the process flow diagram of the process of being carried out by document management application program 42, the current clinical and non-clinical data that the document management application program 42 is used for the managing patient data and fills the patient at form.Such form may be for example with the patient medical condition evaluation or with order treatment or relevant with the clinical data management for the patient.Step 702 after step 701 beginning, application program 42 interrelates the data of clinical data source with the expression form, and this form is used to the patient to order treatment and merges the clinical data that obtains from this source.In step 704, user command in response to the processing that starts certain table, application program 42 is the inquiry specific clinical data source relevant with certain table automatically, this certain table is used to particular patient to order treatment, with the clinical information that identification renewal is crossed, this clinical information comprises the information that clinical meaning is arranged for treatment.Application program 42 uses the predetermined communication data that obtains from storage vault to inquire about specific clinical data source automatically, and this storage vault comprises at least one in following: (a) communication protocol, (b) data layout, (c) source identifier and (d) source address.Application program 42 set up with the communicating by letter of specific clinical source of information in use communication data, with the specific source of automatic inquiry.
In step 707, application program 42 starts the alarm indication for the user, the generation of all image features as shown, and this characteristics of image for example comprises pop-up menu, dialog box, image window or option list.Before handling certain table, the clinical information of the renewal of alarm sign particular patient is available, has identified perhaps that clinical data is updated since the user starts working session.Indication can comprise that shown message or prompting user start the designator of data reproduction of expression certain table, with the clinical data of the renewal that comprises particular patient.Application program 42 also can start the regeneration of data of expression certain table comprising the data that visual indication is provided, the clinical data field in these sign forms, and at this form, the clinical data of the renewal of particular patient is available.That visual indication for example can comprise is outstanding, in the text of the symbol of shade, text emphasis, increase or increase one or more.
In step 709, in response to starting the user command of handling certain table, using before certain table finishes order, application program 42 starts the regeneration of the data of expression certain table, to comprise indication the data of clinical information of the renewal of clinical meaning is arranged for treatment.That treatment is had evaluating again of the clinical information indication of the clinical meaning patient clinical data relevant and is necessity or can expect with treatment.In another embodiment, can indicate existence of another treatment order or indication to conflict with the medical treatment of another treatment of for example having ordered for particular patient.The user command of handling certain table is activated during the first workflow task sequence of being carried out by the user (for example, treatment order project work stream task sequence).The clinical information of the renewal of particular patient generates during being different from the second workflow task sequence of the first workflow task sequence (for example, patient evaluation workflow task sequence).The certain table of being regenerated comprises that the clinical information that will upgrade has been designated the visual indication of reformed clinical information since the user starts working session.This visual indication is shown with designator, the old value of described designator sign clinical data and be responsible for providing among the user of the clinical data that upgraded at least one.
Document management application program 42 can be used by the personnel of a plurality of departments, and the personnel of these a plurality of departments are at patient's record and the information of upgrading relevant patient's treatment.In an example of operation,, think that when ordering she does not have pregnancy for the treatment that Smith madam orders actinoscopy.When Smith madam came the dept. of radiology center in second day, one shows order, and present conceived designator is positive, and the result of her pregnancy test returns to the situation in morning.Application program 42 reminds the clinician that this changes, and the clinician can consult to determine that whether proceeding x light based on the information of upgrading detects with the physician.
In another example, the patient in hospital emergency room is carried out blood count.The nurse begins that the patient receives assessment and the patient does not admit any infection, and indication is not isolated the patient.One finishes this assessment, and just finishing that stale data checks and isolate designator is positive now.Patient's blood testing has disclosed the infection that generates positive isolation designator.The nurse has recognized the need to the patient is isolated.The process of Fig. 6 finishes in step 715.
In other embodiments, open in response to the user and to make it know the form which data field has changed since last table storage, the generation of application program 42 initiation message.System also provides indication data value that has changed and ToolTips (Tooltip) message (for example, in response to mouse action) that identifies the user who makes a change.Open when being updated and need being examined in another workflow task sequence with the directive segment value when form, application program 42 also provides alert message.Because open form and field need be examined, thus further alert message during table storage, generated by application program 42, and the indicator data field value is changed in another workflow.When form is opened with a reading mode, also show the combination of high-lighting and message.
Adopt the interchangeable embodiment of workflow or regulation engine need set up many possible related work flow paths.Rule or workflow engine need be arranged with the form branch of setting up configuration, and need mulitpath to determine possible data field, and described data field will be examined according to the order that the expression document is finished.Workflow engine need be configured to recognizes position and data field, and this position and data field are added in the form and need to check the relevant data value that obtains from a plurality of different data sources.
System that presents among Fig. 1-6 and process are not unique.The system that can obtain other according to principle of the present invention and process are to finish identical target.Although described the present invention with reference to certain embodiments, be to be understood that embodiment shown and described herein and modification thereof only are for illustrative purposes.Those skilled in the art can realize the correction for current design, and do not depart from scope of the present invention.In addition, any function that process provided of the system of Fig. 1 and Fig. 2 and Fig. 6 can by hardware, software or it be in conjunction with realizing.This system also is available in other industry, and document and/or request are dynamically to start and change to give birth to/dead situation in described industry, and such as maintenance of peace, fire, anti-terrorism call center, wherein for example multiple source acts on this situation.
Claims (13)
1, be used for the system of managing patient clinical data, it comprises:
With at least one storage vault that clinical data source and the data of representing form interrelate, described form merges the clinical data that obtains from described source;
Interface processor is used in response to the specific clinical data source that the user command of handling described certain table is inquired about automatically and specific form interrelates, with the clinical information of the renewal that identifies particular patient; And
More new processor is used for starting the generation to user's indication before handling described certain table, and the clinical information of the renewal of described sign particular patient is available.
2, according to the system of claim 1, wherein
Described more new processor starts the regeneration of the data of the described certain table of expression, and to comprise the data of the visual indication that the clinical data field in the described form of sign is provided, the clinical data of the renewal of described particular patient is available for this form, and
Described more new processor starts the generation of the data of the shown message of expression, and this message notifying user starts the regeneration of the data of the described certain table of expression, with the clinical data of the described renewal that comprises described particular patient.
3, according to the system of claim 2, wherein
Described clinical data field in the described form of described visual sign, the clinical data of the renewal of described particular patient is available for this form, this visual indication comprises at least one in following: (a) high-lighting, (b) shade, (c) text emphasis, (d) symbol of Zeng Jiaing and (e) text of increase.
4, according to the system of claim 1, wherein
Described more new processor starts the regeneration of the data of the described certain table of expression, to be designated the clinical data that since the user the starts working session visual indication of reformed clinical data comprises the renewal of described particular patient with the clinical data with described renewal.
5, according to the system of claim 1, wherein
Described more new processor starts the generation of the data of the shown characteristics of image of expression, and it is available that this characteristics of image is indicated the clinical data of the renewal of described particular patient, and
Described shown characteristics of image has been designated reformed clinical data since the user starts working session with the clinical data of described renewal.
6, according to the system of claim 1, wherein
Described shown characteristics of image comprises at least one in following: (a) pop-up menu, and (b) dialog box, (c) image window and (d) option list,
Described at least one storage vault merges the communication data that makes it possible to described relevant clinical data sources traffic, and
When setting up with the communicating by letter of described specific clinical data source, described interface processor uses described communication data, is used for inquiring about automatically described particular source.
7, according to the system of claim 1, wherein
Described interface processor uses the predetermined communication data that obtains from storage vault to inquire about described specific clinical source of information automatically, described storage vault comprises at least one in following: (a) communication protocol, (b) data layout, (c) source identifier and (d) source address, and
Described more new processor starts the regeneration of the data of the described certain table of expression, to be designated the visual indication of reformed clinical data with the clinical data with described renewal and to identify the clinical data that one designator in following comprises the renewal of described particular patient: (a) the old value of clinical data and the user that (b) is responsible for providing the clinical data of described renewal.
8, according to the system of claim 1, wherein
Carry out the first workflow task sequence by the user during, start the described user command of handling described certain table; And
Described more new processor starts the generation that expression message is given user's data, the clinical information of the renewal of this message identifier particular patient, the clinical information of described renewal is generated during being different from the second workflow task sequence of the described first workflow task sequence; And
Described certain table relates to the form of patient medical condition evaluation.
9, be used to order the system of patient treatment, it comprises:
With at least one storage vault that clinical data source and the data that are used to the patient to order the form of treatment interrelate, described form merges the clinical data that obtains from described source;
Interface processor, be used for user command in response to the processing that starts described certain table, automatically inquire about the specific clinical data source that is associated with certain table, described certain table is used to particular patient to order treatment, has the clinical information of the renewal of clinical meaning for described treatment with sign; And
New processor more, be used for user command in response to the processing that starts described certain table, using before described certain table finishes order, start the regeneration of described certain table, have the data of clinical information of the renewal of clinical meaning for described treatment to comprise indication.
10, according to the system of claim 9, wherein
Described have at least one in following of the clinical information indication of clinical meaning for described treatment: (a) existence of another order of described treatment and (b) conflict with the medical treatment of another treatment of having ordered for described particular patient.
11, according to the system of claim 9, wherein
Carried out treatment order item workflow task sequence by the user during, the described user command that starts the processing of described certain table is activated; And
During another workflow task sequence that is different from described treatment order item workflow task sequence, generate the clinical information that has the described renewal of clinical meaning for described treatment.
12, the method that is used for managing patient clinical data, it comprises following activity:
The data of clinical data source with the expression form are connected, and described form merges the clinical data that obtains from described source;
In response to the user command of handling described certain table, the specific clinical data source that interrelates of inquiry and specific form automatically is with the clinical information of the renewal of sign particular patient; And
Before handling described certain table, start the generation to user's indication of clinical information of the renewal of sign particular patient.
13, be used to order the method for patient treatment, it comprises following activity:
Clinical data source and the data that expression is used to the patient to order the form of treatment are connected, and described form merges the clinical data that obtains from described source;
In response to the user command of the processing that starts described certain table, the relevant specific clinical data source of certain table of inquiry and the treatment that is used to order particular patient automatically is to identify the clinical information that has the renewal of clinical meaning for described treatment; And
In response to the user command of the processing that starts described certain table, using before described certain table finishes order, start the regeneration of described form, have the data of clinical information of the renewal of clinical meaning for described treatment to comprise indication.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US61789204P | 2004-10-12 | 2004-10-12 | |
| US60/617892 | 2004-10-12 | ||
| US11/129616 | 2005-05-13 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN1790400A true CN1790400A (en) | 2006-06-21 |
Family
ID=36788231
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNA2005101199973A Pending CN1790400A (en) | 2004-10-12 | 2005-10-12 | System for managing patient clinical data |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN1790400A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102708526A (en) * | 2010-12-27 | 2012-10-03 | 通用电气公司 | Method and system for managing work lists for medical imaging procedures |
| CN102812464A (en) * | 2010-02-12 | 2012-12-05 | 爱克发医疗保健公司 | Systems and methods for independently managing clinical documents and patient manifests at a datacenter |
-
2005
- 2005-10-12 CN CNA2005101199973A patent/CN1790400A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102812464A (en) * | 2010-02-12 | 2012-12-05 | 爱克发医疗保健公司 | Systems and methods for independently managing clinical documents and patient manifests at a datacenter |
| CN102708526A (en) * | 2010-12-27 | 2012-10-03 | 通用电气公司 | Method and system for managing work lists for medical imaging procedures |
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