CN101228528A - User-centric method for navigating through and accessing databases of medical information management system - Google Patents
User-centric method for navigating through and accessing databases of medical information management system Download PDFInfo
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Abstract
A contextual Iy sensitive, user-centric database navigation and accessing software methodology controls navigation through and access to database domains of a medical (e.g., cardiovascular) image and information management system in accordance with the specific role of the user. Being user-centric, rather than patient- centric, the routine is operative to display to a user, upon logging on, a homepage that specifically pertains to the user's area of responsibility, with the information being displayed containing a contextual list of options that are germane to the user's workflow. This facilitates the ability of the user to rapidly navigate through and access one or more data domains specifically relevant to responsibilities and functions of the user, thereby improving the user's efficiency and reducing the time to complete a task.
Description
The cross reference of related application
The application require John F.Elsholz on July 19th, 2005 application, name is called " Mechanism For Verifying And Documenting Necessity Of PerformingMedical Procedure And User-Based Tool For SelectivelyNavigating Through Medical Information Database ", assign to the application's assignee and with its be disclosed in incorporate into herein, sequence number is No.60/700, the rights and interests of 434 common co-pending application.
Technical field
The present invention relates generally to a kind of data storage and retrieval system with and user interface, and refer in particular to a kind of method of the customer-centric to context-sensitive, the ability that this method helps login system user that the one or more data fields in the medical information management system such as angiocardiogram and information management system are carried out fast browsing and visit, described data field is specifically relevant with user's function and responsibility.
Background technology
Such as hospital, carry out the information stores and the management system that adopt centralization such as current medical institutions with heart related process, in this system, keep all relevant information of patient for the treatment of with operation and it of hospital.In this whole information stores and management system, can comprise information management system such as angiocardiogram and information management system, relevant with specific subject, wherein in described angiocardiogram and information management system, stored and all cardiology patients, process, diagnosis or the like relevant information, and these information can be retrieved selectively by the authorized person.Up to now, be that the normal form at center is organized in the application that moves in these systems according to being commonly called with " patient ".Thereby when Any user signs in in the given application, the teller work station will at first show patient's demographic census; After this, by the various function buttons in the Graphics Application user interface and the operation of icon, the user can set about " ransacing " patient list can be from its target database that extracts expectation information and show this information to be devoted to arrive.
This basic shortcoming that with patient is the data retrieval at center is handled is such fact, and promptly it needs the user to browse the absolute irrelevant territory of being sought with the user usually.Each user of this system has distributed whom specific duties and function one; Thereby the user is in fact only interested in the workflow information that belongs to those functions and responsibility.For example, the system manager is indifferent to the clinical report of verdict, and the registered nurse is indifferent to the stock or patient is arranged in scheduling.In other words, though given user must conduct interviews to the territory that surpasses in this system, but for each and each user, visit each territory such as patient's demographic census is optional and be not favourable so that allow the user carry out his or her specific function.
Summary of the invention
According to the present invention, by new and improved, to the database navigation method of the customer-centric of context-sensitive can eliminate effectively such as but be not limited to above-mentioned those, be the shortcoming of the browsing data and the access scheme at center with patient, this method can according to user's specific role or function control to such as angiocardiogram and information management system, browse and provide visit as the one or more database fields in the medical information storage and retrieval system of non-limiting example to it.Customer-centric rather than be that the center means the priori that method of the present invention has user's clinical responsibility with patient, therefore when the clinician signs in in the given application, it will automatically open the workflow homepage that specifically belongs to he or she scope of offical duty.The information that shows to the user comprises the context list that the option of substantial connection is arranged with user's workflow.This is convenient to, and the login system user browses and visits one or more data fields concrete relevant with function with user's responsibility apace, thereby improve user's efficient and the time that reduction is finished the work, this is because it has saved user keystroke and time, and has eliminated effectively and attempted the extraneous areas in using is browsed to arrive the setback of tram.In fact, under many circumstances, the task of distributing to given user does not depend on patient's demographic census.As will be descr, when the user entered this system for the first time as new user, the system manager was with the role and the authority of designated user.In addition, as required, the system manager can add function to user role, and this can make the user browse the additional areas of this application.
Workstation wherein provides communicating by letter between this workstation and the hospital information system (HIS) to the computer network that the information management system of customer-centric of the present invention is browsed and access routine conducts interviews, in described hospital information system, when in health institution, patient being checked at first carrying out medical evaluation and when treatment, obtain the information relevant (such as physical symptom of case history, demographic data, insurance information, demonstration or the like) with patient by the reception personnel of hospital.By HIS is conducted interviews, the information management system of customer-centric of the present invention browse with access routine can be at an easy rate to the user provide with each patient and with performed any diagnosis or the relevant current available information of process.
Except the link that is couple to HIS was provided, this computer network also communicated with diagnosis and testing apparatus, can obtain to be used to represent the patient's semiotics parameter information and the diagnostic message of necessity that process is dispatched by this.Similarly, in case finished diagnosis and process dispatched, then with comprise procedural type, operative doctor and participant, process date, to carry out this process patient name etc., all information relevant with this process write down and are kept in this infosystem.
For the illustrated examples that provides current description to use to multiple different respectively clinical body function, current description has proposed following manner, be the functional pipelineization that the method for customer-centric of the present invention makes the user of a plurality of specific identifier types that clinical responsibility differs from one another, so that the one or more data fields in angiocardiogram and the information management system are browsed.It should be understood, however, that though invention has been described with regard to its application in the cardiology field, the present invention applicable to such as and be confined to other specialty radiology, oncology, the orthopedy etc.
To include but are not limited to: the director of doctor, waiting area nurse, clinician (laboratory technician), yardman, infotech person or chief information officer, system manager, department manager, registry nurse and medical institutions for each dissimilar users that its description is the function at center with associated user.But comprise by each different performed basic function of user usually and being not limited to: scheduling; Generate report (clinical, administrative, finance); Statistics (fee collection, morbidity/death report, department's supply are used or the like); The research tool that interrupts; Patient location device/research tool; Register/the enquiry data point; The system status monitoring; And audit log.In description process, to describing in detail by the performed specific function of those users to each different classes of user's workflow diagram.When calling specific function, then guide the user by one or more screen associated, this is browsing database apace, and includes the information that the user need finish given task in this database.
When the user signed in in this system by the one or more buttons in the operation logon screen, the subroutine relevant with user's particular category can make the teller work station automatically show this user's workflow homepage.When the user entered system for the first time as new user, the system manager was with designated user role and authority.Known role of the priori of logged-in user or classification are used for automatically showing this user's suitable workflow home screen, this screen comprises particular category user's role or function, in the process of fulfiling his/her responsibility the performed task of user and use in the specific user need relevant feature and function separately.
Description of drawings
Fig. 1 is such as the simplification complexity block diagram that is installed in the normatron network that healthcare provider mechanism (for example hospital) locates, and can adopt the method based on customer-centric of the present invention, context sensitive to be used for the data field of medical information management system is browsed and visited in described healthcare provider mechanism.
Fig. 2 diagrammatically provided wherein installed of the present invention, context-sensitive based on the angiocardiogram of the method for customer-centric and nine different user classifications set in the information management system;
Fig. 3 has provided the logon screen that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting;
Fig. 4 has provided the workflow homepage that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in in this system is doctor/cardiologist;
The example of doctor's graphical user interface that Fig. 5 provided in the process that one or more functions of the workflow diagram of the working doctor flow process homepage of Fig. 4 are browsed, show on can the workstation the doctor;
Fig. 5 A has provided the example that shows the screen of patient search information;
Fig. 5 B has provided the example of the screen that shows the output research information;
Fig. 5 C has provided the example of the screen that shows doctor VOMN view;
Fig. 6 has provided the workflow homepage that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in in this system is the waiting area nurse;
Fig. 6 A has provided the example in nurse's logon screen zone, waiting area;
Fig. 7 has provided the workflow homepage that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is clinician (laboratory technician);
Fig. 8 has provided the workflow homepage that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is the yardman;
Fig. 9 has provided the IT logon screen that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is information technologist (IT) or chief information officer (CIO);
Fig. 9 A has provided the IT/CIO user's relevant with Fig. 9 workflow;
Figure 10 has provided the logon screen that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is the system manager;
Figure 10 A has provided the system manager's relevant with Figure 10 workflow;
Figure 11 has provided the logon screen that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is department manager;
Figure 11 A has provided the department manager's relevant with Figure 11 workflow;
Figure 12 has provided the logon screen that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is a registry nurse;
Figure 12 A has provided the enlarged drawing of the screen field example in the logon screen of Figure 12;
Figure 12 B has provided the workflow of the registry nurse relevant with the logon screen of Figure 12;
Figure 13 has provided the workflow that shows on of the present invention, the teller work station based on the angiocardiogram of the navigation mechanism of customer-centric and information management system to context-sensitive adopting, and the user who wherein signs in to this system is the operational staff such as other senior operational staff of first executive officer, chief operation official, chief financial officer, Chief Medical Officer or hospital; And
Figure 13 A has provided the VOMN example screens of CXO.
Specific embodiment
To of the present invention, be used for to such as but be not limited to before the method based on user-center that the data field of the medical information management system angiocardiogram and the information management system browses and visit is described, it should be noted that, the present invention mainly reside at one group to the user workflow of context-sensitive and database search and retrieval software (this software can be loaded into traditional computer (laptop computer for example, desktop computer, server or the like) carry out in and therein) in, add the relational graph user interface of this software being controlled by it, and show the execution result of each subroutine of this software to the user of this system.Therefore, adopt mode to be described to the configuration of this system with Traditional health care ISP data storage such as hospital information system (HIS) and disposal system and by this health agency to a great extent in the accompanying drawings by the functional block diagram that is readily appreciated that and user interface display screen with equipment interfaces that patient's symptom parameter information is tested and collected, described user interface display screen shows menu and the user workflow diagrams relevant with user function, wherein only show those particular aspects relevant, do not have in detail openly becoming that those skilled in the art of describing benefit here are easy to learn and obscure so that can not make with method of the present invention.Therefore, block diagram and relational graph user interface and user workflow diagrams are mainly used in the critical piece that shows the preferred embodiment of the present invention with function group easily, can be more readily understood the present invention thus.
In addition, it should be understood that method of the present invention is applicable to apace the multiple information in the one or more database fields that are stored in the medical service organ information management system is browsed and retrieved, and therefore be not limited to its scope.For but the non-limiting illustrative example of its use is provided, below describe and to propose the application of the present invention information that is stored within angiocardiogram and the information management system being browsed and retrieved by a plurality of users, described a plurality of users' function and responsibility differ from one another, and therefore in the process of the task that they were assigned with of execution, need to information management system, conduct interviews with the different operating flow process is relevant respectively territory.As noted above, though invention has been described in the application of relevant image of cardiology and information management system with regard to it, it should be understood that it be applicable to such as but be not limited to other specialties radiology, oncology, orthopedy or the like.
At first note Fig. 1, Fig. 1 is to such as being installed in the simplification complexity block diagram that the computer network that adopted healthcare provider mechanism of the present invention (for example hospital) to locate describes.As shown therein, ISP's computer network comprises desk-top computer or workstation1 0, the database navigation and the data retrieval software of customer-centric of the present invention have been installed in this desktop computer or workstation1 0, and the personnel of health institution can be where necessary by this desktop computer or workstation1 0 and need their predetermined responsibility of accesses network and responsibility explicitly, between each display window of graphic user interface, browse and retrieve data.
The computer network that workstation1 0 is installed is included in and links 11 between workstation and the hospital information system (HIS) 20, wherein in hospital information system, when the initial registration of patient is lived in the health institution when carrying out medical evaluation and treatment, obtain the information relevant (such as the physical symptom of case history, demographic data, insurance information, demonstration (such as oppressiveness pectoralgia, dizzy, faintness, chest palpitaition) etc.) with patient by the reception personnel of hospital.By visit HIS 20, the information management system of customer-centric of the present invention browse with access routine can be at an easy rate to the user provide with each patient and with performed any diagnosis or the relevant current available information of process.
Except the link that is couple to HIS 20 was provided, this computer network also was included in the diagnosis and the link 12 of testing apparatus 30, can obtain to be used to represent the patient's of necessity that process is dispatched semiotics parameter information and diagnostic message by this.Similarly, in case finished diagnosis and process dispatched, then with comprise procedural type, operative doctor and participant, process date, to carry out this process patient name etc. the relevant information records relevant with this process and be kept among the HIS.
As mentioned above, for the non-limiting of application that current description is provided to multiple different respectively clinical body function but illustrative example, current description has proposed following manner, i.e. the performance that the user of a plurality of specific identifier types that the clinical responsibility of database navigation method pipelining of customer-centric of the present invention differs from one another browses one or more territories of angiocardiogram and information management system.For this reason, property example as an illustration, Fig. 2 has diagrammatically provided some the tabulation in nine different user classifications set of this system and each user's the work functions separately.These users comprise the major executives 209 (CXO) of doctor 201, waiting area nurse 202, clinician (laboratory technician) 203, yardman 204, infotech person or chief information officer 205, system manager 206, department manager 207, registry nurse 208 and hospital.
Fig. 2 also shows general utility functions piece 210, and this general utility functions piece has been listed usually by one group of performed basic function of one of each difference among the user 201-209.These comprise: scheduling; Generate report (clinical, administrative, finance); Statistics (fee collection (referring to top illustrating) M/M department); The research tool that interrupts; Patient location device/research tool; Register/the enquiry data point; The system status monitoring; And audit log.Will be in the description process of those users' that will describe, described in Fig. 4 and 6-13 workflow diagram be the listed specific function of each user 201-209 in reference to figure 2.Fig. 2 has further provided user's login feature 212, when the user signs in in this system, by means of the present invention is the fact of customer-centric, this user's login feature 212 can operate automatically call and show as from the corresponding arrow of user's entry block 211 directed towards user piece 201-209 represented, be the specific listed function the user 201-209.
More specifically described user's entry block 211 of Fig. 2 in the process that the graphic user interface to Fig. 3 describes, wherein Fig. 3 has provided by each shown parts of the logon screen of teller work station.The logon screen of Fig. 3 is shown as and comprises login button 301, exit button 302 and legacy user's name and password field 303 and 304 respectively.As noted above, when the user signs in in this system as new user first, the system manager will specify user's role and authority.As will be described, the known role of the priori of login user is used for automatically showing suitable workflow-demonstration home screen of this user.
Fig. 4 provided for the user who signs in to this system be the such situation of doctor/cardiologist (shown in 401), by the shown homepage of workstation display screen, wherein doctor/cardiologist's function comprises those that are repeated in the listed and functional block in Fig. 4 402 in the piece 201 among (as mentioned above) Fig. 2.The workflow diagram of Fig. 4 and described subsequently those role of particular type of user or function diagrammatically have been described, in the user fulfils carrying out in the process of his/her responsibility of task and uses with the specific user need relevant feature and function separately.Fig. 4 be included as insertion type cardiologist and non-intervention type cardiologist shared workflow diagram.
The non-intervention type cardiologist comprises the doctor who carries out heart ultrasonic research, nuclear medicine studies, the inspection of non-intrusion type external perihaemal canal and reads EKG and the doctor of dynamic electrocardiogram inspection.It is other and use Work List to maximize his/her efficient that this class doctor is sitting in table during by day usually.In other words, expectation non-intervention type cardiologist is sitting in the computer workstation place and reads/explains the audit report for their preparation by the technician of office or intern.On the other hand, the insertion type doctor is not tabledriven by working line, but moves to the next one from a process, and must complete process report apace before next case begins.Although these difference is arranged, this two classes doctor's something in common be as described in Figure 4, their independent routine or function.These tasks comprise scheduling 411, do not pursue the master degree study carefully 412, to research carry out note and decide on a verdict 413, patient search 414, check statistics 415, check file content (individual with the public's) 416 and examine medical necessity (VOMN) 417.
By calling scheduling feature 411, shown in 421, the doctor can check scheduling or selection scheduling item.From scheduling feature 421, the doctor can by shown in 431 to as shown in patient's name click the screen that shows the patient's history to call, perhaps shown in 432, double-click to open the research homepage.Calling does not pursue the master degree studies carefully function 412 and can cause that automatically showing does not pursue the master degree studies carefully tabulation, and the doctor can select from shown tabulation, and these are shown in 422.Once more, the doctor can suitably click or double-click with acquisition state 431 or state 432.By calling note and finalize studies function 413, shown in 423, the doctor can show research automatically selecting, and the doctor can therefrom click selectively or double-click with acquisition state 431 or state 432.Shown in 424, provide the doctor can therefrom select Xiang the doctor with the patient list studied and the search condition of demonstration but call patient search function 414.Once more, the doctor can suitably click or double-click with acquisition state 431 or state 432.
For the statistical function shown in 415, shown in 425, workflow proceeds to statistical screens and is doctor's filter result of current login, and shown in state 435, can allow the doctor to select from the storage report array or the person of foundation is inquired about.Folder function for 416, workflow proceed to 426 and open the file of selection, and shown in state 436, the permission doctor checks the patient file folder or new research is dragged and dropped in this document folder.
Shown in 417, the funcall automated software routine of listing at last of examining medical necessity, this automated software routine makes the user can obtain patient and clinical information at an easy rate and it is filed in the audit document, this is for examining in accordance with the governing principle that medical security/issues at medical subsidy service (CMS) center, therefore the medical necessity of carrying out given medical procedure is effectively, and guarantees that healthcare provider and doctor will suitably repay the expense of this process of execution and can be easy to CMS audit by its mechanism and relevant medical worker (doctor).It is that * * *, name are called " Automated System For Capturing And ArchivingInformation To Verify Medical Necessity Of Performing MedicalProcedure ", assign and openly incorporate type described in herein the common pending trial U.S. Patent application into to the assignee of this application and its that this routine is preferably the sequence number of applying for same date at John F.Elsholz.
Concise and to the point, according to the present invention described in this application, lack one or more message segments to satisfy the medical necessity requirement if the editor of the information relevant with patient and process is demonstrated audit document, the degree of shortcoming and the thing that concrete mark is lacked will visually be warned to the medical worker by system so of the present invention.This will allow one or more objects of system user activated user interface to begin to search for the available resources or the artificially that include information needed this information to be typed in this system, but so that the audit document complete filling has any drain message.In case audit document meets the CMS requirement, this fact will be warned to the medical worker by colour (for example green) warning indicator of workstation display screen by system so.
When calling VOMN function 417, workflow forwards the VOMN screen to, Fig. 5 C shows the example of this VOMN screen, and be depicted as current login user filter result as 427, so that the doctor can check his/her patient data, perhaps check patient,, and after this shown in 437, allow the output of VOMN data or be saved in the supplementary storage such as compressed disc so that can according to the function of VOMN routine any missing data be conducted interviews and store with missing data.
The example of doctor's logon screen that Fig. 5 provided in the process that the doctor browses the one or more functions in the workflow diagram of doctor's home screen of Fig. 4, show on can the workstation the doctor.As shown in Figure 5, for the research 501 of not reading, by the doctor the selected patient of the highlighted demonstration in 502 places, so that the doctor can file to current ongoing case; " patient information " field 503, " finalize studies " field 504 and " user message/processing " field 505 have also been shown.As mentioned above, the doctor can utilize a mouse click to carry out the function of any of these or other demonstrations at an easy rate after login.
Fig. 5 A provided can generate when calling the patient search function at 414 places, the example screens that shows patient search information, and Fig. 5 B has provided the example screens that is used for showing the output research information that can generate such as the process in the result who preserves finalize studies.
Fig. 6 has provided the shown homepage of workstation display screen, the user who wherein signs in in this system is waiting area nurse (shown in 601), and this waiting area nurse's function comprises those that are repeated in the listed and functional block in Fig. 6 602 in the piece in Fig. 2 202 as mentioned above.Fig. 6 A has provided the various examples of the screen field of waiting area nurse's logon screen.Waiting area nurse and patient preparation therapeutic process in the waiting area, that insert in (cath), echo, electrophysiology (EP), peripheral vessels (PV) and the atomic medicine laboratory at conduit negotiate.This is especially true for conduit insertion and EP laboratory, and wherein receive, prune, prepare and calm patient, and crossing Cheng Qian insertion IVs, and wherein in the laggard action arteries and veins hemostasis of process.Wait plan that the nurse must formulate patient, evaluation patient's Aldrete or ASA scoring and report patient's associated with conscious sedation under the regulation of many states law.As shown in Figure 6, wait the function that the nurse can carry out comprise scheduling 611, formulate patient the Cheng Qian plan 612 of crossing, formulate plan 613 in patient's the process, formulate and plan 614 after patient's the process, check whether have any incomplete registry fields 615, Rapid Dose Calculation 616, patient search 617 and message informing 618.
When calling scheduling feature 611, shown in 621, call to login and wait being presented on the workstation display screen that waits the nurse of nurse according to the scheduling on the same day of workspace/department's grouping and with it.Shown in 622, patients function 612 causes showing the patient's that all of wait process are monitored and be scheduled tabulation before the invoked procedure.Shown in 632,, wait research file that the nurse can open that patient and make a plan beginning by clicking the given patient in this tabulation.Shown in 623, patients function 613 causes showing the tabulation of all monitor patients in the acute nursing zone (Cath/EP/PV/ load laboratory) in the invoked procedure.Shown in 633,, wait research file that the nurse can open that patient and make a plan continuing by clicking the given patient in this tabulation.Shown in 624, patients function 614 causes showing the tabulation of patient after all processes of being monitored behind the invoked procedure.Shown in 634,, wait research file that the nurse can open that patient and make a plan continuing by clicking the given patient in this tabulation.
When calling incomplete registry fields function 615, shown in 625, show patient after the relevant process that satisfies the condition of registering, according to research to omitting the counting of registry fields.Shown in 635, click particular studies and can open this research and show the missing data field.Shown in 626, open the dose calculator button of dose calculator by click and realize calling dose calculator function 616.Shown in 627, call patient search function 617 and can open the patient search screen.Shown in 637, click the form that this screen then shows the patient search condition.Optionally last function is a message informing function 618.If adopt this function, when calling, shown in 628, can cause showing current e-mail count so.Shown in 638, after this wait the nurse and can click e-mail open button to open based on network mail reader, this causes automatically providing logging on authentication.
Fig. 7 has provided the shown workflow homepage of workstation display screen, the user who wherein signs in to this system is clinician or laboratory technician (shown in 701), this clinician or laboratory technician's function comprise the piece 203 of Fig. 2 as mentioned above listed and that in the functional block 702 of Fig. 7, repeated those.During cardiac catheterization, heart ultrasonic, electrophysiology, blood vessel or nuclear medicine were checked, the main task of process documentation belonged to the laboratory technician, and this laboratory technician is that patient plans the backbone in the formulation field with the nurse.The doctor always checks their note, adding discovery, complicacy and explains, but the laboratory technician carries out indispensable and important documentation function.
As shown in Figure 7, the function that can carry out of laboratory technician comprises scheduling 711, new research (being in hospital) 712, patient search 713 and message informing 714.When calling scheduling feature 711, shown in 721, call this logined the clinician, according to scheduling on same day that workspace/department/doctor divided into groups and these scheduling are presented on laboratory technician's the workstation.Shown in 722,, call new research function 712 to open patient's demographic data search dialogue by clicking new research button.Shown in 732, after this user selects search key, and search condition is provided and selects patient from display list.After this user proceeds to state 742 beginning new research, and opens the ID screen.After this file 733 pairs of these cases.Shown in 723, call patient search function 713 and can open scouting screen.After this file 733 pairs of these cases.Last function is optional message informing function 714.If comprised this function, so after this when calling, shown in 715, it will cause showing current e-mail count.Shown in 716, after this laboratory technician can click e-mail open button, so that to open based on network mail reader, this can cause automatically providing logging on authentication.
Fig. 8 has provided the workflow homepage that workstation display screen shows, the user who wherein signs in to this system is yardman (shown in 801), this yardman's function comprise the piece 204 among Fig. 2 as mentioned above listed and that in the functional block 802 of Fig. 8, repeated those.First that enters any process is to dispatch in this system.The yardman can be at hospital, unit or the remote location such as doctor's office.In order to allow remote access, the method for customer-centric of the present invention adopts based on network communication, thereby allows nurse's Telnet of doctor's office, finds the beginning (opening) of scheduling, and is case scheduling doctor and patient.For this reason, as shown in Figure 8, the performed function of yardman comprises checks scheduling 811, dispatches, allows the doctor read scheduling 813, personal scheduling 814 and scheduling of resource 815 to new patient procedure 812.
When calling when checking scheduling feature 811, shown in 821, call the yardman that logins, according to the scheduling on the same day of workspace/department/doctor's grouping and these scheduling are presented on yardman's the workstation.For new patient procedure being dispatched (function 812), the yardman clicks shown function to open new event tool.If the scheduling be doctor employee, so shown in 822, regulation engine according to the rules to the scheduling in the pot life section filter.Can come the identity of position patient from patient list according to the search condition of input; If found patient in this tabulation, then workflow moves on to state 832-and finds patient.If in patient list, do not find patient, then create new records, and at state 837 places at state 836, patient's demographic data is forwarded to hospital information system (HIS) to upgrade the HIS database.Given patient status creates new scheduling events 838 according to state 832 or 836, and sends to HIS in 839 customizations with this process.In addition, show doctor's preference card at state 846 places with range request.At 847 places, generate prompting to necessity test according to doctor's preference information.In addition, note with the beneficiary who examines insurability or write in advance, so that patient arranges funds to pay the bill to this process the indication yardman of 848 places.
When calling the doctor and read scheduling feature 813, shown in 823, show calendar on the same day each image check equipment, that have the reader by clicking.Come drag and drop doctor from display list by the mouse that utilizes workstation, can make amendment to reader's scheduling at 833 places.In addition,, reader's rule offered enter the interface, and research is routed to correct reader's Work List according to image check equipment and date at state 843 places.When seconded officer's scheduling feature 814, shown in state 824, but user's drag and drop specific people distributes personnel to particular studies or to particular room.Shown in 834, after this user clicks particular studies to check whether need any particular device.Particular device if desired, user's calling graph is marked with so provides visual alerts to show this demand.For scheduling of resource (function 815), shown in 816, the yardman can be with resource (for example particular device) drag and drop to particular studies.Shown in 835, whether after this user can click particular studies needs any particular device to check, and particular device if desired, and user's calling graph is marked with so provides visual alerts to show this demand.
Fig. 9 has provided the IT logon screen that workstation display screen shows, Fig. 9 A has provided the related work flow process simultaneously, the user who wherein signs in to this system is information technologist (IT) or CIO (shown in 901), the function of this information technologist or CIO comprise in the piece 204 of Fig. 2 as mentioned above listed and in the functional block 902 of Fig. 9 A, repeated those.Support also safeguards that the responsibility of this system belongs to information technologist, and finally belongs to the CIO that finally compatibility of all systems is responsible for.The function of Fig. 9 and 9A comprises that the diagnosis of the needs that solve IT staff particularly and monitoring tools are to support this system and to monitor.
More specifically, administration of research activities device 913, statistics 914, maintenance and warranty information 915, system's history 916, instrument 917, audit/error log 918, the operation that can be comprised system status inspection 911, report 912, interruption by the function that IT/CIO carries out upgraded and interface detection 919 and message informing 920.Shown in 921, the summary of the system health that includes following parameter can be called and be shown to calling system status function 911, and described parameter comprises server free space, back-up status, filing situation, free space, user's login or the like.Shown in 931, after this user clicks statistical screens and display system statistics or generation statistical report.
Shown in 922, function of reporting 912 relates to opens special query facility, and the report selector switch of display of system level (standard and customization).When calling administration of research activities device 913 functions of interruption, shown in 923, show the counting that interrupts research according to image check equipment.Shown in 933, after this can be by clicking the administration of research activities device that shows interruption.When calling statistical function 914, shown in 924, call and show statistical screens.Shown in 925, call and safeguard and warranty information function 915 can show the availability of current guarantee situation and upgrading, patch, redaction.
Shown in 926, calling system history function 916 display systems are historical and open ongoing project.Shown in 927, click tools function 917 can be transferred (bring up) system diagnostics instrument tabulation that comes up.When calling audit/error log function, shown in 928, show last 10 system mistakes and link wrong to institute and research tool.Shown in 929, calling operation upgrading and interface detection function 919 can conduct interviews to the test macro that is used to upgrade with interface detection.If adopted optional message informing function 920, call optional message informing function 920 so and can show current e-mail count, these are shown in 930.Shown in 940, after this IT/CIO can click e-mail open button, so that open based on network mail reader, this causes automatically providing logging on authentication.
Figure 10 has provided the shown logon screen of workstation display screen, Figure 10 A has provided relevant workflow simultaneously, the user who wherein signs in to this system is system manager (shown in 1001), this system manager's function comprise that the piece 204 among Fig. 2 as mentioned above is listed and in the functional block 1002 of Figure 10, repeated those.The system manager controls user right and security, establishment user report, solves the research and the attachment of a task of execution such as the trainer is giveed training interrupted.System status inspection 1011, interpolation/deletion/compiles user 1012, report 1013, broken device 1014, statistics 1015 be can comprise by the function that the system manager carries out, implement training 1016, scheduling 1017, patient search 1018, menu/text/report editing machine 1019 and message informing 1020 checked.
Shown in 1021, calling system status function 1011 can be called and show the system health summary that includes following parameter, and described parameter comprises the user of server free space, back-up status, filing situation, free space, login etc.Shown in 1031, after this user can click statistical screens and display system statistics.In order to add, to delete or editing system user (function 1012), shown in 1022, the system manager opens user's editor utilities.
Shown in 1023, function of reporting 1013 relates to opens special query facility, and display of system level report selector switch (standard and customization).When calling broken device 1014 functions, shown in 1024, show the counting that interrupts research according to image check equipment.Shown in 1034, after this can show the broken device by clicking.When calling statistical function 1015, shown in 1025, call and show statistical screens.In order to implement training (function 1016), shown in 1026, the system manager opens the test macro database that is used to train session.
When calling when checking scheduling feature 1017, shown in 1027, call this login system keeper, that divided into groups according to workspace/department scheduling on same day, and on system manager's workstation, show these scheduling.In order to implement the search (function 1018) to given patient, shown in 1028, thereby the system manager clicks and opens the patient search screen.At 1029 places, call menu/text/report editing machine function 1019 by opening screen editor; At state 1039 places, select image check equipment.At state 1049 places, the system manager checks the editing machine selection of selected image check equipment; After this part that system manager's selection will be edited.If adopted optional message informing function 1020, shown in 1030, call optional message informing function 1020 and cause showing current e-mail count so.Shown in 1040, after this system manager can click e-mail open button, so that open based on network mail reader, this causes automatically providing logging on authentication.
Figure 11 has provided the shown logon screen of workstation display screen, the user who wherein signs in to this system is department manager (shown in 101), and this department manager's function comprises those that are repeated in the listed and functional block in Figure 11 1102 of the piece 207 among Fig. 2 as mentioned above.Figure 11 A has provided relevant workflow diagram.The efficient of the manager of conduit insertion laboratory or heart disease department or leader concern laboratory or department and profit, the reliability of all critical systems, the management of expensive inventory item, and keep doctor's satisfaction.This department manager's function comprises: system status 1111, report situation 1112, report 1113, the administration of research activities device 1114 that interrupts, statistics 1115, stock control 1116, check scheduling 1117, patient search 1118, menu/text/report editing machine 1119 and check VOMN 1120.
Shown in 1121, calling system status function 1111 can be called and show the system health summary that includes following parameter, and described parameter comprises server free space, back-up status, filing situation, free space, listed user etc.Shown in 1131, after this user can click statistical screens and display system statistics.When calling report status function 1112,, show the unsigned number of having studied according to the doctor at 1122 places.After this open button in the click of state 1132 places and can open the not filter list of signature research.Shown in 1123, function of reporting 1113 relates to opens special query facility, and display of system level report selector switch (standard and customization).When calling broken device 1114 functions, shown in 1124, show the counting that interrupts research according to image check equipment.Shown in 1134, after this can be by clicking the administration of research activities device that shows interruption.When calling statistical function 1015, shown in 1125, call and show statistical screens.
Shown in 1126, call the stock model that stock control function 1116 can be opened keeper department.When calling when checking scheduling feature 1117, shown in 1127, call the scheduling on the same day of this department and these scheduling are presented on department manager's the workstation.In order to implement the search (function 1118) to given patient, shown in 1128, thereby this department manager clicks and opens the patient search screen.Call menu/text/report editing machine function 1119 by opening screen editor, and select image check equipment at state 1129.At state 1139, user/department manager checks the editing machine selection of selected image check equipment; After this part that department manager's selection will be edited.Shown in 1130, message call informing function 1020 causes showing current e-mail count.Shown in 1140, after this department manager can click e-mail open button, so that open based on network mail reader, this causes automatically providing logging on authentication.
Figure 12 has provided the shown logon screen of workstation display screen, the user who wherein signs in to this system is registry nurse (shown in 1201), and the function of this registry nurse comprises those that are repeated in the listed and functional block in Figure 12 1202 of the piece 208 among Fig. 2 as mentioned above.Figure 12 A has provided the expansion of screen field example of the logon screen of Figure 12, and Figure 12 B has provided the workflow of the registry nurse relevant with the logon screen of Figure 12 simultaneously.Participating in hospital that state, zone or country register employs nurse or technician and finishes trust registry fields in the therapeutic process report.After this they obtain this data, according to unique these data of order formatization of registering, and regularly submit it to.For this reason, the performed function of registry nurse comprises that identification has report 1211, the patient search 1212 of deficiency of data, obtains 1213, submits to and register 1214 and research agreement 1215.
In order to discern report (function 1211), show the not exclusively tabulation of research at 1221 places with deficiency of data.When these data occurring, use the data base procedure of being stored to generate this data.In order to carry out patient search (function 1212), shown in 1222, open the patient search screen and also only filter for the patient that registers.Shown in 1232, this is used to support ACC, STS, STATE, ICAEL, ICAVL, ICANL to register.Obtain function 1213 in order to carry out, shown in 1223, to selected operation acquisition routine and the display result of registering.Shown in 1233, this provide having relevant obtain tolerance obtain the research tabulation.Call and submit registry function 1214 to, shown in 1224, rule provides data or bag data to selected registering according to registering.At state 1225 places, by selecting agreement to carry out research protocol function 1215 from the protocol list of storage.In addition, operation protocol criteria or select titular patient from patients database.1235, open editing machine to create New Deal or existing protocol is edited.Shown in state 1245, this is used to begin new research, and opens the ID screen.
Figure 13 has provided the shown workflow diagram of workstation display screen, the user who wherein signs in to this system is main executive CXO (shown in 1301), and this main executive's function comprises those that are repeated in the listed and functional block in Figure 13 1302 of the piece 209 among Fig. 2 as mentioned above.Figure 13 A has provided the VOMN example screens by the shown CXO of the function in the workflow diagram that calls Figure 13 1311.The main executive can be CEO, COO, CFO, VP or risk management officer.The person's character of being commissioned of his/her position means this individual suffered responsibility of profit/loss and/or hospital of paying close attention to his/her department.Therefore, list two major function: 1-that appeal to CXO on the homepage synoptic diagram of Figure 13 and reported the achievement of measured heart disease department by tolerance; And 2-is to the examining of medical necessity, and this will help to reduce hospital to not crossing the fragility of medical insurance audit.
In Figure 13 with these Function Identifications for checking VOMN function 1311 and performance metric function of reporting 1312.When calling when checking VOMN function 1311, show current counting that the doctor filtered, that hang in the air research according to this process of execution.Shown in 1331, after this CXO can click and open the filter list that hangs in the air research.As mentioned above, if being disclosed the VOMN audit document, the compiling of the information relevant with patient and process lacks one or more message segments, then visually the degree of warning system user shortcoming and the content that concrete mark lacks of VOMN routine to satisfy the medical necessity requirement.This will allow the one or more objects in user's activated user interface to start the available resources that include required information to be searched for, so that can fill any drain message to audit document fully.In case audit document meets the CMS requirement, then this fact will be warned to the medical worker by system.When CXO calls performance metric function of reporting 1312, shown in 1322, with the summary (utilizing the process of being stored to generate) of graphical format display system performance metric so that fast access.
From foregoing description as can be known, by following the present invention, can to eliminate tradition effectively to the database navigation of the customer-centric of context-sensitive and access method be the shortcoming of the browsing data and the access scheme at center with patient, described method is convenient to come the one or more database fields in the medical information storage and retrieval system (especially to angiocardiogram and information management system) are browsed and visited according to user's specific role or function.As mentioned above, when the user logins, customer-centric of the present invention and be not to be that the software routines at center can be operated to the user and shown the homepage that belongs to the user scope of offical duty particularly with patient, it comprises the context list that the option of substantial connection is arranged with user workflow.This is convenient to the user and apace the concrete one or more data fields relevant with function with user's responsibility is browsed and visited, thereby improve user's efficient and the time that reduction is finished the work, this is because it has saved user keystroke and time, and has eliminated effectively and tried to browse extraneous areas to arrive the setback of the tram in using.
Be described though provided according to embodiments of the invention and to it, but it should be understood that and be not limited thereto, but as known to those skilled in the art, be apt to do many changes and modification, and therefore do not wish the present invention be confined to here shown in and described details, but covered conspicuous change of all those of ordinary skills and modification.
Claims (11)
1. the application software routine of a customer-centric of using for the medical information storage and retrieval system of medical institutions, this application software routine can carry out and make the user to browse and to visit the data field in the described medical information storage and retrieval system in described system, and described routine comprises step:
(a) be a plurality of database navigation subroutines of each storage of each the different classes of user in the described medical information storage and retrieval system based on user task, when described each user carries out this subroutine, show one or more database information screens on described each user's workstation, described each user can browse and access the territory, one or more selected datas storehouse of described medical information storage and retrieval system by described database information screen; And
(b) in response to the relative users that signs in on the described medical information storage and retrieval system, showing on the workstation of described relative users and the message unit that comprises image that can be associated by the performed corresponding different task of the class of subscriber under the described relative users, the corresponding information unit has the related work flow process that described relative users is followed in the process that one or more database fields are browsed, relevant with the given task of execution to the visit of described one or more database fields.
2. the application software routine of customer-centric according to claim 1, wherein said medical information storage and retrieval system comprises angiocardiogram and information management system.
3. the application software routine of customer-centric according to claim 1, but wherein said each different classes of user comprises the director who is not limited to doctor, waiting area nurse, clinician, yardman, information technologist, system manager, department manager, registry nurse and described medical institutions.
4. the application software routine of customer-centric according to claim 1, but wherein said corresponding different task comprise be not limited to dispatch, generate report, statistics, the research tool, the patient location device/research tool that interrupt, register/the enquiry data point, system status monitoring and audit log.
5. the application software routine of customer-centric according to claim 1, the wherein said message unit that comprises image comprises the context list of the elementary area of specifying described corresponding different task.
6. the application software routine of customer-centric according to claim 1, the corresponding information unit of wherein selecting, in step (b), show in response to described relative users, carry out relevant with the affiliated class of subscriber of described relative users, described based on corresponding one in the database navigation subroutine of user task, so that described relative users can be browsed one or more database fields, the visit of described one or more database fields is associated by the performed task of the class of subscriber under the described relative users with carrying out.
7. one kind for the medical information storage and retrieval system of medical institutions application software routine that use, customer-centric, described application software routine can be carried out in described system so that the user of one of a plurality of different user classifications of belonging to described system can be browsed described medical information storage and retrieval system, and in this system, include the data field that described user finishes the required information of the execution of given function and conduct interviews, described routine comprises step:
(a) in response to the described user who signs in on the described medical information storage and retrieval system, the message unit that on described user's workstation, shows the representative of consumer function, executable each difference in functionality of class of subscriber under the message unit of described representative of consumer function and the described user is relevant, the corresponding information unit has the related work flow process that described user is followed in the process that one or more database fields are browsed, wherein relevant to the visit of described one or more database fields and the described user function that puts rules into practice; And
(b) the corresponding information unit of selecting in response to described user, in step (a), show, carry out database navigation subroutine with relevant customer-centric, this subroutine can be operated described user can be browsed one or more database fields, and therefrom visits in the required information of user described in the process of carrying out one of described each difference in functionality.
8. the application software routine of customer-centric according to claim 7, wherein said medical information storage and retrieval system comprises angiocardiogram and information management system.
9. the application software routine of customer-centric according to claim 7, wherein said user belongs to one of corresponding different user classification, and these class of subscribers include but are not limited to: the director of doctor, waiting area nurse, clinician, yardman, information technologist, system manager, department manager, registry nurse and described medical institutions.
10. the application software routine of customer-centric according to claim 7, wherein said each difference in functionality include but are not limited to: dispatch, generate report, statistics, the research tool, the patient location device/research tool that interrupt, register/the enquiry data point, system status monitoring and audit log.
11. the application software routine of customer-centric according to claim 7, the message unit of wherein said representative function comprises the context list of the elementary area of specifying described each difference in functionality.
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| US70043405P | 2005-07-19 | 2005-07-19 | |
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| CNA200680026422XA Pending CN101228528A (en) | 2005-07-19 | 2006-07-18 | User-centric method for navigating through and accessing databases of medical information management system |
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| CN200680026420.0A Expired - Fee Related CN101228543B (en) | 2005-07-19 | 2006-07-18 | For obtaining and preserving information to examine the automated system for the medical necessity for executing medical procedure |
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| CN102216933A (en) * | 2008-11-14 | 2011-10-12 | 皇家飞利浦电子股份有限公司 | Search engine for medical data |
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| CN102289440A (en) * | 2010-06-18 | 2011-12-21 | 上海博泰悦臻电子设备制造有限公司 | Music file providing method and providing system thereof |
| EP3675138B1 (en) * | 2018-03-07 | 2022-09-21 | Siemens Healthcare GmbH | Medical imaging device control based on decision tree data structures |
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| US6049794A (en) * | 1997-12-09 | 2000-04-11 | Jacobs; Charles M. | System for screening of medical decision making incorporating a knowledge base |
| US6047259A (en) * | 1997-12-30 | 2000-04-04 | Medical Management International, Inc. | Interactive method and system for managing physical exams, diagnosis and treatment protocols in a health care practice |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102216933A (en) * | 2008-11-14 | 2011-10-12 | 皇家飞利浦电子股份有限公司 | Search engine for medical data |
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| CN101228543A (en) | 2008-07-23 |
| CN101228543B (en) | 2018-08-10 |
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