US20110307276A1

US20110307276A1 - Context Management Systems and Methods in a Mobile Computing Framework For Enterprise Applications

Info

Publication number: US20110307276A1
Application number: US13/216,279
Authority: US
Inventors: Glenn M. Bernston; Chao Young Lee; George A. Madrid; Maulin P. Shah; Sanjay S. Vakil
Original assignee: PatientKeeper Inc
Current assignee: PatientKeeper Inc
Priority date: 2001-04-06
Filing date: 2011-08-24
Publication date: 2011-12-15
Also published as: US20030158753A1; US8027848B2

Abstract

A framework for a handheld computing device comprising a user interface that: (1) controls the display, selection and launching of program modules; (2) controls patient context within the program modules; and (3) provides for messaging and sharing of databases between and among program modules. In various embodiments, databases are shared between the program modules by the publishing of XML and metadata identifying the structure of the databases.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 10/335,545, entitled “Context Managing Mobile Computing Framework For Enterprise Application,” filed Dec. 31, 2002, which is a continuation-in-part of U.S. patent application Ser. No. 10/238,841, filed Sep. 9, 2002, which is a continuation of U.S. patent application Ser. No. 10/118,592, filed Apr. 8, 2002, which claims the benefit of U.S. Provisional Application No. 60/282,249, filed Apr. 6, 2001, and U.S. Provisional Application No. 60/282,131, filed Apr. 6, 2001. The above applications are hereby incorporated herein by reference in their entirety.

BACKGROUND

This application relates generally to handheld computer devices and more specifically to a framework for handheld computer devices used in the health care industry.
In the health care industry, health care providers have become increasingly dependent on the use of computer systems and software to keep track of all aspects of patient data, including clinical, administrative and billing information. In the mid-1990's, CCOW (Clinical Context Object Workgroup) was developed to help aid health care providers manage patient data. The CCOW standard, now the ANSI approved Health Level 7 Context Management Standard version 1.4, establishes the basis for ensuring secure and consistent access to patient information from heterogeneous sources through synchronizing and coordinating applications—such as those used for patient registration, order entry and results reporting—so that they instinctively follow a specific context, including the identity of a user, a patient or a specific clinical observation. CCOW-compliant applications coordinate with each other via a behind-the-scenes context manager that enables them to work together in ways that behave like a single system from the health care provider's perspective.
In more recent years, health care providers have begun to use handheld computing devices and software, such as that offered by PatientKeeper, Inc., to keep track of patient data. The PatientKeeper systems are described in U.S. patent application Ser. No. 09/356,543, titled “Device for Automating Billing Reimbursement,” by inventors Matthew D. Barnhart, Stephen S. Hau, Yuri Ostrovsky and MinPont Chien, filed on Jul. 19, 1999 and U.S. patent application Ser. No. 09/356,751, titled “System for Automating Billing Reimbursement,” by inventors Matthew D. Barnhart, Stephen S. Hau, Patrick McCormick, George A. Madrid, Craig A. Fields and Sanjay S. Vakil, filed on Jul. 19, 1999, the teachings of which are incorporated herein by reference.
In a typical health care environment, a hospital, for example, doctors will carry a handheld device with them as they treat patients. As tests are performed, diagnoses made, and treatment administered, a doctor can note all of the activity in the handheld device. After seeing several patients, the doctor then synchronizes the handheld device with a server which is connected to the hospital's main computer network. All patient data collected in the handheld is then uploaded to the hospital's main information system and at the same time, any patient data in the main system which has been updated since the last synchronization can be downloaded to the handheld device.

SUMMARY

A computer-readable medium, according to various embodiments, stores computer-executable instructions for: (1) controlling the selection of a plurality of application programs to present user interfaces on a display of a handheld computing device storing the application programs, each of the application programs being adapted to process medical data; (2) controlling a patient context of each of the application programs; (3) controlling data sharing between the application programs; and (4) in response to the handheld device switching from displaying a first of the plurality of application programs to displaying a second of the application programs, switching from: (A) a display, on the handheld computing device, of first data for a given patient in the first application program, to (B) a display, on the handheld computing device, of second data for the given patient in the second application program.
A handheld computer application, according to particular embodiments, comprises: (1) a user interface operable to display a plurality of application programs, wherein the user interface comprises a window for displaying, on a handheld computing device, an active application program selected from the plurality of application programs, an application selector, and a patient selector; (2) a messaging conduit operable to send and receive messages between and among the plurality of application programs; (3) a framework program operable to control a patient context of each of the application programs, such that, in response to the handheld computing device switching from displaying a first of the plurality of application programs to displaying a second of the application programs, the user interface switches from displaying: (A) first data for a given patient in the first application program, to (B) second data for the given patient in the second application program.
In various embodiments, a user interface for operating health care applications on a handheld computing device comprises: (1) a window displaying a user interface of an active application program; (2) an application selector that is adapted to allow a user to switch between a user interface of a first application program, and a user interface of a second application program; and (3) a patient selector that is adapted to control a patient context of the first and second application programs. In particular embodiments, the user interface is adapted so that, in response to the handheld device switching from displaying a first of the plurality of application programs to displaying a second of the application programs, the user interface switches from: (A) displaying first data for a given patient in the first application program; to (B) displaying second data for the given patient in the second application program.

BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing and other objects, features and advantages of the invention will be apparent from the following more particular description of preferred embodiments of the invention, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention.

FIG. 1 shows a handheld device displaying the User Interface.

FIG. 2 is an example of metadata.

FIG. 3 shows an example of a sequence for sub-launching a second program module.

FIG. 4 shows an example of metadata for a server application.

FIG. 5 shows a diagrammatic representation of how a program module retrieves data by way of the handheld framework.

DETAILED DESCRIPTION OF THE INVENTION

A description of various embodiments follows. While the following description mainly pertains to use of the present invention in the health care industry, much of the methods and software described herein are broad enough for general application to a variety of fields.
The present invention is a framework for a handheld device. This handheld framework serves to integrate a plurality of program modules on the handheld device. Each program module administers its own database, but publishes the necessary information needed by the handheld framework to access those portions of the database which it is intended to access. Similarly, program modules can use this information to access data from other program modules' databases. The framework provides a User Interface, an Application Programming Interface, Metadata XML data description, Module Integration (messaging between modules), Centralized Administration and Turnkey Synchronization. The framework is platform-independent and can utilize single-threaded (Palm) or multiple-threaded (Windows CE) operating systems.
User Interface
The first feature of the handheld framework that a user will notice is the User Interface. FIG. 1 shows a handheld device 1 displaying the User Interface 3. At the bottom of the screen is a tab bar 5. The tab bar contains an icon for each of the available program modules on the handheld device. As program modules are added to the handheld device, their icons are added to the tab bar. The user can select a program module by tapping on the desired module's tab. The program modules can be provided with the handheld framework or developed by third party developers as well.
In the middle of the screen is the main application space 7. The active program module is displayed in the application space 7. When a user selects a different program module by tapping on its tab, the newly selected program module is launched in the application space 7. The application space 7 may also have a scroll bar if one is needed to display information that cannot fit in a single screen. The User Interface also has a drop-down Patient List 9. This list of patients allows the user to select any of the patients whose data currently resides on the handheld device. Doctors can select which patients they intend to attend to on a given rotation (or it can be done automatically for them) and then download those patients into the handheld device. The doctor then only need select from the Patient List 9 as he moves from one patient to the next. The Patient List is common across all of the program modules and selecting a particular patient in one program module will result in all of the other program modules changing to that patient's context as well. This synchronization of all the program modules to the same patient happens automatically when a doctor selects a patient from the Patient List.
A goal of the User Interface 3 is to present all of the available program modules to a user as if they were all one application. Thus, whether a doctor is using program modules provided with the handheld framework or program modules written by a third party, they will all look like a single application. The User Interface is also platform independent, meaning it will appear and function the same on the various handheld device operating systems, such as the Palm OS or Pocket PC/Windows CE platform. This facilitates more efficient programming for third-party developers writing their own custom program modules. The handheld framework provides rules for writing custom program modules such that they will automatically interoperate with the handheld framework and other program modules on the handheld device.
Application Programming Interface
The Application Programming Interface (API) is a set of functions for use by any developer wishing to create an application to run with the handheld framework. These functions remove much of the overhead work otherwise borne by software developers. With work already done for such difficult matters as memory and database management, the technical knowledge needed by the developer is reduced, whether it is a third-party developer or an employee of the provider of the handheld framework. Furthermore, a program module written according to the API will have operational consistency, exchangeability of data with other program modules also running on the handheld framework, and context management. The API has libraries of functions available to a programmer as well as the necessary documentation describing the way data is stored in a handheld device running the handheld framework.
Included in the API is a methodology for describing data. The method sets forth how data is described in the databases residing on the handheld device as well as on a server. The preferred method for describing data is using industry-standard extensible markup language, or XML. XML is used to put the data in an efficient format. This assists programmers in specifying how data is shared between program modules on the handheld device as well as how data is transferred between the handheld device and the server during synchronization operations. The use of XML also reduces the actual amount of data which needs to be transferred.
An application programmer uses the XML standards of the handheld framework when developing their own proprietary program modules. The programmer selects which data entities a program module will use and then creates the program module using the necessary XML descriptions of the data. The handheld framework will then be able to fully communicate with the databases which accompany the program module and any transfer of data to or from the program module to the handheld framework, server, or other program module will be transparent to the user.
Rules for Describing Data
The handheld framework provides the rules necessary for describing data. Since it is preferred that each program module owns its own databases, how the data is described in those databases must be shared with the handheld framework and other program modules with which data is to be shared. This is accomplished with a metadata description of all the data needed by a program module on the handheld device. In the preferred embodiment, the metadata is described in XML.
A developer writing a program module to work with the handheld framework must create a Data Store according to the rules provided with the handheld framework. The Data Store is separate from the main software code and describes the tables of data that the program module may use as well as the XML metadata describing how the data is stored. By allowing the handheld framework to see the metadata, the handheld framework, server or other program modules will know how to interact with the program module and exchange data with it. The Data Store metadata is used in the same way on any platform.
An example of metadata is shown in FIG. 2. The metadata 20 may have a value 21, a definition of an integer field 23 and a definition of a character field 25. In this example, the metadata is defining the fields “pID” and “foo” for a particular record. If the code for a particular program module asks for “foo,” the handheld framework looks to the metadata to see how to obtain “foo.” The metadata instructs the handheld framework as to where “foo” can be located. The handheld framework then retrieves the data and returns it to the program module requesting it. This method is used for communication between the handheld framework and program modules, between one program module and another, and between the handheld device and a server. The handheld framework also provides for methods of packaging, sending, receiving and unpacking data. The use of the metadata in packaging data allows for efficient compression and transmission of the data.
Module Integration in Single- or Multiple-Threaded Operating Systems
Module integration allows any program module to access any open feature in any other program module on the handheld device. For example, a module that knows about a drug reference can provide a service to other modules that need to know about drugs, i.e. a prescription module wants to know about hazardous drug-drug interactions. Any program module can publish any features or functionality that it wants to provide as a service to other modules. For example, a Diagnosis module may wish to run inside a Charge/Billing module since billing charges must be associated with a diagnosis. In general, messages are sent between program modules to request data, services or alter context.
FIG. 5 shows a diagram representation 80 of how the software code 82 of a particular program module interacts with the handheld framework 102 to retrieve data from a database 90. The diagram 80 is composed of the main program code 82, handheld framework 102, and a data store 86, which is comprised of the metadata table description and data 88. The data store may also comprise a schema describing how all of the codes and tables fit together. The diagram 80 shows the process by which a data object is retrieved at the request of the software code 82.
When the code 82 requires data from a particular database, it sends a request 92 to get data to the handheld framework 102. In a single-threaded OS, a portion of the framework's code is statically linked into the software code to enable it to communicate with the handheld framework 102. The handheld framework 102 then checks at 94 with the metadata tables 88 how the data is stored. At 96, the metadata tables 88 inform the handheld framework 102 how the data is stored by revealing the metadata information as shown in FIG. 2. The handheld framework 102 then retrieves the data at 98 from the database 90. Finally, the handheld framework 102 returns the data at 100 to the program module's main code 82.
Handheld devices currently come with either single- or multiple-threaded operating systems. This refers to the number of applications that can run on the handheld device at a given time. The Pocket PC/Windows CE platform is an example of a multiple-threaded operating system. The Palm OS platform is currently single-threaded, but will likely move to multiple-threaded in the near future. Multiple-threaded environments provide the advantage of being able to execute certain functions in multiple program modules at the same time. For example, a message regarding laboratory test results can be sent to both a Diagnosis module and a Billing module at the same time.
When one program module is active and displayed in the application space and the user then selects another program module via the tab bar, the newly selected program module is then displayed in the application space. In a multiple-threaded environment, the first program module can actually remain open while the second program module is being used. However, in a single-threaded environment, the first application is closed and then the second application opened. Nevertheless, the handheld framework provides for the closing of the first and opening of the second program modules such that the transition is transparent to the user. Thus, one can see that it is easier for program modules to communicate with each other in a multiple-threaded environment where they can both run simultaneously, than in a single-threaded environment where only one program module is active at a given time. The handheld framework provides a solution to this problem by executing a message transfer sequence whereby messages between program modules travel through the handheld framework, thus simulating a multiple-threaded environment on a single-threaded handheld device.
FIG. 3 shows an example of a sequence for handling messaging (on Palm OS devices, this is accomplished via a sub-launch mechanism). Dotted lines are shown where the program module or handheld framework is not active in a single-threaded environment, but are active in a multiple-threaded environment. In this example, Program Module 1 (PM1) 33 requires the help of Program Module 2 (PM2) 37 to process some data in a way that only PM2 can do. Thus, PM1 first determines at 39 that it must send a message to PM2 37. PM1 then prepares at 41 the data for PM2 and sends it at 42 to the Handheld Framework 35. The Handheld Framework then packages the data at 43 for PM2 using the published metadata of PM2 to know how PM2 expects to receive data. The Handheld Framework 35 then finds PM2 at 45 and activates it at 47. The first action PM2 takes is to inquire at 49 whether or not there are any messages waiting for it on the Handheld Framework 35. The Handheld Framework 35 then sends the data at 52 and message at 51 from PM1 to PM2. PM2 then processes the data at 53 and returns it at 55 to the Handheld Framework 35. The Handheld Framework 35 then packages the data at 57 for PM1 and returns it to PM1 at 59. The result is that PM1 is able to have data processed by the code of PM2 and returned to it in the format designated by its metadata. This process works mostly the same way for a multiple-threaded environment. The main difference would be that the step 45 of finding PM2 could involve searching for an open application.
Turnkey Synchronization
Communication between the program modules on the handheld device and the server works very similarly to communication between program modules and other program modules. Essentially, the server publishes metadata teaching the types of fields available on the server and the handheld framework provides for a proper mapping of those fields to the corresponding fields in the program modules on the handheld device.
FIG. 4 shows an example of metadata for a server application. This metadata 70 is similar to that of the metadata 20 in FIG. 2. However, in addition to the definition of an “fname” 71 for a field in the handheld framework, there is a corresponding “sname” 73 referring to the equivalent field on the server. Thus, in this example, whereas the handheld framework would refer to this field as “foo,” the server would refer to it as “foobar.”
This effective mapping of fields on the handheld framework to the fields on the server allows for efficient packaging of data and requests for data. As a result, all data requests and fulfillments of those requests can occur rapidly in a single transaction between the handheld device and the server. This is referred to as Turnkey Synchronization.
Centralized Administration
Synchronization with the server also allows for centralized administration of a plurality of handheld devices at the server end. Management of all levels of the handheld devices is possible. For example, individual program modules can be automatically updated, new program modules can be added, and old program modules can be deleted. The handheld framework itself could also be updated using this process.
While this invention has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the invention encompassed by the appended claims.

Claims

1. A computer-readable medium storing computer-executable instructions for:

controlling the selection of a plurality of application programs to present user interfaces on a display of a handheld computing device storing the application programs, each of the application programs being adapted to process medical data;

controlling a patient context of each of the application programs;

controlling data sharing between the application programs; and

in response to the handheld device switching from displaying a first of the plurality of application programs to displaying a second of the application programs, switching from:

(A) a display, on the handheld computing device, of first data for a given patient in the first application program; to

(B) a display, on the handheld computing device, of second data for the given patient in the second application program.

2. The computer-readable medium of claim 1, wherein each particular one of the application programs comprises a metadata description of how data is stored for the particular application program.

3. The computer-readable medium of claim 1, wherein the computer-readable medium further stores computer-executable instructions for controlling the synchronization of data between the handheld computing device and a server.

4. The computer-readable medium of claim 3, wherein:

the computer-executable instructions comprise a framework program; and

the synchronization is effected in a single transaction in which the framework program communicates to the server the type of data the framework program requires and the server supplies the requested data.

5. The computer-readable medium of claim 4, wherein the computer-executable instructions comprise a messaging conduit for accepting messages from the application program and for delivering messages to the application programs.

6. The computer-readable medium of claim 1, wherein the computer-readable medium further stores computer-executable instructions for allowing a user to select between the first and second application programs.

7. The computer-readable medium of claim 1, wherein the computer-readable medium further stores computer-executable instructions for:

allowing a user to select between a plurality of different patients; and

in response to a user switching from a first particular patient to a second particular patient while the handheld device is displaying the first application program, switching from:

(A) a display, on the handheld device, of data for the first patient in the first application program; to

(B) a display, on the handheld device, of data for the second patient in the first application program.

8. A handheld computer application comprising:

a user interface operable to display a plurality of application programs, wherein the user interface comprises a window for displaying, on a handheld computing device, an active application program selected from the plurality of application programs, an application selector, and a patient selector;

a messaging conduit operable to send and receive messages between and among the plurality of application programs;

a framework program operable to control a patient context of each of the application programs, such that, in response to the handheld computing device switching from displaying a first of the plurality of application programs to displaying a second of the application programs, the user interface switches from displaying:

(A) first data for a given patient in the first application program, to

(B) second data for the given patient in the second application program.

9. The handheld computer application of claim 8, wherein the handheld computer application comprises one or more tabs operable to allow a user to switch from displaying a first of the plurality of application programs to displaying a second of the application programs.

10. The handheld computer application of claim 8, wherein the framework program is further operable to retrieve the second data for the given patient via the messaging conduit.

11. The handheld computer application of claim 8, wherein one or more of the plurality of application programs comprises a library of databases and a metadata description of how data is stored in the library.

12. The handheld computer application of claim 8, wherein the framework program is further operable to control a synchronization of data between the handheld computing device and a server.

13. The handheld computer application of claim 12, wherein the framework program is further operable to control the synchronization of data in a single transaction by communicating to the server a requested data format and by receiving the data from the server in the requested data format.

14. The handheld computer application of claim 8, wherein the messages comprise one or more of the data for the given patient, clinical data, billing information, and medical notes.

15. A user interface for operating health care applications on a handheld computing device, the user interface comprising:

a window displaying a user interface of an active application program;

an application selector that is adapted to allow a user to switch between a first application program, and a second application program; and

a patient selector that is adapted to control a patient context of the first and second application programs,

wherein said user interface is adapted so that, in response to the handheld device switching from displaying a first of the plurality of application programs to displaying a second of the application programs, said user interface switches from:

(A) displaying first data for a given patient in the first application program; to

(B) displaying second data for the given patient in the second application program.

16. The user interface of claim 15, wherein the user interface is adapted for:

allowing a user to select between a plurality of different patients; and

in response to a user switching from a first particular patient to a second particular patient while the user interface is displaying the first application program, switching from:

(A) a display of data for the first patient in the first application program; to

(B) a display of data for the second patient in the first application program.