WO2013119978A1

WO2013119978A1 - Selectively displaying temporal medication administration and patient physiological data

Info

Publication number: WO2013119978A1
Application number: PCT/US2013/025380
Authority: WO
Inventors: Craig Buck
Original assignee: Draeger Medical Systems, Inc.
Priority date: 2012-02-10
Filing date: 2013-02-08
Publication date: 2013-08-15

Abstract

A graphical user interface displays temporal data for a patient over a first time span and includes a first graphical user interface element. Thereafter, first user-generated input is received that activates the first graphical user interface element. In response, a plurality of time span graphical user interface elements are displayed that each have different associated time spans. Later, second user-generated input is received that activates one of the time span graphical user interface elements. In response, at least a portion of temporal data over a second time span corresponding to the time span associated with the activated time span graphical user interface element is displayed. The displayed temporal patient data can comprise medication administration data and patient physiological data. One or more of the first graphical user interface elements and time span elements can be translucent. In some cases, the graphical user interface is displayed on a touch screen computing or medical device. With these arrangements, the user-generated input can be received via user- generated gestures on a touch screen of the touch screen computing or medical device.

Description

Selectively Displaying Temporal Medication Administration and Patient Physiological Data

RELATED APPLICATION

[0001] The current application claims priority to U.S. Pat. App. Ser. No.

61/597,601 filed on February 10, 2012, the contents of which are hereby fully incorporated by reference.

TECHNICAL FIELD

[0002] The subject matter described herein relates to a graphical user interface for selectively displaying temporal medication administration and patient physiological data.

BACKGROUND

[0003] Caregivers such as anesthesiologists often need to monitor the administration of medication to patients as well as various physiological data that characterize how the patient is responding to such medication over a certain period of time.

SUMMARY

[0004] Interfaces are provided that allow a user to selectively change various aspects of how medication administration data as well as related patient physiological data is displayed. In some implementations, a user can selectively change displayed time spans of data being displayed both in a tabular format and in a graph / chart format.

[0005] In one aspect, a graphical user interface is displayed within a defined space. The graphical user interface displays temporal patient data for a patient over a first time span and includi

overlaying at least a portion of the defined space. Thereafter, first user-generated input is received that activates the first graphical user interface element. In response to the first user-generated input, a plurality of time span graphical user interface elements are displayed within the defined space that each have different associated time spans. Later, second user-generated input is received that activates one of the time span graphical user interface elements. In response, at least a portion of temporal patient data for the patient over a second time span corresponding to the time span associated with the activated time span graphical user interface element is displayed in the graphical user interface.

[0006] The displayed temporal patient data can comprise medication administration data and/or patient physiological data. One or more of the first graphical user interface elements and time span elements can be translucent. In some cases, the first graphical user interface element is not displayed until an input device (touch screen, pointer, etc.) traverses a pre-defined portion of the defined space.

[0007] In some cases, the graphical user interface is displayed on a touch screen computing or medical device. With these arrangements, the user-generated input can be received via user-generated gestures on a touch screen of the touch screen computing or medical device. Sample user-generated gestures include, but are not limited to, scrolling, swiping, pinching, zooming, enlarging, sliding, tapping, drag and drop, shaking, and the like.

[0008] The first and/or time span graphical user interface elements can take a variety of forms including input boxes, drop down lists and series of concurrently displayed graphical user interface elements along, for example, a horizontal or a vertical axis of the defined space. [0009] Both the first graphic

elements can be placed in various positions both within the defined space, or in some cases, outside or partially outside the defined space. In some cases, the first graphical user interface element and/or the time span elements overlay at least a portion of the displayed temporal patient data. In addition, in some implementations, portions of the graphical user interface, such as the displayed temporal patient data, can be dimmed or otherwise de-emphasized in relation to the first graphical user interface element and/or the time span graphical user interface elements (and/or in response to their respective activation). In some cases, the temporal patient data can be displayed over multiple pages so that a next page graphical user interface element can be activated to show different portions of the temporal patient data within the same time span. In other variations using a touch screen display or interface, a user can change pages of temporal patient data via a swipe gesture similar to turning a page of a book.

[0010] Computer program products are also described that comprise non- transitory computer readable media storing instructions, which when executed by one or more data processors of one or more computing systems, causes at least one data processor to perform operations herein. Similarly, computer systems are also described that may include one or more data processors and a memory coupled to the one or more data processors. The memory may temporarily or permanently store instructions that cause at least one processor to perform one or more of the operations described herein. In addition, methods can be implemented by one or more data processors either within a single computing system or distributed among two or more computing systems. Such computing systems can be connected and can exchange data and/or commands or other instructions or the like via one or more connections, including but not limited to a connection over a network (e.g. the Internet, a wireless wide area network, a local area network like), via a direct connection between one or more of the multiple computing systems, etc.

[0011] The subject matter described herein provides many advantages. For example, the current subject matter enables a user to select varying time spans when reviewing various types of data such as medication administration data and physiological data of a patient. The current interface allows a user to selectively review specific time spans of data either dynamically while such data is being recorded or in a post-clinical setting. In addition, the current subject matter is advantageous because it enables a caregiver to watch an active case and view historic cases so that applicable rules and regulations can be complied with.

[0012] The details of one or more variations of the subject matter described herein are set forth in the accompanying drawings and the description below. Other features and advantages of the subject matter described herein will be apparent from the description and drawings, and from the claim.

DESCRIPTION OF DRAWINGS

[0013] FIG. 1 is a first view of an interface illustrating a grid and physiological data;

[0014] FIG. 2 is a second view of the interface illustrating the grid and physiological data;

[0015] FIG. 3 is a third view of the interface illustrating the grid and physiological data;

[0016] FIG. 4 is a first partial view of the interface illustrating the grid and physiological data; [0017] FIG. 5 is a second pai and physiological data;

[0018] FIG. 6 is an example system architecture for implementing the current subject matter; and

[0019] FIG. 7 is a process flow diagram illustrating selective display of temporal patient data within a graphical user interface.

[0020] Like reference symbols in the various drawings indicate like elements.

DETAILED DESCRIPTION

[0021] The current subject matter is applicable to a wide variety of situations in which medication is being administered. While the current document describes a graphical user interface (sometimes referred to as a report viewer) in connection with anesthesia administration, it will be appreciated that the current subject matter can be applied to other situations in which a caregiver needs to monitor a patient's response to medication over a period of time.

[0022] The current subject matter can form part of a medication administration monitoring platform such as Innovian® Anesthesia by Drager which provides comprehensive data management for anesthesiologists before, during, and after medical procedures. In particular, the current subject matter can be implemented as part of a web-based report viewer that allows access to clinical reports through a web browser using Internet Explorer, Firefox, as well as mobile computing devices such as iPads and other tablet / touch-screen computing devices.

[0023] FIGs. 1-3 illustrate views 100-300 of interfaces displaying a report viewer having a grid 110 and a physiological graph 120. The grid 110 comprises rows 112 defining administered medication columns over certain time spans (as defined in corresponding columns 114).

administered medication is being displayed at specified time spans / intervals. The physiological graph 120 comprises a plurality of physiological measures 122 for the patient over the same time spans (as defined by the columns 114). In addition, an event bar 150 can be included that identifies events that occur over the same columnar time spans. The relationship with the columns of each of the grid 110, the

physiological graph 120, and the event bar 150 are all interrelated (i.e., medication administered can affect the physiological measurements and can result in events occurring, etc.). FIGs. 1 and 2 illustrate time spans of five minutes. FIG. 3 illustrates a time span of thirty minutes (with a corresponding compression of the data displayed in the grid 110 and the physiological graph 120).

[0024] The interface can provide mechanisms to allow a user to selectively alter the time spans defined by the columns 114. This results in different data being displayed in both the grid 110 and the physiological graph 120 (that corresponds to the new time spans). In some implementations, a graphical user interface element 130 can be displayed in the interfaces 100-300, which when activated, causes further data to be displayed to a user. For example, FIG. 4 is a view 400 of an upper portion of the grid 110 displaying the graphical user interface element 130 as a button. In some cases, the graphical user interface element 130 can be displayed as semi-transparent (or it can be displayed only when an input device such as a mouse or an input (e.g., a tap, etc.) via a touch-screen interface is received on or an upper portion of the grid 110 corresponding to the columns 114). With the view of FIG. 5, the graphical user interface element 130 can only be shown when the report is in a main viewing area of the interface. As stated above, it can be semi-transparent and can be partially or wholly outside of the report region to pr

option to modify the manner in which the report content is being displayed.

[0025] When the graphical user interface element 130 is activated, a bar 140 of graphical user interface elements 142 can be displayed (as illustrated in the view 500 of FIG. 5). This bar 140 of graphical user interface elements 142 can define various time spans such that selection of one of the graphical user interface elements 142 causes the time spans in the grid 110 and physiological graph 120 to be redisplayed accordingly. It will be appreciated that other types of user-input interfaces can be used instead of the bar 140 including a drop-down list, an input box, and the like. In one implementation, a user can slide across the different column time values (e.g., for example via a touch interface) to sequentially select different values (by sequentially activating corresponding graphical user interface elements 142 in bar 140).

[0026] Various other behaviors can be implemented including, but not limited to: the control (bar 140) can be positioned in the grid area of the report and span the width of the viewing area for quick selection without scrolling, the background can be dimmed to bring attention to the control, clicking on a column time value can cause the control (bar 140) to be removed and the application can display a new report with the desired column time value, and/or directing focus (e.g., clicking, etc.) outside the control (bar 140) can cause it to be removed with no changes being made with regard to columnar time span.

[0027] The interface can allow for multiple pages of both of the grid 110 and the physiological graph 120 to be displayed. For example, selecting a short time span in the bar 140 can require that the data form part of multiple pages in order to be reviewed. Graphical user interface elements 160 can be included in the interfaces to allow a user to move among the various

touch screen display or other interface, the user can move back and forth between the pages using a gesture such as a swipe gesture (i.e., input gestures similar to turning a page, etc.). In such cases, the graphical user interface elements 160 can be omitted and each new page that is displayed can replace the previously displayed page.

[0028] FIG. 6 is a diagram 600 illustrating a system architecture that can be used to implement the current subject matter. A client 610 can request the display of a report by accessing an application server 620 (via a web service and associated API). The application server 620 can initially authenticate the client 610 and parse the request. After the request is parsed, the application server 620 can obtain underlying data for the report from a database server 630. The application server 620 using the obtained data can generate a report via a clinical report engine using predefined business rules on how to display the report. This report can be transmitted, via a report view module, to the client 610 where it is displayed in an interface (such as those described above). User-generated modifications of columnar time span are transmitted by the client 610 to the application server 620 which causes a modified report to be generated by the application server 620 and transmitted back to the client 610. In some implementations, report data can be hosted by a third party application (as opposed to the database server 620).

[0029] FIG. 7 is a process flow diagram 700 illustrating a method in which, at 710, a graphical user interface is displayed within a defined space. The graphical user interface displays temporal patient data for a patient over a first time span and includes a first graphical user element interface overlaying at least a portion of the defined space. Thereafter, at 720, first user-generated input is received that activates the first graphical user interface element. In response to the first user- generated input, at 730, a plurality of tir

displayed within the defined space that each have different associated time spans. Subsequently, at 740, second user-generated input is received that activates one of the time span graphical user interface elements. In response, at 750, at least a portion of temporal patient data for the patient over a second time span corresponding to the time span associated with the activated time span graphical user interface element is displayed in the graphical user interface.

[0030] Various implementations of the subject matter described herein may be realized in digital electronic circuitry, integrated circuitry, specially designed ASICs (application specific integrated circuits), computer hardware, firmware, software, and/or combinations thereof. These various implementations may include implementation in one or more computer programs that are executable and/or interpretable on a programmable system including at least one programmable processor, which may be special or general purpose, coupled to receive data and instructions from, and to transmit data and instructions to, a storage system, at least one input device, and at least one output device.

[0031] These computer programs (also known as programs, software, software applications or code) include machine instructions for a programmable processor, and may be implemented in a high-level procedural and/or object-oriented programming language, and/or in assembly/machine language. As used herein, the term "machine-readable medium" refers to any computer program product, apparatus and/or device (e.g., magnetic discs, optical disks, memory, Programmable Logic Devices (PLDs)) used to provide machine instructions and/or data to a programmable processor, including a machine-readable medium that receives machine instructions as a machine-readable signal. The term "n

used to provide machine instructions and/or data to a programmable processor.

[0032] To provide for interaction with a user, the subject matter described herein may be implemented on a computer having a display device (e.g., a CRT (cathode ray tube) or LCD (liquid crystal display) monitor) for displaying information to the user and a keyboard and a pointing device (e.g., a mouse or a trackball) by which the user may provide input to the computer. Other kinds of devices may be used to provide for interaction with a user as well; for example, feedback provided to the user may be any form of sensory feedback (e.g., visual feedback, auditory feedback, or tactile feedback); and input from the user may be received in any form, including acoustic, speech, or tactile input.

[0033] The subject matter described herein may be implemented in a computing system that includes a back-end component (e.g., as a data server), or that includes a middleware component (e.g., an application server), or that includes a front-end component (e.g., a client computer having a graphical user interface or a Web browser through which a user may interact with an implementation of the subject matter described herein), or any combination of such back-end, middleware, or front- end components. The components of the system may be interconnected by any form or medium of digital data communication (e.g., a communication network).

Examples of communication networks include a local area network ("LAN"), a wide area network ("WAN"), and the Internet.

[0034] The computing system may include clients and servers. A client and server are generally remote from each other and typically interact through a communication network. The relationship of client and server arises by virtue of computer programs running on the resp<

relationship to each other.

[0035] Although a few variations have been described in detail above, other modifications are possible. For example, the logic flow depicted in the accompanying figures and/or described herein do not require the particular order shown, or sequential order, to achieve desirable results. Other embodiments may be within the scope of the following claims.

Claims

WHAT IS CLAIMED IS:

1. A computer-implemented method comprising:

displaying a graphical user interface within a defined space comprising temporal patient data for a patient over a first time span and a first graphical user interface element overlaying at least a portion of the defined space;

receiving first user-generated input activating the first graphical user interface element;

displaying, in response to the first user-generated input, a plurality of time span graphical user interface elements within the defined space each having different associated time spans;

receiving second user-generated input activating one of the time span graphical user interface elements;

displaying, in the graphical user interface, at least a portion of temporal patient data for the patient over a second time span corresponding to the time span associated with the activated time span graphical user interface element.

2. The method of claim 1 , wherein the displayed temporal patient data comprises at least one of: medication administration data and patient physiological data.

3. The method of claim 1 or 2, wherein the first graphical user interface element is translucent.

4. The method of claim 3, wherein the first graphical user interface element is only displayed upon an input device activating or otherwise pointing to a pre-defined location within the defined space.

5. The method of any of the preceding claims, wherein the plurality of time span graphical user interface elements are translucent.

6. The method of any of the preceding claims, wherein the displayed temporal data for the patient over the first time span is replaced with the displayed at least a portion of temporal data for the patient over the second time span.

7. The method of any of the preceding claims, wherein the graphical user interface is displayed on a touch screen computing or medical device and the user-generated input is received via user-generated gestures on a touch screen of the touch screen computing or medical device.

8. The method of claim 7, wherein the temporal patient data comprises at least two pages, and wherein the method further comprises:

receiving, via the graphical user interface while a first page of temporal patient data is displayed, user-generated input comprising at least one swipe gesture; and

displaying, in response the swipe gesture, temporal patient data from a second page of temporal data, the second page of temporal data replacing the first page of temporal data in the graphical user interface

9. The method of any of the preceding claims, wherein at least one of the first graphical user interface element and the time span graphical user interface elements comprise a drop down list.

10. The method of any of the preceding claims, wherein at least one of the first graphical user interface element and the time span graphical user interface elements comprise an input box.

11. The method of claim of any of the preceding claims, wherein the plurality of time span graphical user interface elements are displayed along a horizontal axis of the defined space.

12. The method of any of the preceding claims, wherein the plurality of time span graphical user interface elements overlay at least a portion of the temporal patient data.

13. The method of any of the preceding claims, wherein a portion of the graphical user interface displaying the temporal patient data is dimmed upon activation of the first graphical user interface element.

14. The method of any of the preceding claims, further comprising:

displaying, in the graphical user interface concurrently with the at least a portion of temporal patient data for the patient over the second time span, a next page graphical user interface element;

receiving third user-generated input activating the next page graphical user interface element; and

displaying, in response to the third user-generated input, a different portion of the temporal patient data for the patient over the second time span.

15. A non-transitory computer program product storing instructions, which when executed by at least one data processor of at least one computing system, implement a method according to any of the preceding claims.

16. A system comprising: at least one data processor; and memory storing

instructions, which when executed by the at least one data processor, implement a method according to any claims 1 to 14.