WO2022035386A1 - Patient timeline tracking system - Google Patents

Patient timeline tracking system Download PDF

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Publication number
WO2022035386A1
WO2022035386A1 PCT/TR2020/050700 TR2020050700W WO2022035386A1 WO 2022035386 A1 WO2022035386 A1 WO 2022035386A1 TR 2020050700 W TR2020050700 W TR 2020050700W WO 2022035386 A1 WO2022035386 A1 WO 2022035386A1
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WO
WIPO (PCT)
Prior art keywords
patient
data
unit
timeline
icon
Prior art date
Application number
PCT/TR2020/050700
Other languages
French (fr)
Inventor
Afşin ALP
Afşar ALP
Original Assignee
Ceiba Tele Icu Sağlik Hi̇zmetleri̇ Ve Ti̇caret Anoni̇m Şi̇rketi̇
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by Ceiba Tele Icu Sağlik Hi̇zmetleri̇ Ve Ti̇caret Anoni̇m Şi̇rketi̇ filed Critical Ceiba Tele Icu Sağlik Hi̇zmetleri̇ Ve Ti̇caret Anoni̇m Şi̇rketi̇
Priority to PCT/TR2020/050700 priority Critical patent/WO2022035386A1/en
Priority to EP20949642.1A priority patent/EP4189693A4/en
Publication of WO2022035386A1 publication Critical patent/WO2022035386A1/en

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/40—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients

Definitions

  • the invention relates to the “Patient Timeline” tracking system used in the field of health technologies.
  • the invention in particular, relates to a patient timeline tracking system for employees who want to follow all patient - related events (newly entered lab data, newly entered doctor's note, etc.) comprising patient's vital data, fluid balance, incubator data, mechanical ventilator / CPAP data flow, blood gas and laboratory data, having instant notifications and monitors, ventilator / CPAP and similar alarms, including a photo of the patient.
  • patient - related events newly entered lab data, newly entered doctor's note, etc.
  • patient's vital data vital data
  • fluid balance incubator data
  • mechanical ventilator / CPAP data flow blood gas and laboratory data
  • blood gas and laboratory data having instant notifications and monitors, ventilator / CPAP and similar alarms, including a photo of the patient.
  • This invention relates to a patient tracking system that allows the identification of drugs that may react with one another, provides the recommendation of appropriate drugs that will not react with the others by comparing the person's drug usage information and the past health information for the drug that the doctor will recommend during the examination which may have reaction with another drug to the doctor, and provides the tracking of the drug usage information that the patient received after the examination.”
  • the system relates to a patient tracking system and does not mention a structure that can provide solutions to the disadvantages mentioned above.
  • the invention is intended to provide a structure with different technical features which, unlike the structures used in the present technique, brings a new development to this area.
  • the primary purpose of the invention is to ensure that by using a Patient Timeline, the entire patient tracking system are integrated into a single patient timeline.
  • the function of a system in an integrated way means that many functions can be displayed together and that many factors can continue to function without hindering the operation of each other.
  • all clinical and process operations entered using eClinics, both data and alarms of medical devices such as integrated monitor, ventilator / CPAP, incubator, and values drawn from the HIS (Hospital Information System) database can be seen and monitored on a single table.
  • HIS Hospital Information System
  • Another purpose of the invention is to make daily reporting for nurses more methodical and easier. In this way, it is easier for doctors to follow the patient's epicrisis report, medicated treatment processes, vital data, and for preparing daily doctor's note and in case of consultation requests, it is sufficient for the doctor to look at a single timeline for tracking of the intervention made to the patient and thus saving labor and time.
  • Another purpose of the invention is to provide an opportunity for an organization that minimizes the risks that may arise in the application of a more accurate treatment and in the control of the patient's response to the treatment, due to the patient data, the starting times of the medicated treatment which is approved by the doctor, the dosage tracking, the monitoring of the laboratory results, the changes in the patient data during the treatment can be examined in a single timeline.
  • the invention is a patient timeline tracking system that allows employees in the field of health technologies to track all patient - related data through a single platform, characterized by comprising;
  • a ventilator / CPAP unit which allows monitoring of the flow of mechanical ventilator and CPAP data of the patient
  • a blood gas unit which allows the results of critical blood gas parameters to be seen and shown in the timeline
  • CIS Cosmetic Information System
  • Figure 1 is a general overview of the patient timeline tracking system of the invention.
  • HIS Hospital Information System
  • CIS Clinical Information System
  • the invention relates to a patient timeline tracking system (10) for employees who want to follow recent patient - related events (newly entered lab data, newly entered doctor's note, etc.) comprising patient's vital data, fluid balance, incubator data, mechanical ventilator / CPAP data flow, blood gas and laboratory data, having instant notifications and monitors, ventilator / CPAP and similar alarms, including a photo of the patient.
  • the patient timeline (10) consists mainly of process Unit (11), clinical unit (12), alarm unit (13), vitals unit (14), ventilator / CPAP unit (15), incubator unit (16), patient photo (50), recent events unit (17), fluid balance unit (18), blood gas and laboratory unit (19).
  • the nurse's note icon (11.1) shows the note entered by the nurse.
  • the daily tracking form icon (11.2) shows that the nurse has filled out the forms.
  • the doctor's note icon (11.3) shows the note that the doctor entered about the patient.
  • the data accessible from the process unit (11) are as follows; Patient Acceptance (Age, Date of Acceptance, Type Of Acceptance) Nurse's Note (Information of the nurse, Nurse's Note) Doctor's Note (Information of the doctor, Doctor's Note) Request for Consultation (Date of Request, Requested Unit, Reason of Demand, Consultative Physician, Note of Consultative Physician) Anamnesis (Ailments, Patient History) Nurse Assignment (Assigned Person, Assignee) Daily Tracking Form (User, Tracking Documents)
  • the Clinical Unit (12) clinical data about the patient can be accessed.
  • the clinical unit (12) has order icon (12.1 ), anamnesis icon (12.2), catheter icon (12.3) and score icon (12.4).
  • the order icon (12.1 ) shows the medicine and treatment information ordered by the doctor for the patient.
  • the Anamnesis icon (12.2) indicates that the patient's anamnesis has been entered and contains information on the date, complaints, and admission type.
  • the catheter icon (12.3) shows when a new catheter is inserted into the patient and the planned removal date of the catheter. If the date of removal has not yet came, it appears as “catheter scheduled to be removed” in the patient timeline (10). If the nurse removes the catheter before the scheduled date, it appears as “removed catheter”.
  • the score icon (12.4) shows the calculated score of the patient and information on the calculation as it is made by whom and on what date.
  • the data accessible from the Clinical Unit (12) are as follows; Drug Order (Drug Name, Dosage, Speed, Repeat, Time Interval, Doctor's Name) Catheter (Catheter Name, Area, Size, Comment) Laboratory (Parameters, Results, References, Amount of Change) Blood Gas (Parameters, Results, References, Amount of Change) APACHE II (Score, Mortality rate, Calculator) SAPS 2 (Score, Calculator) SOFA / QSOFA (SOFA score, QSOFA score, calculator)
  • the monitor alarm icon (13.1) in the alarm unit (13) indicates that the alarm sounds from the monitor, while the ventilator / CPAP alarm icon (13.2) indicates that the alarm sounds from the ventilator / CPAP.
  • the connectivity status alarm icon appears on the patient timeline in the form of an alarm that lasts throughout the interruption by specifying the reason for the interruption stated by the nurse if the interruption occurs from the monitor and / or ventilator.
  • the patient's vital data is monitored.
  • the ventilator / CPAP unit (15) the flow of mechanical ventilator and CPAP data of the patient is monitored.
  • the data in the vitals unit (14) and the ventilator / CPAP unit (15) are also shown graphically.
  • the patient's vitals and ventilator / CPAP data on the devices are drawn and displayed to the eClinics system through the eConnect boxes on the monitor and ventilator / CPAP devices in the hospital (the eClinics system will be mentioned below).
  • the vitals and ventilator / CPAP data drawn from the eClinics system are shown in the patient timeline (10).
  • the patient photo (50) found in the patient timeline (10) and uploaded to the anamnesis page comes to the patient timeline (10) page automatically.
  • the data showing the fluid balance of the patient are in the fluid balance unit (18).
  • the patient's blood gas and laboratory results are in the blood gas unit (19.1) and the laboratory unit (19.2), which are in the blood gas and laboratory unit (19).
  • the icon is pressed, and the graphical analysis of all patient results is shown.
  • the patient can be changed easily by using the scroll menu on the left side of the screen.
  • Nurse o Daily Follow Up Form o Nurse Assignment o Nurse Notes o Nurse Treatment o Catheter / Antibiotic follow Up o Fall Risk o Nursing Care Plan o Data Entry & Validation o Fluid Balance
  • the data from the eClinics database (20) is also uploaded to the Patient Timeline (10). Any data that users do not enter into eClinics is also collected from HIS (30) (Hospital Information System), where all information in the hospital is kept. Through software programs, the data displayed in the Patient Timeline (10) such as laboratory and blood gas are drawn from the HIS (30) database. These programs regularly send queries to HIS (30). As a result of the query, if there is any new data, it is written to the eClinics database (20) and displayed in the Patient Timeline (10). Patient Timeline (10) is an integrated system in which information on nearly all pages in eClinics can be displayed in one place.
  • HIS (30) Hospital Information System
  • CIS Clinical Information System
  • the hospital using eClinics sends ICD 10 information to CIS (40) APIs.
  • the data sent to CIS by the hospital using eClinics is transferred from here to the patient timeline (10).

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

A patient timeline (10) tracking system that allows employees in the field of health technologies to track all patient - related data through a single platform, characterized by comprising; a process unit (11) where nurses and doctors enter tracking notes and information about the patient, a clinical unit (12) providing access to patient - related clinical data, an alarm unit (13) indicating that an alarm has been received from the monitor via the monitor alarm icon (13.1), an alarm has been received from the ventilator / CPAP via the ventilator / CPAP alarm icon (13.2), an interruption has occurred from the monitor and / or ventilator via the connectivity status alarm icon (13.3), a vitals unit (14) monitoring patient's vital data, a ventilator / CPAP unit (15) monitoring of the flow of mechanical ventilator and CPAP data of the patient, an incubator unit (16) monitoring incubator data flow, a blood gas unit (19.1), which allows the results of critical blood gas parameters to be seen and shown in the timeline, a laboratory unit (19.2) that enables the results of critical laboratory parameters to be seen and displayed in the timeline eClinics database (20) that enables healthcare professionals to enter data about patients, a HIS (Hospital Information System) (30), where all data in the hospital is kept, a CIS (Clinical Information System) (40), which allows data to be transferred to the patient timeline (10) via the eClinics database (20) and HIS (30).

Description

PATIENT TIMELINE TRACKING SYSTEM
Technical Field
The invention relates to the “Patient Timeline” tracking system used in the field of health technologies.
The invention, in particular, relates to a patient timeline tracking system for employees who want to follow all patient - related events (newly entered lab data, newly entered doctor's note, etc.) comprising patient's vital data, fluid balance, incubator data, mechanical ventilator / CPAP data flow, blood gas and laboratory data, having instant notifications and monitors, ventilator / CPAP and similar alarms, including a photo of the patient. With this invention, all of these information of a patient is tracked on a single page.
Prior Art
Today, the tracking of the patient's epicrisis report, the tracking of the vital data, the tracking of the treatment applied to the patient, the tracking of the doctor's note and the nurse's note documents are made from 3 different locations as “hospital information management system”, “epicrisis report”, and “nurse observation form”.
In particular, due to the fact that the nurse observation form is filled on paper by nurses on a daily basis, the complexity of this form and the difficulty of its tracking by doctors, there is a need to produce a new solution to this issue.
A nurse who wants to look at the data of different patients or retrospective information regarding the applied treatments needs to physically take the nurse's observation form he I she filled. Since there is no system in which all tracking practices are integrated in existing applications, ensuring tracking of patients and different forms is an inconvenient process.
The abstract of the application with the number 2018 / 20797 that is found as a result of technical survey is as follows: “This invention relates to a patient tracking system that allows the identification of drugs that may react with one another, provides the recommendation of appropriate drugs that will not react with the others by comparing the person's drug usage information and the past health information for the drug that the doctor will recommend during the examination which may have reaction with another drug to the doctor, and provides the tracking of the drug usage information that the patient received after the examination.” As can be seen, the system relates to a patient tracking system and does not mention a structure that can provide solutions to the disadvantages mentioned above.
As a result, due to the above - mentioned drawbacks and the inadequacy of the existing solutions, an improvement in the technical field has been required.
The Purpose of Invention
The invention is intended to provide a structure with different technical features which, unlike the structures used in the present technique, brings a new development to this area.
The primary purpose of the invention is to ensure that by using a Patient Timeline, the entire patient tracking system are integrated into a single patient timeline. The function of a system in an integrated way means that many functions can be displayed together and that many factors can continue to function without hindering the operation of each other. With the patient timeline of the invention, all clinical and process operations entered using eClinics, both data and alarms of medical devices such as integrated monitor, ventilator / CPAP, incubator, and values drawn from the HIS (Hospital Information System) database can be seen and monitored on a single table.
Another purpose of the invention is to make daily reporting for nurses more methodical and easier. In this way, it is easier for doctors to follow the patient's epicrisis report, medicated treatment processes, vital data, and for preparing daily doctor's note and in case of consultation requests, it is sufficient for the doctor to look at a single timeline for tracking of the intervention made to the patient and thus saving labor and time.
Another purpose of the invention is to provide an opportunity for an organization that minimizes the risks that may arise in the application of a more accurate treatment and in the control of the patient's response to the treatment, due to the patient data, the starting times of the medicated treatment which is approved by the doctor, the dosage tracking, the monitoring of the laboratory results, the changes in the patient data during the treatment can be examined in a single timeline.
By means of the Patient Timeline of the invention, all data of the patient can be observed with a single table, and with the ease of viewing this information together, it is possible to make the more accurate decision in the treatment to be applied to the patient and to predict the path that the disease will take in the future process considering to the progress that the patient has responded to the previously applied treatments. In order to accomplish the purposes mentioned above, the invention is a patient timeline tracking system that allows employees in the field of health technologies to track all patient - related data through a single platform, characterized by comprising;
• A process unit where nurses and doctors enter and tracking notes and information about the patient,
• A clinical unit providing access to patient - related clinical data,
• An alarm unit indicating that an alarm has been received from the monitor via the monitor alarm icon, an alarm has been received from the ventilator / CPAP via the ventilator, CPAP alarm icon, an interruption has occurred from the monitor and / or ventilator via the connectivity status alarm icon,
• A vital unit for monitoring patient's vital data,
• A ventilator / CPAP unit, which allows monitoring of the flow of mechanical ventilator and CPAP data of the patient,
• An incubator unit for monitoring incubator data flow,
• A laboratory unit that allows the results of critical laboratory parameters to be seen and shown in the timeline,
• A blood gas unit, which allows the results of critical blood gas parameters to be seen and shown in the timeline,
• eClinics database, which allows healthcare personnel to enter data on patients,
• A HIS (Hospital Information System), where all data in the hospital is kept,
• A CIS (Clinical Information System), which allows data to be transferred to the patient timeline via the eClinics database and HIS.
The structural and characteristic features and all advantages of the invention outlined in the drawings below and in the detailed description made by referring these figures will be understood clearly, therefore the evaluation should be made by taking these figures and detailed explanation into consideration.
Brief Description of the Figures
Figure 1 is a general overview of the patient timeline tracking system of the invention.
The drawings do not necessarily have to be scaled, and the details that are not necessary to understand the invention may be neglected. Other than that, elements that are substantially identical, or at least have substantially identical functions, are denoted by the same number.
Reference Numbers
10. Patient timeline
11. Process unit
11.1 Nurse's note icon
11 .2 Daily tracking form icon
11 .3 Doctor's note icon
12. Clinical unit
12.1 Order icon
12.2 Anamnesis icon
12.3 Catheter icon
12.4 Score icon
13. Alarm unit
13.1 Monitor alarm icon
13.2 Ventilator I CPAP alarm icon
13.3 Connectivity status alarm icon
14. Vitals unit
15. Ventilator I CPAP unit
16. Incubator unit
17. Recent events unit
18. Fluid balance unit
19. Blood gas and laboratory unit
19.1 Blood gas unit
19.2 Laboratory unit
20. eClinics database
30. HIS (Hospital Information System)
40. CIS (Clinical Information System) 50. Patient photo
Detailed Description of The Invention
In this detailed description, the preferred structures of the invention are explained only for a better understanding of the subject matter and without any restrictive effect.
The invention relates to a patient timeline tracking system (10) for employees who want to follow recent patient - related events (newly entered lab data, newly entered doctor's note, etc.) comprising patient's vital data, fluid balance, incubator data, mechanical ventilator / CPAP data flow, blood gas and laboratory data, having instant notifications and monitors, ventilator / CPAP and similar alarms, including a photo of the patient.
The patient timeline (10) consists mainly of process Unit (11), clinical unit (12), alarm unit (13), vitals unit (14), ventilator / CPAP unit (15), incubator unit (16), patient photo (50), recent events unit (17), fluid balance unit (18), blood gas and laboratory unit (19).
In the process unit (11), nurses and doctors can enter notes and information about the patient. The nurse's note icon (11.1) shows the note entered by the nurse. The daily tracking form icon (11.2) shows that the nurse has filled out the forms. The doctor's note icon (11.3) shows the note that the doctor entered about the patient. The data accessible from the process unit (11) are as follows; Patient Acceptance (Age, Date of Acceptance, Type Of Acceptance) Nurse's Note (Information of the nurse, Nurse's Note) Doctor's Note (Information of the doctor, Doctor's Note) Request for Consultation (Date of Request, Requested Unit, Reason of Demand, Consultative Physician, Note of Consultative Physician) Anamnesis (Ailments, Patient History) Nurse Assignment (Assigned Person, Assignee) Daily Tracking Form (User, Tracking Documents)
In the Clinical Unit (12), clinical data about the patient can be accessed. The clinical unit (12) has order icon (12.1 ), anamnesis icon (12.2), catheter icon (12.3) and score icon (12.4). The order icon (12.1 ) shows the medicine and treatment information ordered by the doctor for the patient. The Anamnesis icon (12.2) indicates that the patient's anamnesis has been entered and contains information on the date, complaints, and admission type. The catheter icon (12.3) shows when a new catheter is inserted into the patient and the planned removal date of the catheter. If the date of removal has not yet came, it appears as “catheter scheduled to be removed” in the patient timeline (10). If the nurse removes the catheter before the scheduled date, it appears as “removed catheter”. The score icon (12.4) shows the calculated score of the patient and information on the calculation as it is made by whom and on what date. The data accessible from the Clinical Unit (12) are as follows; Drug Order (Drug Name, Dosage, Speed, Repeat, Time Interval, Doctor's Name) Catheter (Catheter Name, Area, Size, Comment) Laboratory (Parameters, Results, References, Amount of Change) Blood Gas (Parameters, Results, References, Amount of Change) APACHE II (Score, Mortality rate, Calculator) SAPS 2 (Score, Calculator) SOFA / QSOFA (SOFA score, QSOFA score, calculator)
The monitor alarm icon (13.1) in the alarm unit (13) indicates that the alarm sounds from the monitor, while the ventilator / CPAP alarm icon (13.2) indicates that the alarm sounds from the ventilator / CPAP. The connectivity status alarm icon appears on the patient timeline in the form of an alarm that lasts throughout the interruption by specifying the reason for the interruption stated by the nurse if the interruption occurs from the monitor and / or ventilator.
In the vitals unit (14), the patient's vital data is monitored. In the ventilator / CPAP unit (15), the flow of mechanical ventilator and CPAP data of the patient is monitored. The data in the vitals unit (14) and the ventilator / CPAP unit (15) are also shown graphically. The patient's vitals and ventilator / CPAP data on the devices are drawn and displayed to the eClinics system through the eConnect boxes on the monitor and ventilator / CPAP devices in the hospital (the eClinics system will be mentioned below). The vitals and ventilator / CPAP data drawn from the eClinics system are shown in the patient timeline (10).
The patient photo (50) found in the patient timeline (10) and uploaded to the anamnesis page comes to the patient timeline (10) page automatically.
All immediate operations are shown in the recent events unit (17) in the patient timeline (10).
The data showing the fluid balance of the patient are in the fluid balance unit (18). The patient's blood gas and laboratory results are in the blood gas unit (19.1) and the laboratory unit (19.2), which are in the blood gas and laboratory unit (19). In the laboratory data or blood gas data, when it is at risk and outside the reference range, the icon is pressed, and the graphical analysis of all patient results is shown.
When it is desired to switch to a different patient while in the patient timeline (10), the patient can be changed easily by using the scroll menu on the left side of the screen.
Hospital employees enter the relevant pages into the eClinics system using the eClinics interface and this information is kept in the eClinics database (20). The pages are available at eClinics are as follows;
• Summary View
• Acceptance / Discharge
• Patient o Patient Timeline o Blood Gas o Laboratory o Score
■ APACHE II
■ SOFA
■ SAPS o PACS o CMS o Connectivity Status
• Doctor o Doctor Notes o Order o Consultation o Diagnosis o Anamnesis
• Nurse o Daily Follow Up Form o Nurse Assignment o Nurse Notes o Nurse Treatment o Catheter / Antibiotic Follow Up o Fall Risk o Nursing Care Plan o Data Entry & Validation o Fluid Balance
• Daily Patient Follow Up Report
The data from the eClinics database (20) is also uploaded to the Patient Timeline (10). Any data that users do not enter into eClinics is also collected from HIS (30) (Hospital Information System), where all information in the hospital is kept. Through software programs, the data displayed in the Patient Timeline (10) such as laboratory and blood gas are drawn from the HIS (30) database. These programs regularly send queries to HIS (30). As a result of the query, if there is any new data, it is written to the eClinics database (20) and displayed in the Patient Timeline (10). Patient Timeline (10) is an integrated system in which information on nearly all pages in eClinics can be displayed in one place.
The transfer of the data to the patient timeline (10) via eClinics database (20) and HIS (30) is provided by CIS (40) (Clinical Information System). This process is provided as follows.
• The hospital using eClinics sends acceptance / discharge / transfer information to CIS (40) APIs.
• The hospital using eClinics sends laboratory information to CIS (40) APIs.
• The hospital using eClinics sends hospital culture (infection) information to CIS
(40) APIs.
• The hospital using eClinics sends Blood Gas information to CIS (40) APIs.
• The hospital using eClinics sends the Order (treatment) information to CIS (40)
APIs.
• The hospital using eClinics sends ICD 10 information to CIS (40) APIs. The data sent to CIS by the hospital using eClinics is transferred from here to the patient timeline (10). Apart from the hospital sending data to the CIS (40) APIs, there are two other methods for withdrawing data: sending it to the IP of CIS (40) or having CIS (40) pull the data from HIS (30). So, in total, 3 different ways the data reaches eClinics: 1 ) Sending data to CIS (40) APIs (the hospital sends the data)
2) Sending data to CIS (40) IPs (the hospital sends the data)
3) Data withdrawal (eClinics draws data) by querying HIS (30) periodically."
Thus, the data entered into eClinics and the data drawn from HIS (30) are all displayed on a single page on the Patient Timeline (10).

Claims

CLAIMS A Patient Timeline (10) tracking system that allows employees in the field of health technologies to track all patient - related data through a single platform, characterized by comprising;
• A process unit (11) where nurses and doctors enter tracking notes and information about the patient,
• A clinical unit (12) providing access to patient - related clinical data,
• An alarm unit (13) indicating that an alarm has been received from the monitor via the monitor alarm icon (13.1 ), an alarm has been received from the ventilator I CPAP via the ventilator I CPAP alarm icon (13.2), an interruption has occurred from the monitor and / or ventilator via the connectivity status alarm icon (13.3),
• A vitals unit (14) for monitoring patient's vital data,
• A ventilator / CPAP unit (15) monitoring of the flow of mechanical ventilator and CPAP data of the patient,
• An incubator unit (16) monitoring incubator data flow,
• A blood gas unit (19.1), which allows the results of critical blood gas parameters to be seen and shown in the timeline,
• A laboratory unit (19.2) that enables the results of critical laboratory parameters to be seen and displayed in the timeline eClinics database (20) that enables healthcare professionals to enter data about patients,
• A HIS (Hospital Information System) (30), where all data in the hospital is kept,
• A CIS (Clinical Information System) (40), which allows data to be transferred to the patient timeline (10) via the eClinics database (20) and HIS (30). The patient timeline (10) tracking system according to Claim 1 , characterized by comprising a nurse's note icon (11.1) showing the notes entered by the nurse. The patient timeline (10) tracking system according to Claim 1 , characterized by comprising a daily tracking form icon (11.2) showing that the nurse has filled out the forms. The patient timeline (10) tracking system according to Claim 1 , characterized by comprising a doctor's note icon (11 .3) showing the notes on patient entered by the doctor. The patient timeline (10) tracking system according to Claim 1 , characterized by comprising an order icon (12.1) showing the drug and treatment information given by the doctor to the patient. The patient timeline (10) tracking system according to Claim 1 , characterized by comprising an anamnesis icon (12.2) indicates that the patient's history has been entered and contains the information on the date, complaint, story and admission type. The patient timeline (10) tracking system according to Claim 1 , characterized by comprising a catheter icon (12.3) showing the date of the planned removal of the catheter when a new catheter is inserted into the patient. The patient timeline (10) tracking system according to Claim 1 , characterized by comprising a photo of the patient (50). The patient timeline (10) tracking system according to Claim 1 , characterized by comprising a recent events unit (17) in which all the events performed are shown immediately.
PCT/TR2020/050700 2020-08-11 2020-08-11 Patient timeline tracking system WO2022035386A1 (en)

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