Executable guideline solution with multiple alternative views on recommended care steps

• US 10,089,442 B2
• Filed: 03/29/2013
• Issued: 10/02/2018
• Est. Priority Date: 03/29/2012
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Van Zon, Cornelis Conradus Adrianus Maria, Lord, William Palmer
• Primary Examiner(s): Kanaan, Maroun P
• Application Number:
  US14/383,979
• Publication Number:
  US 20150073818A1
• Time in Patent Office: 2,013 Days
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A system (10) for presenting guideline recommendations to care givers includes at least one display device (54, 56), each displaying a user interface. The system (10) further includes at least one processor (122, 118). The processor (122, 118) is programmed to receive a guideline recommendation for a patient based on a computer interpretable guideline (CIG) and present the guideline recommendation to at least one associated user according to a plurality of alternative approaches for representing the guideline recommendation. At least one of the plurality of alternative approaches uses the user interface of one of the at least one display device (54, 56) to represent the guideline recommendation.

Claims

1. A system for presenting guideline recommendations to care givers, said system comprising:

at least one display device, each displaying a user interface; and

,

at least one processor programmed to;

receive a guideline recommendation for a patient based on a computer interpretable guideline (CIG), wherein the guideline recommendation includes;

state information descriptive of the current state of the CIG, and

presentation information descriptive of at least one visual element, wherein the presentation information includes both data from the state information and meta-data describing how the at least one visual element is to be displayed;

select a presentation approach from a plurality of alternative approaches for representing the guideline recommendation, at least one of the plurality of alternative approaches using the user interface of one of the at least one display device to represent the guideline recommendation, the selection comprising;

determining whether the display device is capable of displaying a first approach wherein a visual presentation is rendered from the presentation information, and

based on determining that the display device is not capable of displaying the first approach, displaying a second approach wherein a new presentation is generated based on the state information; and

present the guideline recommendation to at least one associated user according to the selected presentation approach.

2. The system according to claim 1, further including:

a clinical decision support (CDS) device associated with at least one user and including at least one processor executing a CDS application, the CDS application configured to;

receive the guideline recommendation;

select one of the plurality of alternative approaches based on capabilities of the CDS device and/or working conditions of the user; and

,

present the guideline recommendation to the user according to the selected approach.

3. The system according to claim 2, wherein the CDS device further includes a display device displaying a user interface of the CDS application, the CDS application further configured to:

select the one of the plurality of alternative approaches based on type of the user interface and/or available screen real-estate of the display device for displaying the guideline recommendation.

4. The system according to claim 1, further including:

a clinical decision support (CDS) device associated with a user and including at least one processor executing a CDS application, the CDS application configured to;

receive the guideline recommendation and presentation information, the presentation information indicating one of the plurality of alternative approaches and specific to a type of the CDS device and/or a type of the CDS application; and

,

present the guideline recommendation according to the presentation information.

5. The system according to claim 1, further including:

a first clinical decision support (CDS) device presenting an associated first user with the guideline recommendation according to a first one of the plurality of alternative approaches; and

,

a second CDS device presenting an associated second user with the guideline recommendation according to a second one of the plurality of alternative approaches.

6. The system according to claim 1, wherein the plurality of alternative approaches include at least a plurality of representing the guideline recommendation:

(1) in a single-or multi-column list;

(2) in a graph;

(3) in a set of one or more icons;

(4) as audio; and

(5) as a combination of a plurality of (1)-(4).

7. The system according to claim 1, wherein the at least one of the plurality of alternative approaches includes a graph-based approach in which at least a portion of the CIG is displayed as a graph, wherein nodes of the graph correspond to care steps, links between the nodes correspond a sequence for performance of the care steps, and different visualizations of the nodes correspond to different states of the care steps.

8. The system according to claim 1, wherein the at least one of the plurality of alternative approaches includes a list-based approach in which at least a portion of the CIG is displayed as a list, wherein list items of the list correspond to care steps and different visualizations of the list items correspond to different states of the care steps.

9. The system according to claim 1, wherein the at least one display device includes a plurality of display devices, and wherein the plurality of alternative approaches correspondingly use the user interfaces of the plurality of display devices to present the guideline recommendation.

10. The system according to claim 1, wherein the at least one display device includes only a single display device, and wherein the plurality of alternative approaches use the user interface of the single display device to present the guideline recommendation.

11. The system of claim 1, wherein:

the first approach comprises displaying a graph of the CIG and the at least one visual element described by the presentation information includes a node of the graph; and

the second approach comprises displaying a textual indication of a current task indicated by the state information.

12. A method for presenting guideline recommendations to care givers, said method comprising:

receiving a guideline recommendation for a patient based on a computer interpretable guideline (CIG) wherein the guideline recommendation includes;

state information descriptive of the current state of the CIG, and

presentation information descriptive of at least one visual element, wherein the presentation information includes both data from the state information and meta-data describing how the at least one visual element is to be displayed;

selecting a presentation approach from a plurality of alternative approaches for representing the guideline recommendation, at least one of the plurality of alternative approaches visually representing the guideline recommendation, the selection comprising;

determining whether the display device is capable of displaying a first approach wherein a visual presentation is rendered from the presentation information, and

based on determining that the display device is not capable of displaying the first approach, displaying a second approach wherein a new presentation is generated based on the state information; and

presenting the guideline recommendation to at least one associated user according to the selected presentation approach.

13. The method according to claim 12, further including:

selecting by a CDS device one of the plurality of alternative approaches based on one or more of capabilities of the CDS device, working conditions of an associated user, type of a user interface of the CDS device, and available screen real-estate of the CDS device for displaying the guideline recommendation; and

,

presenting the guideline recommendation to the associated user according to the selected approach.

14. The method according to claim 12, further including:

receiving, by a CDS device executing a CDS application, presentation information indicating one of the plurality of alternative approaches and specific to a type of the CDS device and/or a type of the CDS application; and

,

presenting the guideline recommendation according to the presentation information.

15. The method according to claim 12, further including:

presenting by a first clinical decision support (CDS) device the guideline recommendation according to a first one of the plurality of alternative approaches; and

,

presenting by a second CDS device the guideline recommendation according to a second one of the plurality of alternative approaches.

16. The method according to claim 12, wherein the at least one of the plurality of alternative approaches includes a graph-based approach in which at least a portion of the CIG is displayed as a graph, wherein nodes of the graph correspond to care steps, links between the nodes correspond a sequence for performance of the care steps, and different visualizations of the nodes correspond to different states of the care steps.

17. The method according to claim 12, wherein the at least one of the plurality of alternative approaches includes a list-based approach in which at least a portion of the CIG is displayed as a list, wherein list items of the list correspond to care steps and different visualizations of the list items correspond to different states of the care steps.

18. The method of claim 12 wherein:

the first approach comprises displaying a graph of the CIG and the at least one visual element described by the presentation information includes a node of the graph; and

the second approach comprises displaying a textual indication of a current task indicated by the state information.

19. A non-transitory computer readable medium encoded with instructions for execution by a processor for presenting guideline recommendations to care givers, the non-transitory computer readable medium comprising:

instructions for receiving a guideline recommendation for a patient based on a computer interpretable guideline (CIG) wherein the guideline recommendation includes;

state information descriptive of the current state of the CIG, and

presentation information descriptive of at least one visual element, wherein the presentation information includes both data from the state information and meta-data describing how the at least one visual element is to be displayed;

instructions for selecting a presentation approach from a plurality of alternative approaches for representing the guideline recommendation, at least one of the plurality of alternative approaches visually representing the guideline recommendation, the selection comprising;

determining whether the display device is capable of displaying a first approach wherein a visual presentation is rendered from the presentation information, and

based on determining that the display device is not capable of displaying the first approach, displaying a second approach wherein a new presentation is generated based on the state information; and

instructions for presenting the guideline recommendation to at least one associated user according to the selected presentation approach.

20. The non-transitory computer readable medium of claim 19, wherein:

the first approach comprises displaying a graph of the CIG and the at least one visual element described by the presentation information includes a node of the graph; and

the second approach comprises displaying a textual indication of a current task indicated by the state information.