Pharmacy drug management system providing patient specific drug dosing, drug interaction analysis, order generation, and patient data matching

• US 20010001144A1
• Filed: 12/22/2000
• Published: 05/10/2001
• Est. Priority Date: 02/27/1998
• Status: Abandoned Application

• Current Assignee: Thomas L. Kapp
• Original Assignee: Thomas L. Kapp
• Inventors: Kapp, Thomas L.
• Application Number:
  US09/748,594
• Publication Number:
  US 20010001144A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A pharmacy drug management system provides pharmacy drug management software for patient-specific drug dosing, drug interaction analysis, order generation, and patient data matching. When a drug is added for a patient, the system detects if the drug is a doser drug requiring precise therapeutic dosing and also detects if the drug will cause any drug interaction problems for the patient, reducing the likelihood of clinical misjudgments. The system checks for drug interaction problems resulting from drugs, food allergies, and the medical condition of the patient. An on-screen order may then be generated. A doctor or pharmacist thus is aware of any drug interaction problems before writing an order for the patient. If a selected drug is a doser drug, the system uses phannacokinetic equations specific to the patient data to calculate the appropriate therapeutic dosing parameters. Through a therapy management module of the pharmacy drug management software, a clinical professional may access a formulary listing available drugs, advisories for drugs, drug and medical condition information help files, an infusion calculator, a note for recording patient events, access to a patient data matching database for locating therapies for patients with similar medical conditions to the particular patient, and other therapy tools, all from the screen of a computer system running the software.

Claims

1. A computer system adapted for patient specific drug dosing, drug interaction analysis and order generation, comprising:

a processor;

a medium readable by the processor for storing patient specific drug dosing code, drug interaction analysis code, and order entry code;

the patient specific drug dosing code when executed causing the processor to perform the steps of;

receiving medical data for a patient;

receiving an indication of a new drug for the patient;

detecting if the new drug provides a narrow therapeutic index;

receiving a first set of dosing parameters for the patient if the new drug provides a narrow therapeutic index; and

calculating a second set of dosing parameters for the patient from the medical data of the patient and the first set of dosing parameters;

the drug interaction analysis code when executed causing the processor to perform the steps of;

receiving medical data for the patient;

receiving an indication of a new drug for the patient;

checking the new drug for a drug interaction problem;

indicating a drug interaction problem if a drug interaction problem is detected;

selecting an alternative drug for the patient if the alternative drug is provided; and

selecting the new drug for the patient if an override command is received; and

the order generation code when executed causing the processor to perform the steps of;

providing an order on a display screen of the computer system after the drug interaction analysis code is executed;

receiving order information for the new drug into the order; and

processing the order.

2. The computer system of

claim 1

, wherein the first set of dosing parameters for the patient comprise a creatinine clearance, a volume of distribution, modifying factors, infusion time, and dosing interval.

3. The computer system of

claim 1

, wherein the second set of dosing parameters comprise a patient kinetic constant, a half-life, and a dosage of the drug.

4. The computer system of

claim 1

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a desired dose of the drug; and

calculating a peak drug value for the patient and a trough drug value for the patient from the desired dose of the drug, the first set of dosing parameters, the second set of dosing parameters, and the medical data for the patient.

5. The computer system of

claim 1

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

entering an improved dosing stage;

receiving a third set of dosing parameters for the patient;

calculating a fourth set of dosing parameters for the patient from the medical data for the patient and the third set of dosing parameters.

6. The computer system of

claim 5

, wherein the third set of dosing parameters comprise a maintenance dose, a creatinine dosing, a peak blood draw, a trough blood draw, an infusion length, a time of the peak blood draw, a time of the trough blood draw, and an infusion time.

7. The computer system of

claim 5

, wherein the fourth set of dosing parameters comprise a volume of distribution.

8. The computer system of

claim 1

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a peak drug value for the patient and a trough drug value for the patient; and

calculating a maintenance dose of the drug and a maintenance interval of the drug from the peak draw of value for the patient and the trough drug value for the patient.

9. The computer system of

claim 1

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a maintenance dose of the drug and a maintenance interval of the drug; and

calculating the peak drug value for the patient and the trough drug value for the patient from the maintenance dose of the drug and the maintenance interval of the drug.

10. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and the drugs of the patient.

11. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding medical conditions of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and medical conditions of the patient.

12. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding a diet of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and the diet of the patient.

13. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding allergies of the patient; and

the checking step further comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the drug and the allergies of the patient.

14. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

searching a drug file containing information regarding drug to drug interaction problems with the new drug and the drugs of the patient as a search criterion.

15. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

searching a medical condition file containing information regarding drug interaction problems with the new drug and the medical conditions of the patient as a search criterion.

16. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding the drugs of the patient; and

the checking step comprising the step of;

searching a file containing information regarding the drug interaction problems based on allergies with the new drug and the allergies of the patient as a search criterion.

17. The computer system of

claim 1

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding the drugs of the patient; and

the checking step comprising the step of;

searching a file containing information regarding drug interaction problems based on food with the new drug and the food of the patient as a search criterion.

18. The computer system of

claim 1

, the computer system further comprising:

a printer; and

the order generation code when executed causing the processor to perform the further step of;

sending the order to the printer as a label for the drug or a prescription for the patient.

19. The computer system of

claim 1

, the medium readable by the processor being a compact disc, the computer system further comprising:

a CD-ROM drive for receiving the compact disc storing the patient specific drug dosing code, the drug interaction analysis code, and the order generation code.

20. The computer system of

claim 1

, wherein the medium readable by the processor for storing patient specific drug dosing code, drug interaction, analysis code, and order entry code is a memory.

21. The computer system of

claim 1

, the medium readable by the processor further storing:

patient data matching code for searching a patient data matching database for therapy profiles of patients with medical data matching medical data for the patient.

22. The computer system of

claim 21

, wherein the patient data matching database is located on a website.

23. A method of patient specific dosing of a drug with a narrow therapeutic index using a comprehensive drug management program executed by a computer system, comprising the steps of:

receiving medical data for a patient;

receiving an indication of a new drug for the patient;

detecting if the new drug provides a narrow therapeutic index;

receiving a first set of dosing parameters for the patient if the new drug provides a narrow therapeutic index; and

calculating a second set of dosing parameters for the patient from the medical data of the patient and the first set of dosing parameters.

24. The method of

claim 23

, wherein the first set of dosing parameters for the patient comprise a creatinine clearance, a volume of distribution, and modifying factors, infusion time, and dosing interval.

25. The method of

claim 23

, wherein the second set of dosing parameters comprise a patient kinetic constant, a half-life, and a dosage of the drug.

26. The method of

claim 23

, further comprising the steps of:

receiving a desired dose of the drug; and

calculating a peak drug value for the patient and a trough drug value for the patient from the desired dose of the drug, the first set of dosing parameters, the second set of dosing parameters, and the medical data for the patient.

27. The method of

claim 23

, further comprising the steps of:

entering an improved dosing stage;

receiving a third set of dosing parameters for the patient;

calculating a fourth set of dosing parameters for the patient from the medical data for the patient and the third set of dosing parameters.

28. The method of

claim 27

, where in the third set of dosing parameters comprise a maintenance dose, a creatinine dosing, a peak blood draw, a trough blood draw, an infusion length, a time of the peak blood draw, a time of the trough blood draw, and an infusion time.

29. The method of

claim 27

, wherein the fourth set of dosing parameters comprise a volume of distribution.

30. The method of

claim 23

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a peak drug value for the patient and a trough drug value for the patient; and

calculating a maintenance dose of the drug and a maintenance interval of the drug from the peak draw of value for the patient and the trough drug value for the patient.

38. The method of

claim 28

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding allergies of the patient; and

the checking step comprising the step of;

searching a file containing information regarding the drug interaction problems based on allergies with the new drug and the allergies of the patient as a search criterion.

31. A method of detecting and correcting a drug interaction problem using a comprehensive drug management program executed by a computer system before ordering a drug for a patient, comprising the steps of:

receiving medical data for the patient;

receiving an indication of a new drug for the patient;

checking the new drug for a drug interaction problem;

indicating a drug interaction problem if a drug interaction problem is detected;

selecting an alternative drug for the patient if the alternative drug is provided; and

selecting the new drug for the patient if an override command is received.

32. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and the drugs of the patient.

33. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding medical conditions of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and medical conditions of the patient.

34. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding a diet of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and the diet of the patient.

35. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding allergies of the patient; and

the checking step further comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the drug and the allergies of the patient.

36. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

searching a drug file containing information regarding drug to drug interaction problems with the new drug and the drugs of the patient as a search criterion.

37. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding medical conditions of the patient; and

the checking step comprising the step of;

searching a medical condition file containing information regarding drug interaction problems with the new drug and the medical conditions of the patient as a search criterion.

39. The method of

claim 32

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding food of the patient; and

the checking step comprising the step of;

searching a file containing information regarding drug interaction problems based on food with the new drug and the food of the patient as a search criterion.

40. A processor readable medium adapted for patient specific drug dosing by a computer system, storing:

patient specific drug dosing code for causing a processor of the computer system to perform the steps of;

receiving medical data for a patient;

receiving an indication of a new drug for the patient;

detecting if the new drug provides a narrow therapeutic index;

receiving a first set of dosing parameters for the patient if the new drug provides a narrow therapeutic index; and

calculating a second set of dosing parameters for the patient from the medical data of the patient and the first set of dosing parameters.

41. The processor readable medium of

claim 41

, wherein the first set of dosing parameters for the patient comprise a creatinine clearance, a volume of distribution, modifying factors, infusion time, and dosing interval.

42. The processor readable medium of

claim 41

, wherein the second set of dosing parameters comprise a patient kinetic constant, a half-life, and a dosage of the drug.

43. The processor readable medium of

claim 41

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a desired dose of the drug; and

calculating a peak drug value for the patient and a trough drug value for the patient from the desired dose of the drug, the first set of dosing parameters, the second set of dosing parameters, and the medical data for the patient.

44. The processor readable medium of

claim 41

, patient specific drug dosing code when executed causing the processor to perform the further steps of:

entering an improved dosing stage;

receiving a third set of dosing parameters for the patient;

calculating a fourth set of dosing parameters for the patient from the medical data for the patient and the third set of dosing parameters.

47. The processor readable medium of

claim 41

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a peak drug value for the patient and a trough drug value for the patient; and

calculating a maintenance dose of the drug and a maintenance interval of the drug from the peak draw of value for the patient and the trough drug value for the patient.

48. The processor readable medium of

claim 41

, the patient specific drug dosing code when executed causing the processor to perform the further steps of:

receiving a maintenance dose of the drug and a maintenance interval of the drug; and

calculating the peak drug value for the patient and the trough drug value for the patient from the maintenance dose of the drug and the maintenance interval of the drug.

45. The processor readable medium of

claim 45

, wherein the third set of dosing parameters comprise a maintenance dose, a creatinine dosing, a peak blood draw, a trough blood draw, an infusion length, time of the peak blood draw, a time of the trough blood draw, and an infusion time.

46. The processor readable medium of

claim 45

, wherein the fourth set of dosing parameters comprise a volume of distribution.

49. A processor readable medium adapted for drug interaction analysis by a computer system, storing:

drug interaction analysis code for causing a processor of the computer system to perform the steps of;

receiving medical data for the patient;

receiving an indication of a new drug for the patient;

checking the new drug for a drug interaction problem;

indicating a drug interaction problem if a drug interaction problem is detected;

selecting an alternative drug for the patient if the alternative drug is provided; and

selecting the new drug for the patient if an override command is received.

50. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and the drugs of the patient.

51. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding medical conditions of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and medical conditions of the patient.

52. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding a diet of the patient; and

the checking step comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the new drug and the diet of the patient.

53. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding allergies of the patient; and

the checking step further comprising the step of;

checking the new drug for a drug interaction problem based on an interaction between the drug and the allergies of the patient.

54. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding drugs of the patient; and

the checking step comprising the step of;

searching a drug file containing information regarding drug to drug interaction problems with the new drug and the drugs of the patient as a search criterion.

55. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding medical conditions of the patient; and

the checking step comprising the step of;

searching a medical condition file containing information regarding drug interaction problems with the new drug and the medical conditions of the patient as a search criterion.

56. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding allergies of the patient; and

the checking step comprising the step of;

searching a file containing information regarding the drug interaction problems based on allergies with the new drug and the allergies of the patient as a search criterion.

57. The processor readable medium of

claim 50

, the receiving medical data step for the drug interaction analysis code comprising the step of:

receiving data regarding food of the patient; and

the checking step comprising the step of;

searching a file containing information regarding drug interaction problems based on food with the new drug and the food of the patient as a search criterion.

58. A processor readable medium adapted for order generation by a computer system storing:

order generation code for causing a processor of the computer system to perform the steps of;

providing an order on a display screen of the computer system after the drug interaction analysis code is executed;

receiving order information for the new drug into the order; and

processing the order.

59. The processor readable medium of

claim 59

, storing:

the order generation code when executed causing the processor to perform the further step of;

providing the order to a printer coupled to the computer system.

60. A pharmacy drug management computer system, comprising:

a processor; and

a medium readable by the processor storing drug management code providing access to drug doser for dosing drugs for a patient having a narrow therapeutic index, a drug interaction analyzer for detecting drug interaction problems for a patient, and an order generator for generating an order for a patient.

61. The pharmacy drug management computer system of

claim 61

, the drug management code providing access to a patient data matching database for locating therapies of patients with medical data matching medical data of a patient.

62. The pharmacy drug management computer system of

claim 61

, the drug management code providing access to advisories providing information concerning drugs.

63. The pharmacy drug management computer system of

claim 61

, the drug management code providing access to a formulary listing available drugs.

64. The pharmacy drug management computer system of

claim 61

, the drug management code providing access to drug information help files.