Order profile safeguarding mechanism

• US 20070179807A1
• Filed: 02/01/2006
• Published: 08/02/2007
• Est. Priority Date: 02/01/2006
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Schneider, Charles, Nessinger, Christopher
• Granted Patent: US 10,339,617 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 10/107 Computer-aided management of electronic mailing [e-mailing]
• 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

Abstract

An order management system that employs profile locking is provided for managing clinical orders in patient profiles. The system allows users to initiate lockable order actions (e.g., order actions requiring a profile lock for conflict checking) in a profile locked by another user. When a user attempts to initiate a lockable order action, the system provides a notification to the user indicating that the patient profile is locked by another user. The user may elect to continue initiating the lockable order action. When the profile becomes available, the system provides a notification to the user, who may then obtain the profile lock and process the lockable order action, including having the system perform conflict checking. The system may also provide for the initiation of an instant messaging session between the user attempting to enter a lockable order action in a locked profile and another user who has the profile lock.

Claims

1. A method in a clinical computing environment for processing a lockable order action for a patient profile, the method comprising:

receiving a command from a first user to initiate the lockable order action for the patient profile;

determining that the patient profile is locked by a second user;

allowing the first user to proceed with initiating the lockable order action without completing processing activity for the lockable order action while the patient profile is locked;

determining that the patient profile is available;

locking the patient profile for the first user; and

completing processing activity for the lockable order action.

2. The method of claim 1, wherein the lockable order action comprises at least one of an action initiating a new medication order, an action modifying an existing medication order, and an action terminating an existing medication order.

3. The method of claim 1, further comprising incident to determining that the patient profile is locked, presenting a profile locked notification to the first user indicating that the patient profile is locked.

4. The method of claim 3, wherein the method further includes incident to presenting the profile locked notification, receiving a second command from the first user to proceed with initiating the lockable order action without completing processing activity for the lockable order action and to provide a profile available notification when the patient profile becomes available.

5. The method of claim 1, further comprising incident to determining that the patient profile is available, providing a profile available notification to the first user.

6. The method of claim 1, wherein locking the patient profile for the first user comprises receiving a second command from the first user to obtain a lock on the patient profile.

7. The method of claim 1, wherein completing processing activity for the lockable order action comprises performing at least one of interaction checking and duplicate checking for the lockable order action.

8. The method of claim 1, wherein completing processing activity for the lockable order action comprises presenting a reconciliation dialog.

9. The method of claim 8, wherein the reconciliation dialog comprises information regarding at least one of an order action entered in the patient profile since receiving the command from the first user to initiate the lockable order action, and a conflict between the lockable order action and an order in the patient profile.

10. The method of claim 8, wherein the reconciliation dialog is presented incident to locking the patient profile for the first user.

11. The method of claim 8, wherein completing processing activity for the lockable order action further comprises receiving a second command from the first user to sign the lockable order action.

12. The method of claim 11, wherein the reconciliation dialog is presented incident to receiving the second command from the first user to sign the lockable order action.

13. One or more computer-readable media having computer-useable instructions embodied thereon for causing a computing device to perform the method of claim 1.

14. A method in a clinical computing environment for processing a lockable order action for a patient profile, the method comprising:

receiving a first command from a first user to initiate the lockable order action for the patient profile;

determining that the patient profile is locked by a second user;

presenting a profile locked notification to the first user indicating that the patient profile is locked;

receiving a second command from the first user to proceed with initiating the lockable order action and to provide a notification to the first user when the patient profile becomes available;

incident to the second command, allowing the first user to proceed with initiating the lockable order action without completing processing activity for the lockable order action while the patient profile is locked;

determining that the patient profile is available;

presenting a profile available notification to the first user;

receiving a third command from the first user to obtain a lock on the patient profile;

incident to the third command, locking the patient profile for the first user; and

completing processing activity for the lockable order action.

15. One or more computer-readable media having computer-useable instructions embodied thereon for causing a computing device to perform the method of claim 14.

16. A method in a clinical computing environment for initiating an instant messaging session between a first user attempting to process a lockable order action for a patient profile and a second user having a lock on the patient profile, the method comprising:

receiving a command from the first user to initiate the lockable order action for the patient profile;

determining that the patient profile is locked by the second user; and

providing for the initiation of the instant messaging session between the first user and the second user.

17. The method of claim 16, further comprising incident to determining that the patient profile is locked by the second user, presenting a profile locked notification to the first user indicating that the patient profile is locked.

18. The method of claim 17, wherein the profile locked notification comprises information regarding at least one of the second user, and a current order action being entered by the second user.

19. The method of claim 17, wherein the profile locked notification further provides for receiving a second command from the first user to initiate the instant messaging session between the first user and the second user.

20. The method of claim 16, wherein providing for the initiation of the instant messaging session comprises:

receiving a second command from the first user to initiate the instant messaging session between the first user and the second user; and

incident to the second command, initiating the instant messaging session between the first user and the second user.

21. One or more computer-readable media having computer-useable instructions embodied thereon for causing a computing device to perform the method of claim 16.

22. The method of claim 16, wherein the patient profile is locked by a second user when the second user is entering, modifying or terminating one or more orders for the patient.