Treatment Order Processing System Suitable for Pharmacy and Other Use

• US 20080027755A1
• Filed: 07/20/2007
• Published: 01/31/2008
• Est. Priority Date: 07/25/2006
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Miller, Raymond F., Portnoy, Alan M.
• Granted Patent: US 7,844,470 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• 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 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A system links a standardized coded diagnosis associated with a medication order with information in a pharmacy information system to supplement medication utilization data. A pharmacy user interface system includes a user interface processor for providing data representing at least one display image supporting user entry of a coded diagnosis identifier for association with an order identifier identifying a medication order record indicating an order for a particular medication to be administered to a particular patient during an inpatient stay in a medical facility. A repository stores information associating multiple order identifiers and associated multiple coded diagnosis identifiers A utilization processor uses the stored repository information and processing data associating multiple order identifiers and associated multiple coded diagnosis identifiers to determine utilization information indicating usage characteristics of a particular medication for treatment of a condition indicated by a particular coded diagnosis.

Claims

1. A pharmacy information system, comprising:

a user interface processor for providing data representing at least one display image supporting user entry of a coded diagnosis identifier for association with an order identifier identifying a medication order record indicating an order for a particular medication to be administered to a particular patient during an inpatient stay in a medical facility;

an order repository for storing information associating a plurality of order identifiers and an associated plurality of coded diagnosis identifiers; and

a utilization processor for processing data associating a plurality of order identifiers and an associated plurality of coded diagnosis identifiers derived from said information stored in said order repository to determine utilization information indicating usage characteristics of a particular medication for treatment of a condition indicated by a particular coded diagnosis.

2. A system according to claim 1, wherein

said user is a pharmacist.

3. A system according to claim 1, wherein

said user interface processor supports user entry of said coded diagnosis identifier prior to discharge of said patient enabling acquisition of data associating said plurality of order identifiers and said associated plurality of coded diagnosis identifiers substantially at time of electronic dispensation of medication by a pharmacist.

4. A system according to claim. 1 wherein

said user interface processor supports user entry of said coded diagnosis identifier substantially concurrently with electronic dispensation of medication by a pharmacist and prior to patient discharge enabling acquisition of data associating said plurality of order identifiers and said associated plurality of coded diagnosis identifiers substantially at time of electronically recording dispensation.

5. A pharmacy information system, comprising:

a user interface processor for providing data representing at least one display image supporting user entry of a coded diagnosis identifier for association with an order identifier identifying a medication order record indicating an order for a particular medication to be administered to a particular patient during an inpatient stay in a medical facility;

an order repository for storing information associating said order identifier and said associated coded diagnosis identifier; and

a medication safety processor for comparing said coded diagnosis identifier derived from said information stored in said order repository with a coded diagnosis identifier derived from a medical record associated with said particular patient and in response to a miss-match, initiating generation of an alert message for communication to a healthcare worker.

6. A system according to claim 5, wherein

said medication safety processor parses received text indicating a patient diagnosis and converts said text into a diagnosis code and compares said diagnosis code with said coded diagnosis identifier derived from said stored repository information and in response to a miss-match, initiates generation of an alert message for communication to a healthcare worker.

7. A system according to claim 6, wherein

said medication safety processor converts said text into a diagnosis code by comparing said received text with predetermined text diagnosis terms associated with corresponding coded diagnosis identifiers in a repository.

8. A system according to claim 5, wherein

said at least one display image provides a list of different coded diagnosis identifiers individually selectable by a user as said coded diagnosis identifier for association with said order identifier.

9. A system according to claim 8, including

a medication repository of information associating a plurality of different medications with a plurality of different coded diagnosis identifiers wherein

said list of different coded diagnosis identifiers individually selectable by a user as said coded diagnosis identifier is derived from said medication repository.

10. A system according to claim 8, wherein

said information in said medication repository associates an individual medication of said plurality of different medications with a plurality of different coded diagnosis identifiers.

11. A system according to claim 8, wherein

said at least one display image supports user entry of a Reason for Use for said particular medication associated with said medication order.

12. A system according to claim 11, wherein

said at least one display image supports user selection of a coded diagnosis identifier as said Reason for Use.

13. A system according to claim 5, wherein

said medication safety processor employs said coded diagnosis identifier in performing at least one of, (a) a dosage check, (b) a drug to drug interaction check and (c) a safety check given the medical history of said particular patient.

18. A system according to claim 7, wherein

said medication safety processor processes said coded diagnosis identifier and genomic information of said particular patient in performing a safety check determining safety of administration of said particular medication to said particular patient including determining safety based on a pre-disposition of said particular patient to a medical condition identified using said genomic information.

14. A pharmacy or medication order entry user interface system, comprising:

a user interface processor for providing data representing at least one display image supporting user entry of a text description of a diagnosed condition and mapping said text description to a coded diagnosis identifier for association with an order identifier identifying a medication order record indicating an order for a particular medication to be administered to a particular patient during an inpatient stay in a medical facility;

an order repository for storing information associating said order identifier and said associated coded diagnosis identifier; and

a medication safety processor for processing said coded diagnosis identifier derived from said information stored in said order repository in performing a safety check determining safety of administration of said particular medication to said particular patient.

15. A system according to claim 14, wherein

said medication safety processor compares said coded diagnosis identifier derived from said information stored in said order repository with a coded diagnosis identifier derived from a medical record associated with said particular patient and in response to a miss-match, initiating generation of an alert message for communication to a healthcare worker.

16. A system according to claim 14, wherein

said user interface processor automatically associates said text description of said diagnosed condition with said coded diagnosis identifier based on a search of a repository of coded diagnostic identifiers linked with associated text descriptions of medical conditions.

17. A system according to claim 14, wherein

said user interface processor automatically associates said text description of said diagnosed condition with a plurality of candidate coded diagnosis identifiers based on a search of a repository of coded diagnostic identifiers linked with associated text descriptions of medical conditions and

said at least one display image provides a list of said candidate coded diagnosis identifiers enabling user selection of a particular coded diagnostic identifier.