Proactive and Interactive Clinical Decision Support

• US 20080082365A1
• Filed: 01/16/2007
• Published: 04/03/2008
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Murrish, J. Christopher, Schmitt, Michael D., Huffman, Keith A., Perez, Leo V.
• Granted Patent: US 8,265,948 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/60 relating to pathologies

Abstract

Proactive and interactive clinical decision support events are provided. When a clinical decision support event is initiated for a patient, relevant stored clinical information associated with the patient is accessed. A user interface is generated using the stored clinical information. A clinician may interact with the user interface by providing user-provided clinical information that may add to and/or modify the stored clinical information in the user interface. Clinical advice is provided based on the stored clinical information and the user-provided clinical information.

Claims

1. A method in a clinical computing environment for providing clinical decision support, the method comprising:

receiving a command to initiate a clinical decision support event associated with a patient;

accessing stored clinical information associated with the patient from a data store;

generating a user interface for presentation using the stored clinical information, the user interface including at least a portion of the stored clinical information;

presenting the user interface to a user;

receiving user-provided clinical information from a user via the user interface; and

providing clinical advice based on the stored clinical information and the user-provided clinical information.

2. The method of claim 1, wherein receiving a command to initiate the clinical decision support event comprises receiving a user command to initiate the clinical decision support event.

3. The method of claim 1, wherein receiving a command to initiate the clinical decision support event comprises:

receiving a clinical order; and

determining that a clinical decision support event is associated with the clinical order.

4. The method of claim 1, wherein receiving a command to initiate the clinical decision support event comprises:

monitoring stored clinical information associated with the patient;

comparing the stored clinical information against one or more rules associated with the clinical decision support event; and

determining that at least one of the one or more rules associated with the clinical decision support event has been satisfied based on the stored clinical information.

5. The method of claim 1, wherein the data store comprises an electronic medical record for the patient.

6. The method of claim 1, wherein the clinical advice comprises a recommendation to perform at least one clinical action.

7. The method of claim 1, wherein the method further comprises identifying a type of clinical decision support event.

8. The method of claim 7, wherein accessing stored clinical information associated with the patient from a data store comprises accessing stored clinical information relevant to the type of clinical decision support event.

9. The method of claim 7, wherein generating the user interface for presentation using the stored clinical information comprises generating the user interface based on the type of clinical decision support event.

10. The method of claim 1, wherein generating the user interface for presentation using on the stored clinical information comprises determining preliminary clinical advice based on the stored clinical information, and wherein the user interface further includes the preliminary clinical advice.

11. The method of claim 10, wherein providing clinical advice based on the stored clinical information and the user-provided clinical information comprises updating the preliminary clinical advice using the stored clinical advice and the user-provided clinical advice.

12. The method of claim 1, wherein the user interface further includes one or more links to evidence-based medical information regarding the clinical decision support event.

13. The method of claim 1, wherein at least a portion of the user-provided clinical information comprises a modification of at least a portion of the stored clinical information.

14. The method of claim 1, wherein at least a portion of the user-provided clinical information comprises subjective clinical information associated with the patient.

15. The method of claim 1, wherein the method further comprises storing information associated with the clinical decision support event.

16. The method of claim 1, wherein the method further comprises receiving a clinical order via the user interface.

17. One or more computer readable media having computer-executable instructions for performing the method of claim 1.

18. A system in a clinical computing environment for providing a clinical decision support event, the system comprising:

a knowledge base having one or more rules associated with one or more types of clinical decision support events;

an inference engine in communication with the knowledge base and a data store storing clinical information associated with a patient; and

a user interface component that generates a user interface for a clinical decision support event, the user interface including a plurality of clinical information elements relevant to the clinical decision support event, at least some of the plurality of clinical information elements being populated with clinical information accessed from the data store, the user interface being configured to receive user-provided clinical information via the clinical information elements; and

wherein the inference engine determines clinical advice based on the clinical information accessed from the data store and the user-provided clinical information received via the user interface; and

wherein the clinical advice is provided in the user interface.

19. The system of claim 18, wherein the data store comprises an electronic medical record for the patient.

20. The system of claim 18, further comprising an order entry component for receiving a clinical order associated with the patient.

21. A method in a clinical computing environment for providing clinical decision support, the method comprising:

accessing stored clinical information associated with a patient from a data store;

determining preliminary clinical advice based on the stored clinical information;

presenting the stored clinical information and the preliminary clinical advice;

receiving user-provided clinical information; and

updating the clinical advice based on the stored clinical information and the user-provided clinical information.

22. One or more computer-readable media having computer-useable instructions embodied thereon for performing the method of claim 21.

23. A method in a clinical computing environment for providing clinical decision support, the method comprising:

receiving a command to initiate a clinical decision support event associated with a patient;

accessing stored clinical information associated with the patient from a data store;

determining clinical advice based on the stored clinical information;

generating a user interface for presentation using the stored clinical information and the clinical advice, the user interface including a plurality of clinical information elements relevant to the clinical decision support event, at least a portion of the clinical information elements being populated with the stored clinical information, wherein the clinical information elements are capable of being modified by a user; and

presenting the user interface to a user.

24. The method of claim 23, further comprising:

receiving user-provided clinical information from a user via one or more of the clinical information elements of the user interface; and

providing clinical advice based on the stored clinical information and the user-provided clinical information.

25. One or more computer-readable media having computer-useable instructions embodied thereon for performing the method of claim 23.

26. A method in a clinical computing environment for providing a clinical decision support event associated with a patient, the clinical decision support event having a plurality of clinical Information elements relevant thereto, the method comprising:

monitoring stored clinical information associated with the patient;

determining that clinical information is not currently available for one or more of the clinical information elements relevant to the clinical decision support event;

initiating the clinical decision support event based on the stored clinical information;

generating a user interface for the clinical decision support event, the user interface including the plurality of clinical information elements relevant to the clinical decision support event, at least a portion of the clinical information elements being populated with the stored clinical information, wherein the clinical information elements are capable of being modified by a user; and

presenting the user interface to a user.

27. The method of claim 26, further comprising:

receiving user-provided clinical information from a user via one or more of the clinical information elements of the user interface; and

providing clinical advice based on the stored clinical information and the user-provided clinical information.

28. One or more computer-readable media having computer-useable instructions embodied thereon for performing the method of claim 26.