System and Method for Generating and Promulgating Physician Order Entries

• US 20080312954A1
• Filed: 06/15/2007
• Published: 12/18/2008
• Est. Priority Date: 06/15/2007
• Status: Abandoned Application

• Current Assignee: Imprivata Incorporated
• Original Assignee: Validus Medical Systems, Inc.
• Inventors: Rubinov, Eliot Marvin, Ullrich, Meinhard Dieter
• Application Number:
  US11/764,153
• Publication Number:
  US 20080312954A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A system and method for generating and promulgating Physician Order Entries. The system uses traditional user interface to obtain physician input, and applies context-free grammars to produce a physician order in a standard format including the expected jargon and syntax of conventional physician orders.

Claims

1. A method of promulgating physician orders in a hospital comprising:

operating a plurality of mobile client computers to display one or more control units in a graphical user interface on said plurality of mobile client computers, wherein said control units include control elements selectable by a physician to provide input regarding at least one of expected indications, diagnoses, devices, services, therapeutic procedures, diagnostic procedures, and prescriptions;

interpreting the physician input into the control elements as tuples in a predetermined context-free grammar;

constructing a physician order in a standard format by applying the predetermined context-free grammar to the tuples;

promulgating the physician orders to hospital personnel tasked with accomplishing the treatments inputted by the physicians.

2. The method of claim 1 further comprising:

centrally determining a number of control units pertaining to at least one of expected indications, diagnoses, devices, services, therapeutic procedures, diagnostic procedures, and prescriptions, and generating a plurality of context free grammar rules applicable to said at least one of expected indications, diagnoses, devices, services, therapeutic procedures, diagnostic procedures, and prescriptions, and promulgating said control units to said plurality of mobile client computers;

promulgating the grammar rules to a server, and operating said server to receive and interpret information regarding the state of the control units on the plurality of mobile client computers as the physicians provide input to alter the state of the control units, and further operating the server to generate, for each mobile client computer, a valid complete or incomplete physician order corresponding to the status of the control unit currently in use on the particular mobile client computer, and transmit said valid complete or incomplete physician orders to the particular mobile client computers for display in a status line of the particular mobile client computer.

3. The method of claim 1 wherein the step of promulgating comprises printing a paper copy of the physician orders and filing said paper copy in a medical chart pertaining to a patient.

4. The method of claim 1 wherein the step of promulgating comprises transmitting an electronic copy of the physician orders to hospital personnel tasked with accomplishing the treatments inputted by the physicians.

5. A system for generating and promulgating physician orders in a hospital comprising:

a plurality of mobile client computers;

a server operably connected to the a plurality of mobile client computers;

wherein the plurality of mobile computers are programmed to display one or more control units in a graphical user interface, wherein said control units include control elements selectable by a physician to provide input regarding at least one of expected indications, diagnoses, devices, services, therapeutic procedures, diagnostic procedures, and prescriptions;

wherein the server is programmed to apply a context free grammar to tuples derived from the physician input into the control elements to construct a physician order in a standard format and promulgate the physician orders to hospital personnel tasked with accomplishing the treatments inputted by the physicians.

6. The system of claim 5 wherein:

the server is programmed to promulgate a number of control units pertaining to at least one of expected indications, diagnoses, devices, services, therapeutic procedures, diagnostic procedures, and prescriptions to the mobile client computers; and

the server is programmed to receive and interpret information regarding the state of the control units on the plurality of mobile client computers as the physicians provide input to alter the state of the control units, and generate, for each mobile client computer, a valid complete or incomplete physician order corresponding to the status of the control unit currently in use on the particular mobile client computer, and transmit said valid complete or incomplete physician orders to the particular mobile client computers for display in a status line of the particular mobile client computer.

7. The system of claim 5 wherein the server is further programmed to direct printing of a paper copy of the physician orders.

8. The system of claim 5 wherein the server is further programmed transmit an electronic copy of the physician orders to hospital personnel tasked with accomplishing the treatments inputted by the physicians.

9. A system comprising

a server having an information model with a context-free grammar, an information model controller, a parser and a feedback mechanism;

and

a wireless device having a graphical user interface with control elements, an interaction model, an interface model controller .

wherein the information model controller is programmed to used input from the control elements in conjunction with the context-free grammar to generate natural language grammar strings.

10. A system comprising:

a processor; and

a memory operably coupled to the processor, the memory containing program code that, when executed by the processor, causes the processor to;

allow a user to manipulate one or more control elements on a graphical user interface, said control elements having or more corresponding input symbols;

generate one or more input sequences from the input symbols;

generate a parse tree using the input sequences;

determine a string value using a function and the parse tree; and

display the string value to the user on the graphical user interface.

11. A computer program article for generating a natural language output using input from a graphical user interface, the computer program article tangibly embodied in a computer-readable medium or propagated signal, the computer program article comprising instructions operable to cause a programmable processor to:

display the graphical user interface to a user and allow the user to manipulate one or more control elements on the graphical user interface, said control element having one or more corresponding input symbols;

generate one or more input sequences from the input symbols;

generate a parse tree using the input sequences;

determine a string value using a function and the parse tree; and

display the string value to the user on the graphical user interface.

12. A method of generating a natural language output comprising:

changing the state of a user interface,

reviewing the status of the user interface control elements and determining which control elements are different from their default states;

collecting individual lexeme type-value pair sequences from each control element;

concatenating the lexeme type-value pair sequences to a natural language string in a deterministic order; and

displaying the natural language string to a user on a graphical user display.