MEDICAL RECORDS, DOCUMENTATION, TRACKING AND ORDER ENTRY SYSTEM

• US 20090012822A1
• Filed: 08/29/2008
• Published: 01/08/2009
• Est. Priority Date: 07/08/1996
• Status: Abandoned Application

• Current Assignee: RLIS Incorporated
• Original Assignee: RLIS Incorporated
• Inventors: Ross, James E. JR., Lynch, William J.
• Application Number:
  US12/201,986
• Publication Number:
  US 20090012822A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06316 Sequencing of tasks or work
• CPC Class Codes: G06Q 40/08 Insurance
• 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 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

The new system provides: automatic incorporation of dictated text; medical records summary generation in medical English text; parsing dictation to data; prephrased text; automatic generation of medical record as consequence of data entry; automatic notation of allergies, significant medical conditions and pregnancy; pregnancy linking, automatically; security card—close on pull; multi-look grease board; outstanding orders listing for all patients in the department; department layout; room selection excludes occupied rooms; nurses notes to text; nurses notes from physician orders to nurses; lab request screen shows all previously ordered labs; therapeutics; ACLS recording; lacerations; doctor specific prescriptions and medication orders; review of systems; coding level alerts differential diagnosis—filter to sex and age; diagnosis—fractures to text; doctor interval reexamination; patient instructions predicated on what was done; patient instruction video on demand; patient informed consent video on demand; video teleconferencing; electronic signatures; automatic backup and incremental backup with system on-line; critical management reports; and automatic research data extraction.

Claims

1-36. -36. (canceled)

37. A method for maintaining electronic access to medical tasks that are to be performed or have been performed by medical staff, the method comprising for each task performed on a patient the steps of:

adding a first medical order entry, corresponding to a task to be performed on a patient, to an electronic patient database and setting a status indicator on the first medical order entry indicative of a need for completion of the task by medical staff;

presenting, via a patient tracking module, a listing of tasks to be performed in accordance with status indicators that identify a need for completion of a specified task; and

selecting, by medical staff, the task corresponding to the first medical order entry from the listing of tasks and, upon completion of the task, clearing the status indicator to indicate completion of the task associated with the first medical order entry.

38. The method of claim 37 further comprising:

adding, in association with clearing the status indicator, an indication of procedures performed in association with completing the task corresponding to the first medical order entry.

39. The method of claim 38 wherein the indication of procedures performed includes a record of observations.

40. The method of claim 38 further comprising adding the procedures performed in association with completing the task to a patient record.

41. The method of claim 37 further comprising:

adding, in association with clearing the status indicator, an indication of who completed the task.

42. The method of claim 41 further comprising:

adding, in association with clearing the status indicator, an indication of when the task was noted as completed.

43. The method of claim 37 wherein the presenting step comprises listing a set of tasks to be performed on a particular patient.

44. The method of claim 43 wherein the set of tasks to be performed on a particular patient are accessed via an electronic greaseboard.

45. The method of claim 37 wherein the task comprises a nurse'"'"'s order arising from a physician order.

46. The method of claim 37 further comprising:

presenting patient-specific warning in association with the task corresponding to the first medical order entry.

47. The method of claim 37 further comprising:

associating the task corresponding to the first medical order entry with a particular medical staff member.

48. The method of claim 37 wherein during the presenting step, a patient entry in a greaseboard view is presented in a distinct color indicative of a task to be completed for the patient.