Diagnosis-Driven Electronic Charting

• US 20120004932A1
• Filed: 09/09/2011
• Published: 01/05/2012
• Est. Priority Date: 06/30/2010
• Status: Active Grant

• Current Assignee: Zeus Data Solutions
• Original Assignee: Zeus Data Solutions
• Inventors: Sorkey, Alan J., Conrad, Steven Allen
• Granted Patent: US 9,613,325 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

A computer-implemented method for producing healthcare data records from graphical inputs by computer users includes receiving, on a graphical user interface of a computer system, a user identification of a diagnosis for a patient, the user identification produced by user selection on the graphical user interface; identifying one or more parameters that characterize the diagnosis; displaying on the graphical user interface a plurality of selectable values for particular ones of identified parameters; receiving sequential user selections representations of particulars ones of the values; and generating an electronic medical record representation that represents the identified diagnosis having the selected values for the one or more parameters.

Claims

1. A computer-implemented method for producing electronic health records from graphical inputs by computer users, the method comprising:

receiving, on a graphical user interface of a computer system, a user identification of a diagnosis for a patient, the user identification produced by user selection on the graphical user interface;

displaying on the graphical user interface a plurality of selectable values for particular ones of modifiers that the computer system dynamically identifies, in response to the user identification of the diagnosis, as corresponding to the diagnosis;

receiving, by the computer system and from the user, sequential user selections representing particulars ones of the values; and

generating an electronic health record representation that represents the identified diagnosis having the selected values for the one or more modifiers.

2. The method of claim 1, wherein the values for the modifiers are displayed adjacent to a representation of the identified diagnosis and are selected from user-specific files that indicate preferred values for particular users.

3. The method of claim 2, wherein receiving the sequential selections comprises receiving user selections as a user gesture in a single direction across the user interface from the identification of the diagnosis through the selections of the values by the user changing or accepting initially-displayed values.

4. The method of claim 1, wherein at least some of the values are displayed as selectable icons and at least some of the values are displayed as alphanumeric characters.

5. The method of claim 1, wherein the user indication of a diagnosis comprises an identification by the user of finding that is less than a complete diagnosis.

6. The method of claim 1, further comprising, after receiving a selection of a first value of a first modifier, automatically changing values displayed for a second modifier in dependence on the selected first value.

7. The method of claim 1, wherein the user identification of a diagnosis is received on an icon having multiple contact zones, and a diagnosis type is selected from multiple different diagnosis types based on a determination of which contact zone for the icon is selected by the user.

8. The method of claim 1, wherein receiving sequential user selections comprises receiving a pair of user selections for an item, and further comprising undoing a first user selection of the item upon receiving a second user selection of the item.

9. The method of claim 1, further comprising applying a syntax to populate a data record for the diagnosis by:

identifying at least a modifier and a value selected for the modifier; and

constructing a set of descriptive medical observations in an electronic document from a template or tree, and adding text for the modifier and the selected value to the template or tree.

10. The method of claim 9, wherein constructing a set of descriptive medical observations comprises creating a prose sentence for a health record.

11. The method of claim 1, further comprising identifying a patient who corresponds to the user selections, and adding a set of descriptive medical observations to an electronic medical record for the identified patient.

12. The method of claim 1, further comprising receiving a description of a patient complaint, determining one or more diagnoses that address the complaint, and displaying representations of the one or more diagnoses on the graphical user interface.

13. A computer-implemented system for producing electronic health records from inputs by caregivers in a graphical user interface, the system comprising:

a display controller configured to generate data for displaying selectable icons that represent patient diagnoses, and for displaying values for modifiers of, and that are dependent on, a selected diagnosis;

an input processor configured to receive user selections of the diagnosis and values; and

a description builder programmed to apply syntactical rules based on the selected diagnosis and selected values to produce prose of a description for a medical action represented by the selected diagnosis and values.

14. The system of claim 13, wherein the user selections comprise sequential selections on a touchscreen that identify the selected diagnosis followed by the modifiers.

15. The system of claim 13, wherein the display controller is configured to display an icon having multiple contact zones and, and a diagnosis type is selected from multiple different diagnosis types based on a determination of which contact zone for the icon is selected by the user.

16. The system of claim 13, wherein the description builder is further programmed to apply a syntax to populate a data record for the diagnosis by:

identifying at least a modifier and a value selected for the modifier; and

constructing a set of descriptive medical observations in an electronic document from a template or tree, and adding text for the modifier and the selected value to the template or tree.

17. The system of claim 13, wherein the description builder is programmed to receive a description of a patient complaint, determining one or more diagnoses that address the complaint, and displaying representations of the one or more diagnoses on the graphical user interface.

18. One or more tangible, non-transitory computer-readable storage media having stored thereon instructions, that when executed by one or more processors, perform operations comprising

receiving, on a graphical user interface of a computer system, a user identification of a diagnosis for a patient, the user identification produced by user selection on the graphical user interface;

displaying on the graphical user interface a plurality of selectable values for particular ones of modifiers that the computer system dynamically identifies, in response to the user identification of the diagnosis, as corresponding to the diagnosis;

receiving, by the computer system and from the user, sequential user selections representing particulars ones of the values; and

generating an electronic health record representation that represents the identified diagnosis having the selected values for the one or more modifiers.

19. The one or more media of claim 18, wherein receiving the sequential selections comprises receiving user selections as a user gesture in a single direction across the user interface from the identification of the diagnosis through the selections of the values by the user changing or accepting initially-displayed values.

20. The one or more media of claim 18, wherein the operations further comprise applying a syntax to populate a data record for the diagnosis by:

identifying at least a modifier and a value selected for the modifier; and

constructing a set of descriptive medical observations in an electronic document from a template or tree, and adding text for the modifier and the selected value to the template or tree.