System and Method for Providing Medical Caregiver and Equipment Management Patient Care

• US 20130275161A1
• Filed: 12/05/2011
• Published: 10/17/2013
• Est. Priority Date: 12/20/2010
• Status: Abandoned Application

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Van Zon, Cornelis Conradus Adrianus Maria, Pauws, Steffen Clarence, Lord, William Palmer, Te Vrugt, Juergen, Dutta, Pradyumna, De Lange, Alphonsus Anthonius Jozef
• Application Number:
  US13/995,504
• Publication Number:
  US 20130275161A1
• 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
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

An update message from a first group of one or more clinical devices (802) is received over a communications network (504). The update message includes patient data and identifies a computer interpretable guideline (CIG) instance corresponding to a patient of the patient data. The CIG instance is updated (804) using the patient data and one or more CIG recommendations are determined (806) based on the updated CIG instance. The CIG recommendations are communicated (808) to a second group of one or more clinical devices over the communications network (504). Also disclosed, a narrative guideline is received from a guideline publisher and/or business entity (102) over a communications network (104). The narrative guideline is transformed to a computer represented guideline (CRG) abstractly representing the narrative guideline on the basis of usage. The translation includes linking text fragments in the narrative guideline to instantiated language constructs.

Claims

1. A system for centrally executing computer interpretable guidelines, said system comprising:

a first group of one or more clinical devices and a second group of one or more clinical devices;

a clinical decision support system that;

receives one or more update messages from the first group of clinical device(s) over a communications network, wherein the update message(s) include patient data and/or end user input and identify a CIG instance corresponding to a patient associated with the patient data;

updates the CIG instance using the patient data and/or end user input;

determines one or more CIG recommendations based on the updated CIG instance; and

,

communicates the CIG recommendations to the second group of clinical device over the communications network.

2. The system according claim 1, further including:

a patient database containing an electronic medical record for the patient; and

,

wherein the clinical decision support system updates the CIG instance on the basis of the electronic medical record.

3. A method for centrally executing computer interpretable guidelines (CIGs), said method comprising:

receiving one or more update message from a first group of one or more clinical devices over a communications network, wherein the update message(s) include patient data and/or end user input and identify a CIG instance corresponding to a patient associated with the patient data;

updating the CIG instance using the patient data and/or end user input;

determining one or more CIG recommendations based on the updated CIG instance; and

,

communicating the CIG recommendations to a second group of one or more clinical devices over the communications network.

4. The method according to claim 3, further including:

determining whether one or more events on which the CIG instance depends have occurred; and

,

updating the CIG instance on the basis of the determination.

5. The method according to claim 3, further including:

after the patient has become associated with a third group of one or more clinical devices different than the first group of clinical device, receiving patient data from the third group of clinical device over the communications; and

,

updating the CIG instance on the basis of patient data from the third group of clinical device(s).

6. The method according to claim 3, further including:

receiving an instantiation message from the first group of clinical device(s) over the communications network, wherein the instantiation message identifies a CIG and the patient; and

,

creating the CIG instance for the patient from the CIG.

7. The method according to claim 3, wherein the CIG instance includes a time-lined and structured sequence of evidence-based care steps, wherein updating the CIG instance changes a location within the sequence.

8. The method according to claim 3, further including:

receiving a computer represented guideline (CRG) from a remote guideline publisher and/or business entity, wherein the CRG includes abstraction based on usage; and

,

generating a CIG from the CRG, wherein the CIG is generated from the CRG and localized, wherein the CIG instance is derived from the CIG.

9. The method according to claim 3, further including:

receiving a narrative guideline from a guideline publisher and/or business entity;

generating a computer represented guideline (CRG) from the narrative guideline, wherein the CRG includes abstraction based on usage; and

,

generating a new CIG or an updated CIG from the CRG, wherein the CIG is generated from the CRG and localized, wherein the CIG instance is derived from the CIG.

10. The method according to claim 3, further including:

receiving a computer interpretable guideline (CIG) from a guideline publisher and/or business entity, wherein the CIG instance is derived from the CIG.

11. The method according to claim 3, further including:

receiving a narrative guideline from a guideline publisher and/or business entity over a communications network; and

,

transforming the narrative guideline to a computer represented guideline (CRG) abstractly representing the narrative guideline on the basis of usage, wherein said translation includes linking text fragments in the narrative guideline to instantiated language constructs.

15. The method according to claim 11, further including at least one of:

transforming the CRG to a computer interpretable guideline (CIG), wherein the transformation resolves localization constraints imposed on the CRG with location specific information;

communicating the CIG and/or the CRG to a medical institution over the communications network,

receiving an updated version of the narrative guideline from the guideline publisher over the communications network; and

,

updating the CRG using the updated narrative guideline, wherein portions of the CRG in need of update identified using the links,

receiving (802) an update message from a first clinical device (502) over a second communications network (504), wherein the update message includes patient data and identifies a CIG instance;

updating (804) the CIG instance using the patient data;

determining (806) one or more CIG recommendations based on the updated CIG instance; and

,

communicating (808) the CIG recommendations to a second clinical device (502) over the second communications network (504).

19. One or more processors preprogrammed to perform the method according to claim 3.

20. A non-transitory computer readable medium carrying software which controls one or more processors to perform the method according to claim 3.

12. (canceled)

13. A method of electronically distributing clinical guidelines, said method comprising:

receiving a narrative guideline from a guideline publisher and/or business entity over a communications network); and

,

transforming the narrative guideline to a computer represented guideline (CRG) abstractly representing the narrative guideline on the basis of usage, wherein said translation includes linking text fragments in the narrative guideline to instantiated language constructs.

14. (canceled)

16. (canceled)

17. (canceled)

18. (canceled)