Providing patient-specific drug information

• US 6,317,719 B1
• Filed: 11/10/1998
• Issued: 11/13/2001
• Est. Priority Date: 12/13/1993
• Status: Expired due to Term

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Multum, Inc. (Oracle Corporation)
• Inventors: Austin, Janet L., McNamara, Timothy J., Aweeka, Francesca T., Schrier, Robert W., Gambertoglio, John G., Heiland, Cheryl D., Schrier, Douglas M.
• Primary Examiner(s): Trammell, James P.
• Assistant Examiner(s): Tesfamariam, Mussie
• Application Number:
  US09/189,731
• Time in Patent Office: 1,099 Days
• Field of Search: 705/2, 705/3, 705/4, 378/87, 604/31
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/02 Marketing; Price estimation or determination; Fundraising
• 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 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

Systems and methods for processing data relating to use of a drug by a patient that receive patient information and determine a dosage of the drug on the basis of the patient information. The systems and methods may be operated to provide patient-specific information on drug cost and on comparative costs of alternative drugs, on side effects, on allergies, and on pharmacology, as well as information on use in pregnancy, on use in lactation, on drug interactions, on warnings and contraindications, and supporting references. The systems may also be operated to prepare drug orders and prescriptions.

Claims

1. A method for creating an electronic prescription, comprising:

interactively receiving an input from a user selecting a medication;

displaying to the user alternative elements for creating an electronic prescription for the currently selected medication, including the routes associated with the medication, the dose amounts in which the medication is available in a formulary for a chosen route, the dose forms in which the medication is available in the formulary for a chosen route, and the frequencies of administration associated with the medications and a chosen route; and

receiving from the user an input accepting an order including the user selected medication, frequency of administration, route of administration, dose amount, and dose form.

2. The method of claim 1, further comprising:

interactively receiving an input from the user selecting when the medication should be administered, and whether a generic substitute is acceptable for the medication; and

sending the order electronically to a pharmacy.

3. The method of claim 1, further comprising:

determining which ordering alternatives to display to a user by accessing an electronic database of associations comprising an association of routes with medications, an associations of medications and routes with dose amounts, an associations of medications and routes with dose forms, and an association of routes and medications with frequencies of administration.

4. The method of claim 3, wherein the database of associations contains a record for each available combination.

5. The method of claim 3, wherein the order is represented by an electronic order record comprising:

a name of the medication;

a unique medication identifier;

a medication dose size;

a medication route of administration;

a medication form; and

a medication daily frequency.

6. A system for creating an electronic prescription for a patient, comprising:

a user interface for interactively receiving an input from a user selecting a medication; and

a database of associations configured to provide the user with alternative elements for creating an electronic prescription for the currently selected medication, the database comprising associations of routes with medications, associations of medications and routes with dose amounts, associations of medications and routes with dose forms, and associations of routes and medications with frequencies of administration.

7. The system of claim 6, wherein the database of associations contains a record for each available combination.

8. The system of claim 6, further comprising:

means for determining which ordering alternatives to display to the user by accessing the database of associations.

9. The system of claim 6, further comprising:

a user interface for interactively receiving from the user an input accepting an order including the user-selected medication, frequency of administration, route of administration, dose amount, and dose form.

10. The system of claim 9, further comprising:

a user interface for interactively receiving from the user an input selecting when the medication should be administered, and whether a generic substitute is acceptable for the medication and an input causing the system to send the order electronically to a pharmacy.

11. The system of claim 10, wherein the order is represented by an electronic order record comprising:

a name of the medication;

a unique medication identifier;

a medication dose size;

a medication route of administration;

a medication form; and

a medication daily frequency.

12. A computer program product, tangibly stored on a computer-readable medium, for creating an electronic prescription for a patient, the product comprising instructions for causing a computer to:

interactively receive an input from a user selecting a medication;

display to the user alternative elements for creating an electronic prescription for the currently selected medication, including the routes associated with the medication, the dose amounts in which the medication is available in a formulary for a chosen route, the dose forms in which the medication is available in the formulary for a chosen route, and the frequencies of administration associated with the medications and a chosen route; and

receive from the user an input accepting an order including the user-selected medication, frequency of administration, route of administration, dose amount, and dose form.

13. The product of claim 12, further comprising instructions to:

interactively receive an input from the user selecting when the medication should be administered, and whether a generic substitute is acceptable for the medication; and

sending the order electronically to a pharmacy.

14. The product of claim 12, further comprising instructions to:

determine which ordering alternatives to display to a user by accessing an electronic database of associations comprising an association of routes with medications, an associations of medications and routes with dose amounts, an associations of medications and routes with dose forms, and an association of routes and medications with frequencies of administration.

15. The product of claim 14, wherein the database of associations contains a record for each available combination.

16. The product of claim 14, wherein the order is represented by an electronic order record comprising:

a name of the medication;

a unique medication identifier;

a medication dose size;

a medication route of administration;

a medication form; and

a medication daily frequency.