Distributed system for monitoring patient video, audio and medical parameter data

• US 7,945,457 B2
• Filed: 04/04/2008
• Issued: 05/17/2011
• Est. Priority Date: 04/09/2007
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Zaleski, John R.
• Primary Examiner(s): LE, LINH GIANG
• Application Number:
  US12/062,622
• Publication Number:
  US 20080249801A1
• Time in Patent Office: 1,138 Days
• Field of Search: 600/300, 340/7.29
• US Class Current: 705/2
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A distributed patient monitoring system visually monitors patients and patient parameters using multiple portable processing devices. The system includes an authentication processor enabling a user to obtain access authorization to access patient data. A clinical application display image identifies multiple different patients in corresponding multiple different locations and enables a user to select a particular patient. A data processor uses access information in acquiring live video and vital sign parameters of the particular patient from a room associated with the particular patient. A display processor initiates generation of data representing an image sequence comprising a composite image including a first area showing acquired live video of the particular patient and a second area presenting acquired vital sign parameters of the particular patient using the clinical application display image.

Claims

1. A system for use by a portable processing device operating in a distributed patient monitoring system for visually monitoring patients and patient parameters using a plurality of portable processing devices in different remote locations, comprising:

an authentication processor enabling a user to obtain access authorization to access patient data in response to entry of identification data using a portable processing device of said plurality of portable processing devices in different remote locations;

a user interface, in response to said access authorization, enabling a user to,

initiate execution of a clinical information system providing a user with a clinical application display image identifying a plurality of different patients in a corresponding plurality of different locations and

select a particular patient of said plurality of different patients in said clinical application display image;

a data processor for using an identifier of said particular patient in acquiring access information associated with said particular patient from a repository and using said access information in acquiring live video and vital sign parameters of said particular patient from a room associated with said particular patient via a switch for routing vital sign parameters and video data of said plurality of different patients to said plurality of portable processing devices; and

a display processor for initiating generation of data representing an image sequence comprising a composite image including a first area showing acquired live video of said particular patient and a second area presenting acquired vital sign parameters of said particular patient in response to user selection of an image element associated with said particular patient of said plurality of different patients in said clinical application display image.

2. A system according to claim 1, including

a rules processor for applying rules to said vital sign parameters to identify an alert condition indicating a significant patient clinical condition or change of clinical condition and wherein

said composite image includes an image element indicating said alert condition.

3. A system for use by a plurality of portable processing devices in different remote locations operating in a distributed patient monitoring system for visually monitoring patients and patient parameters, comprising:

an authentication processor enabling a user to obtain access authorization to access patient data in response to entry of identification data using any portable processing device of said plurality of portable processing devices in different remote locations;

a first portable processing device of said plurality of portable processing devices and responsive to said access authorization, having a user interface enabling a user, to,

initiate execution of a clinical information system providing a user with a clinical application display image identifying a plurality of different patients in a corresponding plurality of different locations,

select a first patient of said plurality of different patients in said clinical application display image,

use an identifier of said first patient in acquiring access information associated with said first patient from a repository and using said access information in acquiring data representing live video and vital sign parameters of said first patient from a room associated with said particular patient via a switch for routing vital sign parameters and video data of said plurality of different patients to said plurality of portable processing devices and

display an image sequence including a composite image comprising a first area showing live video of said first patient and a second area presenting vital sign parameters of said first patient.

4. A system according to claim 3, including

a rules processor for applying rules to said vital sign parameters to identify an alert condition indicating a significant patient clinical condition or change of clinical condition and

said first portable processing device provides a display image indicating said alert condition.

5. A system according to claim 3, including

a second portable processing device of said plurality of portable processing devices and responsive to said access authorization, having a user interface enabling a user, concurrently with operation of said first portable processing device, to,

initiate execution of a clinical information system providing a user with a clinical application display image identifying a plurality of different patients in a corresponding plurality of different locations,

select a second patient of said plurality of different patients in said clinical application display image

use an identifier of said second patient in acquiring access information associated with said second patient from a repository and using said access information in acquiring data representing live video and vital sign parameters of said second patient from a room associated with said particular patient and

display an image sequence including a composite image comprising a first area showing live video of said second patient and a second area presenting vital sign parameters of said second patient.

6. A distributed patient monitoring system for visually monitoring patients and patient parameters using a plurality of portable processing devices in different remote locations, comprising:

a communication network of bandwidth sufficient to communicate vital sign parameters and associated video data representative of a plurality of sequences of video images of a corresponding plurality of different patients from patient rooms to a plurality of different portable processing devices in different remote locations in response to commands received from said plurality of different portable processing devices; and

a switch for routing acquired vital sign parameters and associated video data of a particular patient of said plurality of different patients to a particular processing device of said plurality of different portable processing devices via said communication network in response to user command entered using said particular processing device and authorization and user selection initiated via image elements associated with the particular patient in a display image provided by a clinical information system application on a portable processing device.

7. A system according to claim 6, including

a plurality of patient monitoring devices for providing said vital sign parameters of said plurality of different patients and

a plurality of video cameras in rooms associated with said plurality of different patients for providing said associated video data.

8. A system according to claim 6,

including

a user interface and in response to access authorization, said user interface enables a user to initiate execution of said clinical information system providing a user with said display image identifying a plurality of different patients in a corresponding plurality of different locations.

9. A system according to claim 6, wherein

said image element associated with said selected patient comprises a hyperlink.

10. A system according to claim 9, wherein

said image element associated with said selected patient is presented in a list of different patients in said display image provided by a clinical information system application.

11. A system according to claim 6, including

an encoder for processing said associated video data to provide processed video data for communication using said switch and communication network by encoding said video data with a compression function.

12. A system according to claim 11, wherein

said compression function is compatible with at least one of, (a) MPEG-4, (b) MPEG-2 and (c) DIVX.

13. A system according to claim 6, wherein

said communication network communicates audio data from patient rooms to said plurality of different portable processing devices and

said switch routes acquired audio data of a particular patient to said particular processing device via said communication network in response to user command entered using said particular processing device.

14. A system according to claim 13, wherein

said audio data is provided by a plurality of different microphones in patient rooms associated with said plurality of different patients.

15. A system according to claim 13, including

an encoder for processing said audio data to provide processed audio data by encoding said audio data with a compression function.