Presenting multi-phase clinical order content based upon a designated performance location

• US 8,082,161 B2
• Filed: 11/04/2008
• Issued: 12/20/2011
• Est. Priority Date: 11/04/2008
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: DeVerter, John Q., Ash, Michael A., Hanov, Yegor F.
• Primary Examiner(s): Morgan, Robert
• Assistant Examiner(s): Burgess, Joseph
• Application Number:
  US12/264,729
• Publication Number:
  US 20100114591A1
• Time in Patent Office: 1,141 Days
• Field of Search: 705 2- 3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

Computerized methods and systems for permitting clinicians and other healthcare providers to designate performance locations for clinical orders having one or more phases associated therewith, and for presenting order catalog content that is flexed based upon the designated performance location for the clinical order are provided. Further provided are computerized methods and systems for permitting clinicians and other healthcare providers to designate a performance location for each phase of a multi-phase clinical order, and for presenting order catalog content for each phase that is flexed based upon the designated performance location for the phase. Systems and methods for providing control of plan and phase initiation based at least upon a location associated with the chart encounter are also provided.

Claims

1. One or more tangible computer-readable storage media having computer-executable instructions embodied thereon for performing a method in a clinical computing environment for presenting content associated with a multi-phase clinical order based upon a designated performance facility, the method comprising:

receiving, in association with a chart encounter associated with a first performance facility, a selection of a clinical order having a plurality of phases including a first phase to be performed at the first performance facility and a second phase;

for at least one phase of the plurality of, receiving a performance facility designation representing a second performance facility at which the at least one phase of the plurality of phases is to be performed, the second performance facility differing from the first performance facility;

presenting content associated with the at least one phase of the plurality of phases, the presented content being based upon the clinical order and the second performance facility;

determining whether the first phase and the second phase are locationally-associated with one another; and

upon determining that the first phase and the second phase are locationally-associated with one another, associating the first performance facility with the second phase; and

enforcing the association of the first performance facility with the second phase such that altering the performance facility for the first phase or second phase also alters the performance facility for other phases that are locationally-associated with the first phase or the second phase.

2. The one or more tangible computer-readable media of claim 1, wherein the method further comprises receiving an indication that one or more of the plurality of phases of the clinical order is to be performed in association with a future encounter.

3. The one or more tangible computer-readable media of claim 1, further comprising receiving detail-level individualization information for one or more of the plurality of phases of the clinical order.

4. A method in a clinical computing environment for presenting content associated with a multi-phase clinical order based upon a designated performance location, the method comprising:

receiving, by a computing device having a processor and a memory, in association with a chart encounter associated with a first performance location, an indication that a user desires to place a multi-phase clinical order;

presenting by a computing device having a processor and a memory, at least one selectable multi-phase clinical order option, each presented selectable multi-phase clinical order option representing a multi-phase clinical order having at least one phase to be performed at the first performance location;

receiving by a computing device having a processor and a memory, a selection of one of the at least one selectable multi-phase clinical order options;

presenting by a computing device having a processor and a memory, a phase indicator for each of the phases associated with the selected multi-phase clinical order option;

receiving by a computing device having a processor and a memory, a selection of one of the presented phase indicators;

receiving by a computing device having a processor and a memory, a performance location designation for a first phase of the multi-phase clinical order, the first phase being associated with the selected phase indicator;

presenting by a computing device having a processor and a memory, content associated with the first phase of the multi-phase clinical order, the presented content being based upon the received performance location designation;

determining by a computing device having a processor and a memory, that the first phase of the multi-phase clinical order and a second phase of the multi-phase clinical order are locationally-associated with one another;

upon determining that the first phase of the multi-phase clinical order and the second phase of the multi-phase clinical order are locationally-associated with one another, associating by a computing device having a processor and a memory, the received performance location designation with the second phase; and

enforcing by a computing device having a processor and a memory, the association of the received performance location designation with the second phase such that altering the performance location designation for the first phase of the multi-phase clinical order or the second phase of the multi-phase clinical order also alters the performance location designation for other phases that are locationally-associated with the respective altered first phase or second phase.

5. The method of claim 4, further comprising receiving an indication that the first phase of the multi-phase clinical order is to be performed in association with a future encounter.

6. The method of claim 4, wherein the performance location designation represents a second performance location that differs from the first performance location.

7. The method of claim 4, further comprising receiving detail-level individualization information for the first phase of the multi-phase clinical order.

8. The method of claim 4, further comprising:

determining that the first phase of the multi-phase clinical order will be performed in association with the first performance location; and

presenting content associated with the first phase of the multi-phase clinical order and based upon the first performance location.

9. The method of claim 4, wherein receiving a performance location designation for the first phase of the multi-phase clinical order comprises receiving a performance location designation of the first performance location, and wherein the method further comprises:

determining that the first phase of the multi-phase clinical order is the chronologically-to-be-performed first phase of the multi-phase clinical order;

allowing initiation of the first phase of the multi-phase clinical order.

10. The method of claim 4, wherein receiving a performance location designation for the first phase of the multi-phase clinical order comprises receiving a performance location designation of the first performance location, and wherein the method further comprises:

determining that the first phase of the multi-phase clinical order is not the chronologically-to-be-performed first phase of the multi-phase clinical order; and

dis-allowing initiation of the first phase of the multi-phase clinical order.

11. A computer system in a clinical computing environment for presenting content associated with a multi-phase clinical order based upon a designated performance location, the computer system comprising a processor coupled to a tangible computer-storage medium, the tangible computer-storage medium having stored thereon a plurality of computer software components executable by the processor, the computer software components comprising:

an order indication receiving component that receives, in association with a chart encounter associated with a first performance location, an indication that a user desires to place a clinical order, the clinical order having multiple phases associated therewith including a first phase to be performed at the first performance location and a second phase;

a presenting component that presents at least one selectable clinical order option, wherein the at least one selectable clinical order option represents a multi-phase clinical order having at least one phase that is optionally performed at the first performance location, and a phase indicator for each of the phases associated with a selected one of the at least one clinical order options;

a selection receiving component that receives a selection of one of the at least one selectable clinical order options, and a selection of one of the phase indicators associated with the selected one of the at least one clinical order options;

a location receiving component that receives a performance location designation, the performance location designation being associated with a phase of the multi-phase clinical order that is associated with the selected phase indicator and being associated with content presented by the presenting component;

a location-association determining component that determines that the phase of the multi-phase clinical order that is associated with the selected phase indicator is locationally-associated with another phase of the multi-phase clinical order;

an associating component that automatically associates the designated performance location with the other phase; and

an enforcing component that enforces the association of the designated performance location with the other phase such that altering the designated performance location for the phase of the multi-phase clinical order that is associated with eth selected phase indicator or the other phase also alters the designated performance location for other phases that are locationally-associated with the phase of the multi-phase clinical order that is associated with the selected phase indicator or the other phase.

12. The system of claim 11, wherein the presenting component further presents content associated with the phase of the multi-phase clinical order that is associated with the selected phase indicator, the presented content being dependent upon a facility designated by the received performance location designation.

13. The system of claim 11, further comprising an encounter-type receiving component that receives an indication that the clinical order is to be performed in association with a future encounter.

14. The system of claim 11, further comprising an individualization component that receives detail-level individualization information for the phase of the multiphase clinical order that is associated with the selected phase indicator.

15. The system of claim 11, further comprising an initiation determining component that determines whether the phase of the multi-phase clinical order that is associated with the selected phase indicator is capable of being initiated in association with the chart encounter.

16. The system of claim 15, further comprising an initiating component that initiates the phase of the multi-phase clinical order that is associated with the selected phase indicator upon determination that the phase is capable of being initiated in association with the chart encounter.