Ordering clinical orders associated with future events

• US 8,140,354 B2
• Filed: 11/04/2008
• Issued: 03/20/2012
• 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): Gilligan, Luke
• Assistant Examiner(s): BURGESS, JOSEPH D
• Application Number:
  US12/264,725
• Publication Number:
  US 20100114590A1
• Time in Patent Office: 1,232 Days
• Field of Search: 705 2- 3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

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 computer-readable storage media having computer-executable instructions embodied thereon for performing a method in a clinical computing environment for permitting ordering of clinical orders to be associated with a future encounter at a designated performance facility, the method comprising:

receiving, in association with a chart encounter associated with a first performance facility, a single clinical order inputted by a single user, the single clinical order having one or more phases associated therewith;

determining that a first phase of the one or more phases is locationally-associated with a second phase of the one or more phases;

receiving a single performance facility designation to be associated with the first phase of the single clinical order, the single performance facility designation being a second performance facility that differs from the first performance facility;

based on the first phase being locationally-associated with the second phase, associating the single performance facility designation with the second phase of the single clinical order;

enforcing the association of the single performance facility designation with the second phase such that altering the performance facility designation for the first phase or the second phase of the single clinical order also alters the performance facility designation for other phases that are locationally-associated with the respective altered first phase or second phase;

accessing a data store, the data store comprising at least one or more relationships between facilities and clinical orders associated therewith and relationships between facilities and a phase of a clinical order associated therewith;

using the data store, determining based on the single performance facility designation at least one selectable clinical order option, the at least one selectable clinical order option representing an orderable clinical order having one or more phases associated therewith, each of the one or more phases having a plurality of orders associated therewith; and

presenting the at least one selectable clinical order option on a user interface.

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

3. The one or more computer-readable storage media of claim 1, wherein the method further comprises:

receiving a selection of one of the at least one selectable clinical order options; and

presenting content associated with the orderable clinical order represented by the selected clinical order option.

4. The one or more computer-readable storage media of claim 3, wherein presenting content associated with the orderable clinical order represented by the selected clinical order option comprises presenting a phase indicator for each of the one or more phases associated with the orderable clinical order represented by the selected clinical order option.

5. The one or more computer-readable storage media of claim 4, further comprising receiving phase-level individualization information for the orderable clinical order represented by the selected clinical order option.

6. The one or more computer-readable storage media of claim 4, wherein the method further comprises receiving a selection of the phase indicator for one of the one or more phases, and wherein presenting content associated with the orderable clinical order represented by the selected clinical order option further comprises presenting content associated with the phase represented by the selected phase indicator.

7. The one or more computer-readable storage media of claim 6, further comprising receiving detail-level individualization information for the phase represented by the selected phase indicator.

8. The one or more computer-readable storage media of claim 1, wherein receiving a performance facility designation to be associated with the clinical order comprises receiving the performance facility designation from a list of allowable performance facilities associated with the user.

9. One or more computer-readable storage media having computer-executable instructions embodied thereon for performing a method in a clinical computing environment for permitting ordering of clinical orders to be associated with a future encounter at a designated performance facility, the method comprising:

receiving, in association with a chart encounter associated with a first performance facility, a single clinical order inputted by a single user, the single clinical order having a plurality of phases associated therewith;

determining that a first phase of the plurality of phases is locationally-associated with a second phase of the plurality of phases;

receiving a performance facility designation to be associated with the first phase, the performance facility designation received from a list of allowable performance facilities associated with the single user;

based on the first phase being locationally-associated with the second phase, associating the performance facility designation with the second phase of the single clinical order;

enforcing the association of the performance facility designation with the second phase such that altering the performance facility designation for the first phase or the second phase of the single clinical order also alters the performance facility designation for other phases that are locationally-associated with the respective altered first phase or second phase;

receiving an indication that the single clinical order is to be performed in association with a future encounter;

accessing a data store, the data store comprising at least one or more relationships between facilities and clinical orders associated therewith and relationships between facilities and a phase of a clinical order associated therewith;

using the data store, determining based on the performance facility designation at least one selectable clinical order option, each selectable clinical order option representing an orderable clinical order having a plurality of phases associated therewith; and

presenting the at least one selectable clinical order option on a user interface.

10. The one or more computer-readable storage media of claim 9, wherein the designated performance facility is a second performance facility that differs from the first performance facility.

11. The one or more computer-readable storage media of claim 9, wherein the method further comprises:

receiving a selection of one of the at least one selectable clinical order options; and

presenting content associated with the orderable clinical order represented by the selected clinical order option.

12. The one or more computer-readable storage media of claim 11, wherein presenting content associated with the orderable clinical order represented by the selected clinical order option comprises presenting a phase indicator for each of the plurality of phases associated with the orderable clinical order represented by the selected clinical order option.

13. The one or more computer-readable storage media of claim 12, further comprising receiving phase-level individualization information for the orderable clinical order represented by the selected clinical order option.

14. The one or more computer-readable storage media of claim 12, wherein the method further comprises receiving a selection of the phase indicator for one of the plurality of phases, and wherein presenting content associated with the orderable clinical order represented by the selected clinical order option further comprises presenting content associated with the phase represented by the selected phase indicator.

15. The one or more computer-readable storage media of claim 14, further comprising receiving detail-level individualization information for the phase represented by the selected phase indicator.

16. A method utilizing a processor and memory for permitting ordering of clinical orders to be associated with a future encounter at a designated performance facility, the method comprising:

receiving, in association with a chart encounter associated with a first performance facility, a single clinical order inputted by a single user, the single clinical order having one or more phases associated therewith;

determining that a first phase of the one or more phases is locationally-associated with a second phase of the one or more phases;

receiving a grouped-performance-facility designation to be associated with the first phase, the grouped-performance-facility designation comprising a plurality of facilities associated with the single user;

based on the first phase being locationally-associated with the second phase, associating the grouped-performance-facility designation with the second phase;

enforcing the association of the grouped-performance-facility designation with the second phase such that altering the grouped-performance-facility designation for the first phase of the single clinical order or the second phase of the single clinical order also alters the grouped-performance-facility designation for other phases that are locationally-associated with the respective altered first phase or second phase;

accessing a data store, the data store comprising at least one or more relationships between facilities and a phase of a clinical order associated therewith;

using the data store and the processor, determining based on the grouped-performance-facility designation at least one selectable clinical order option, each selectable clinical order option representing an orderable clinical order each phase of which is to be performed at one or more of a plurality of performance facilities associated with the grouped-performance facility designation; and

presenting the at least one selectable clinical order option on a user interface.

17. The method of claim 16, further comprising:

receiving a selection of one of the at least one selectable clinical order options; and

presenting each of the plurality of performance facilities at which the selected clinical order option is capable of being performed.

18. The method of claim 17, further comprising receiving a selection of one of the plurality of presented performance facilities.

19. The method of claim 16, further comprising:

receiving a selection of one of the at least one selectable clinical order options; and

presenting content associated with the orderable clinical order represented by the selected clinical order option.

20. The method of claim 19, wherein presenting content associated with the orderable clinical order represented by the selected clinical order option comprises presenting a phase indicator for each of the one or more phases associated with the orderable clinical order represented by the selected clinical order option.

21. The method of claim 20, further comprising receiving phase-level individualization information for the orderable clinical order represented by the selected clinical order option.

22. The method of claim 20, further comprising receiving a selection of the phase indicator for one of the one or more phases, and wherein presenting content associated with the orderable clinical order represented by the selected clinical order option further comprises presenting content associated with the phase represented by the selected phase indicator.

23. The method of claim 22, further comprising receiving detail-level individualization information for the phase represented by the selected phase indicator.

24. A system in a clinical computing environment for permitting ordering of clinical orders to be associated with a future encounter at a designated performance facility, the system comprising:

a computing device associated with one or more processors and one or more computer-readable storage media;

a server; and

a data store coupled with the server,

wherein the server;

receives, in association with a chart encounter associated with a first performance facility, a single clinical order inputted by a single user, the single clinical order having one or more phases associated therewith;

determines that a first phase of the one or more phases is locationally-associated with a second phase of the one or more phases;

receives an indication that the single clinical order is to be performed in association with a future encounter;

receives a first performance facility designation associated with the single user, the first performance facility designation to be associated with the first phase of the single clinical order;

based on the first phase being locationally-associated with the second phase, associates the first performance facility designation with the second phase;

enforces the association of the first performance facility designation with the second phase such that altering a performance facility designation for the first phase or the second phase also alters the performance facility designation for other phases that are locationally-associated with the respective altered first phase or second phase;

determines based on the first performance facility designation at least one selectable clinical order option,

each selectable clinical order option representing an orderable clinical order having one or more phases associated therewith; and

presents the at least one selectable clinical order option.

25. The system of claim 24, wherein the server further:

receives a selection of one of the at least one selectable clinical order options, and

presents content associated with the orderable clinical order represented by the selected clinical order option.