User interface for clinical decision support

• US 8,160,895 B2
• Filed: 01/16/2007
• Issued: 04/17/2012
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Schmitt, Michael D., Huffman, Keith A., Perez, Leo V., Murrish, J. Christopher
• Primary Examiner(s): Gilligan, Luke
• Assistant Examiner(s): BURGESS, JOSEPH D
• Application Number:
  US11/623,589
• Publication Number:
  US 20080082357A1
• Time in Patent Office: 1,918 Days
• Field of Search: 705 2- 3, 707/5, 715/781
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

User interfaces for proactive and interactive clinical decision support events are provided. When a clinical decision support event is initiated for a patient, relevant stored clinical information associated with the patient is accessed. A user interface is generated using the stored clinical information. A clinician may interact with the user interface by providing user-provided clinical information that may add to and/or modify the stored clinical information in the user interface. Clinical advice is provided via the user interface based on the stored clinical information and the user-provided clinical information.

Claims

1. One or more non-transitory computer-readable media having computer-useable instructions embodied thereon for presenting one or more user interfaces for facilitating a clinical decision support event, the one or more user interfaces comprising:

a clinical information area having a plurality of clinical information elements, at least a first portion of the plurality of clinical information elements being populated with stored clinical information associated with a patient and a second portion of the plurality of clinical information elements requesting additional user-provided clinical information; and

a clinical advice area for presenting clinical advice based on the stored clinical information and the additional user-provided clinical information,

wherein the one or more user interfaces are presented in response to a determination that a clinical decision support event has been initiated, wherein the determination that the clinical decision support event has been initiated is based on a comparison of stored clinical information against one or more rules associated with the clinical decision support event and a determination that at least one of the one or more rules associated with the clinical decision support event has been satisfied based on the stored clinical information, wherein the one or more or more rules are satisfied when a determination is made that certain elements of clinical information for the clinical decision support event are missing, an analysis of the stored clinical information does not indicate that any clinical action is currently advisable, and that the clinical action could be advisable based on possible values for the certain elements that are missing.

2. The one or more non-transitory computer-readable media of claim 1, wherein the one or more user interfaces further comprise a patient information area for presenting patient identification information associated with the patient.

3. The one or more non-transitory computer-readable media of claim 1, wherein the one or more user interfaces further comprise a clinical order area for receiving one or more clinical orders for the patient.

4. The one or more non-transitory computer-readable media of claim 1, wherein the one or more user interfaces further comprise evidence-based medical information associated with the clinical decision support event.

5. The one or more non-transitory computer-readable media of claim 1, wherein at least a portion of the user-provided clinical information modifies at least a portion of the stored clinical information.

6. The one or more non-transitory computer-readable media of claim 1, wherein the one or more user interfaces further include an option to save the clinical advice given with the clinical decision support event.

7. The one or more non-transitory computer-readable media of claim 1, wherein the determination that the clinical decision support event has been initiated is based on a user command to initiate the clinical decision support event.

8. The one or more non-transitory computer-readable media of claim 1, wherein the determination that the clinical decision support event has been initiated is based on receipt of a clinical order and a determination that the clinical decision support event is associated with the clinical order.

9. The one or more non-transitory computer-readable media of claim 1, wherein the clinical advice area also presents preliminary clinical advice based on the stored clinical information, the preliminary clinical advice being updated to the clinical advice based on the stored clinical information and the user-provided clinical information.

10. A method of providing a clinical decision support event, the method comprising:

generating, based on presently available information about a patient, a score for activating a particular clinical decision support event, wherein the score does not indicate that the particular clinical decision support event is advisable;

determining that at least one item of clinical information that could change the score is missing from the presently available information about the patient;

determining that the at least on item of clinical information, if provided, could change the score enough that the particular clinical decision support event is advisable;

presenting, on a display, a plurality of clinical information elements relevant to the clinical decision support event, at least one of the plurality of clinical information elements being populated with stored clinical information associated with a patient, the stored clinical information being accessed from a data store, wherein the information elements are presented upon determining that the at least one item of clinical information, if provided, could change the score enough that the particular clinical decision support event is advisable;

receiving user-provided clinical information via the input device, the user-provided clinical information being received in at least one of the plurality of clinical information elements; and

in response to receiving the user-provided clinical information, determining, at the computing system, clinical advice and presenting the clinical advice on the display.

11. The method of claim 10, wherein the plurality of clinical information elements relevant to the clinical decision support event are displayed in response to a determination that the clinical decision support event has been initiated.

12. The method of claim 11, wherein the determination that the clinical decision support event has been initiated is based on a user command to initiate the clinical decision support event.

13. The method of claim 11, wherein the determination that the clinical decision support event has been initiated is based on receipt of a clinical order and a

determination that the clinical decision support event is associated with the clinical order.

14. The method of claim 10, further comprising presenting, on the display, in conjunction with the plurality of clinical information elements relevant to the clinical decision support event, preliminary clinical advice determined based on the stored clinical information, wherein determining clinical advice comprises updated the preliminary clinical advice based on the user-provided clinical information.

15. The method of claim 10, further comprising saving the clinical advice given with the clinical decision support event in a data store for subsequent retrieval.