User interface for generating and managing medical documentation sets

• US 8,170,891 B2
• Filed: 10/02/2008
• Issued: 05/01/2012
• Est. Priority Date: 10/05/2007
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Kelly, Lisa, Gannon, Mary, Gerling, Martha, Rogers, Stephanie
• Primary Examiner(s): O'Connor, Gerald J.
• Assistant Examiner(s): Pauls, John
• Application Number:
  US12/244,449
• Publication Number:
  US 20090248443A1
• Time in Patent Office: 1,307 Days
• Field of Search: 705/2, 705/3, 128/920
• US Class Current: 705/3
• CPC Class Codes: G06F 40/186 Templates
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/63 for local operation

Abstract

Methods, computer storage media, systems and user interfaces for generating and/or managing medical documentation sets are provided. Medical documentation sets are generated by replicating a predetermined medical template. After the predetermined medical template is replicated, the medical label associated with the medical documentation set may be modified so that the medication documentation set includes a unique medical label. Upon the completion of a medication documentation set, it may be retrieved and managed as desired.

Claims

1. A user interface embodied on at least one computer storage medium, the user interface for generating medical documentation sets, the user interface comprising:

an availability notice display area configured to display a medical template availability notice if a medical template is available for generating a first medical documentation set; and

a documentation set display area configured to display the first medical documentation set in accordance with the medical template, wherein the documentation set display area displays within a single view the first medical documentation set associated with a patient and a second medical documentation set associated with the patient,

the first medical documentation set including

a first medical label comprising one or more medical label elements that indicate a category of label terms, each of the medical label elements to be replaced with a corresponding label term selected from a set of label terms that are presented for each of the categories of label terms to generate a unique medical label that uniquely identifies the first medical documentation set, the unique medical label comprising a combination of the selected label terms that medically describes care provided to the patient,

a first set of medical documentation elements that indicate a medical aspect for which medical data is to be documented, and

a first set of medical data fields for receiving initial documentation of the medical data associated with care provided to a patient at a point of care, wherein each of the medical data fields corresponds with a time period associated with documentation of medical data, and

the second medical documentation set including

a second medical label comprising one or more medical label elements,

a second set of medical documentation elements that indicate a medical aspect for which medical data is to be documented, and

a second set of medical data fields for receiving initial documentation of the medical data associated with care provided to a patient at a point of care.

2. The user interface of claim 1 further comprising a medical category display area configured to display a plurality of medical categories available for selection to document medical data associated therewith.

3. The user interface of claim 1 further comprising a label term display area configured to display the one or more medical label elements and one or more label terms that, if selected, are used to generate a unique medical label for the medical documentation set.

4. The user interface of claim 3, wherein the one or more label terms medically describe care associated with a patient.

5. The user interface of claim 1, wherein the medical data is documented at a point of care in association with medical care provided to a patient.

6. The user interface of claim 1 further comprising a documentation view display area configured to display one or more documentation views, wherein a documentation view displays the medical documentation set.

7. A user interface embodied on at least one computer storage medium, the user interface for managing medical documentation sets, the user interface comprising:

a first documentation view display area configured to display a first medical documentation set, the first medical documentation set comprising;

a first set of medical label elements, each of the medical label elements indicating a group of label terms, wherein selection of a label term from each group of label terms results in generation of a first unique medical label that identifies the first medical documentation set by replacing each of the medical label elements with the corresponding selected label term, the first unique medical label comprising a combination of the selected label terms that medically describes care provided to a patient;

a first set of medical documentation elements that indicate a medical aspect corresponding to the medical category for which medical data is to be documented; and

a first set of medical data fields for documenting the medical data associated with the patient care; and

a second documentation view display area configured to display a second medical documentation set, the second medical documentation set comprising;

a second set of medical label elements for indicating a group of label terms that, if selected, are used to generate a second unique medical label that identifies the second medical documentation set and medically describes care provided to the patient;

a second set of medical documentation elements that indicate a medical aspect corresponding to the medical category for which medical data is to be documented; and

a second set of medical data fields for documenting the medical data associated with the patient care; and

a documentation view display area configured to display an identifier of the first documentation view and an identifier of the second documentation view, the documentation view display area enabling a user to select the first documentation view display area for viewing the first documentation set or the second documentation view display area for viewing the second documentation set.

8. The user interface of claim 7 further comprising an availability notice display area configured to display a medical template availability notice if a medical template is available for generating a medical documentation set.

9. The user interface of claim 7 further comprising a medical category display area configured to display a plurality of medical categories available for selection to document medical data associated therewith.

10. The user interface of claim 7 further comprising a label term display area configured to display the one or more medical label elements and one or more label terms that, if selected, are used to generate a unique medical label for the medical documentation set.

11. The user interface of claim 10, wherein the one or more label terms medically describe care associated with a patient.

12. The user interface of claim 11, wherein the medical data is documented at a point of care in association with medical care provided to a patient.