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Proactive and interactive clinical decision support

  • US 8,265,948 B2
  • Filed: 01/16/2007
  • Issued: 09/11/2012
  • Est. Priority Date: 09/29/2006
  • Status: Active Grant
First Claim
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1. A method in a clinical computing environment for providing clinical decision support, the method comprising:

  • receiving, at a computing device, a clinical order for a patient;

    after receiving the clinical order, determining that a clinical decision support event is associated with the clinical order, wherein the clinical decision support event is used to verify that the clinical order is appropriate for the patient;

    accessing stored clinical information associated with the patient from a data store;

    determining that certain elements of clinical information relevant to the clinical decision support event are not currently available in the stored clinical information;

    determining that the stored information does not indicate that the clinical decision support event is needed by performing a preliminary calculation using only the stored information;

    determining that initiating the clinical decision support event is appropriate by evaluating the preliminary calculation in combination with possible values for the certain elements that are not currently available in the stored clinical information;

    proactively initiating the clinical decision support event based on the stored clinical information even through only partial clinical information for the clinical decision support event is available in the stored clinical information and even though the stored information alone does not indicate that the clinical decision support event is needed;

    generating a user interface for the clinical decision support event, the user interface including the plurality of clinical information elements relevant to the clinical decision support event, at least a portion of the clinical information elements being populated with the stored clinical information and requests for the certain elements that are not currently available in the stored clinical information to be provided, wherein the clinical information elements are capable of being modified by a user;

    presenting the user interface to a user;

    receiving user-provided clinical information from a user via the user interface;

    providing clinical advice related to whether the clinical order is appropriate based on the stored clinical information and the user-provided clinical information; and

    storing the clinical order and the clinical advice in the patient'"'"'s electronic medical record.

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