Presenting related results during medication administration documentation

• US 8,521,554 B2
• Filed: 01/09/2009
• Issued: 08/27/2013
• Est. Priority Date: 01/09/2009
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Kelly, Lisa, Gannon, Mary
• Primary Examiner(s): Lubin, Valerie
• Application Number:
  US12/351,420
• Publication Number:
  US 20100179828A1
• Time in Patent Office: 1,691 Days
• Field of Search: 705/3
• US Class Current: 705/2
• 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: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Computerized methods and systems for receiving clinically-relevant discrete task assays related to a medication and for presenting results of the clinically-relevant discrete task assays during documentation of administration of the medication are provided. Medication identifiers are received and associated with discrete task assays, the results of which may be relevant to administration of the identified medication. Upon receipt of an indication that a clinician desires to administer the identified medication to a patient, the patient'"'"'s electronic medical record is searched to determine if a result for any associated discrete task assays has been documented within a predefined time frame. If there is such a documented result, the result is presented in association with the location of the electronic medical record where administration of the medication is being documented.

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 presenting results of clinically-relevant discrete task assays, the method comprising:

generating a medication identifier/discrete task assay electronic data store, wherein generating the medication identifier/discrete task assay electronic data store comprises;

(1) receiving a medication identifier associated with a first medication;

(2) receiving at least one discrete task assay that is independent of patient data, the discrete task assay being clinically relevant to the first medication;

(3) associating the medication identifier with the at least one discrete task assay;

receiving an indication that a clinician desires to document administration of the first medication to a patient, the indication being received in association with a medication administration documentation location of an electronic medical record data store associated with the patient;

incident to receiving the indication that the clinician desires to document administration of the first medication to the patient, automatically searching, using a search component, the medication identifier/discrete task assay electronic data store to determine the at least one clinically-relevant discrete task assay associated with the medication identifier of the first medication;

incident to determining the at least one clinically-relevant discrete task assay associated with the medication identifier of the first medication, automatically searching, using the search component, the electronic medical record data store associated with the patient to determine that the patient'"'"'s electronic medical record data store has a patient result corresponding to the at least one clinically-relevant discrete task assay;

determining that the patient result corresponding to the at least one clinically-relevant discrete task assay was generated within a predefined time frame prior to receiving the indication that the clinician desires to document administration of the first medication to the patient; and

presenting the patient result corresponding to the at least one clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store associated with the patient.

2. The one or more computer-readable storage media of claim 1,

wherein searching, using the search component, the patient'"'"'s electronic medical record data store to determine that the patient'"'"'s electronic medical record data store has a patient result corresponding to the at least one clinically-relevant discrete task assay comprises determining that there are a plurality of patient results corresponding to the at least one clinically-relevant discrete task assay that were generated within the predefined time frame,

and wherein presenting the patient result corresponding to the at least one clinically-relevant discrete task assay comprises presenting a most recent patient result corresponding to the at least one clinically-relevant discrete task assay in association with the medication administration documentation location of the patient'"'"'s electronic medical record data store.

3. The one or more computer-readable storage media of claim 1, wherein the method further comprises permitting the clinician to only view the presented patient result.

4. The one or more computer-readable storage media of claim 1, wherein the method further comprises receiving acknowledgement of the presented patient result in association with the medication administration documentation location of the patient'"'"'s electronic medical record data store.

5. The one or more computer-readable storage media of claim 1, wherein the method further comprises receiving documentation of a second patient result corresponding to the at least one clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store.

6. The one or more computer-readable storage media of claim 1, wherein the method further comprises requiring the clinician to either acknowledge the presented patient result or document a second patient result corresponding to the at least one clinically-relevant discrete task assay in association with the medication administration documentation location of the patient'"'"'s electronic medical record data store.

7. The one or more computer-readable storage media of claim 1, wherein presenting the patient result corresponding to the at least one clinically-relevant discrete task assay in association with the medication administration documentation location of the patient'"'"'s electronic medical record data store comprises presenting a selectable link, selection of which navigates the clinician to a location of the patient'"'"'s electronic medical record data store where the presented patient result was documented and/or stored.

8. The one or more computer-readable storage media of claim 1,

wherein searching, using the search component, the patient'"'"'s electronic medical record data store to determine that the patient'"'"'s electronic medical record data store has a patient result corresponding to the at least one clinically-relevant discrete task assay comprises determining that there are a plurality of patient results corresponding to the at least one clinically-relevant discrete task assay that were generated within the predefined time frame,

and wherein presenting the patient result corresponding to the at least one clinically-relevant discrete task assay comprises presenting a most recent patient result of the plurality of patient results and a selectable link, selection of which initiates display of each of the plurality of patient results.

9. A method in a clinical computing environment for receiving clinically-relevant discrete task assays related to a medication and for presenting results of the clinically-relevant discrete task assays during documentation of administration of the medication, the method comprising:

storing computer useable instructions on a computer storage media; and

executing the computer useable instructions by one or more computing devices, causing the one or more computing devices to;

(1) generate a first electronic data store by

a) receiving an identifier for the medication;

b) receiving a clinically-relevant discrete task assay that is independent of patient data, the clinically-relevant discrete task assay being relevant to administration of the medication;

c) associating the identifier for the medication and the clinically-relevant discrete task assay;

(2) receive an indication that a clinician desires to document administration of the medication to a particular patient, the indication being received in association with a medication administration documentation location of an electronic medical record data store associated with the particular patient;

(3) incident to receiving the indication, automatically search, using a search component, the first electronic data store to identify the clinically-relevant discrete task assay stored in association with the identifier for the medication;

(4) incident to identifying the clinically-relevant discrete task assay, automatically search, using the search component, the particular patient'"'"'s electronic medical record data store to determine that there is a plurality of patient results corresponding to the clinically-relevant discrete task assay, wherein the plurality of patient results were generated prior to receiving the indication that the clinician desires to document the administration of the medication to the particular patient;

(5) determine a most recent patient result of the plurality of patient results, the most recent patient result being generated within a predefined time range of receiving the indication that the clinician desires to document administration of the medication to the particular patient;

(6) present the most recent patient result of the plurality of results corresponding to the clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store associated with the particular patient;

(7) present a selectable link in association with the most recent patient result of the plurality of patient results;

(8) receive a selection of the selectable link; and

(9) present a remainder of the plurality of patient results corresponding to the clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store associated with the particular patient.

10. The method of claim 9, wherein executing the computer useable instructions further causes the one or more computing devices to permit the clinician to only view the most recent patient result.

11. The method of claim 9, wherein executing the computer useable instructions further causes the one or more computing devices to receive acknowledgement of the most recent patient result in association with the medication administration documentation location of the electronic medical record data store associated with the particular patient.

12. The method of claim 9, wherein executing the computer useable instructions further causes the one or more computing devices to receive documentation of a second patient result corresponding to the clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store.

13. The method of claim 9, wherein executing the computer useable instructions further causes the one or more computing devices to require the clinician to either acknowledge the presented patient result or document a second patient result corresponding to the clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store associated with the particular patient.

14. A system for performing a method in a clinical computing environment for receiving clinically-relevant discrete task assays related to a medication and for presenting results of the clinically-relevant discrete task assays during documentation of administration of the medication, the system comprising:

a processor and one or more computer-readable storage media;

a medication identifier receiving component for receiving an identifier for the medication;

a clinically-relevant discrete task assay receiving component for receiving at least one clinically-relevant discrete task assay independent of patient data and associating the at least one clinically-relevant discrete task assay with the medication identifier, the association of the at least one clinically-relevant discrete task assay and the medication identifier being stored in association with a medication identifier/discrete task assay electronic data store;

a medication administration indication receiving component for receiving an indication that a clinician desires to document administration of the medication to a particular patient, the indication being received in association with a medication administration documentation location of an electronic medical record data store associated with the particular patient;

a search component for;

(1) automatically searching the medication identifier/discrete task assay electronic data store incident to receiving the indication that the clinician desires to document administration of the medication to the particular patient, the search component searching the medication identifier/discrete task assay electronic data store to determine the at least one clinically-relevant discrete task assay associated with the medication identifier;

(2) incident to determining the at least one clinically-relevant discrete task assay associated with the medication identifier, searching the patient'"'"'s electronic medical record data store to determine that there is a patient corresponding to the at least one clinically-relevant discrete task assay, wherein the patient result was generated within a predefined time frame prior to the medication administration indication receiving component receiving the indication that the clinician desires to document administration of the medication to the particular patient; and

a presentation component for presenting the patient result corresponding to the at least one clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store associated with the particular patient.

15. The system of claim 14, further comprising an action receiving component for receiving an acknowledgement of the patient result corresponding to the at least one clinically-relevant discrete task assay and/or documentation of a second patient result corresponding to the clinically-relevant discrete task assay in association with the medication administration documentation location of the electronic medical record data store associated with the particular patient.