User interface for generating and managing medication tapers

• US 8,560,337 B2
• Filed: 09/29/2008
• Issued: 10/15/2013
• Est. Priority Date: 09/28/2007
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Schneider, Charles F., Deverter, John Q., Hanov, Yegor Faridovich, Gershon, Ethan D.
• Primary Examiner(s): NGUYEN, HIEP VAN
• Application Number:
  US12/240,608
• Publication Number:
  US 20090138814A1
• Time in Patent Office: 1,842 Days
• Field of Search: 705/2
• US Class Current: 705/2
• 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

Abstract

Methods, computer storage media, systems and user interfaces for generating and/or managing medication tapers are provided. Medication tapers are generated by receiving medication taper data and calculating a planned regimen that includes a set of orders based upon the received medication taper data. Each order of the set of orders may be modified, captured and/or completed, for instance, by a clinician. After a medication taper has been completed, 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 medication tapers, the user interface comprising:

a taper availability notice area configured to provide a notification that a medication taper is clinically appropriate for a medication based on a type of the medication being determined to be clinically appropriate for association with two or more medication orders having increasing or decreasing medication doses or frequencies of administration, the taper availability notice being displayed via a computing device;

a start dose display area configured to receive one or more data elements pertaining to a first dose of the medication;

a taper details display area configured to receive one or more data elements pertaining to a change relative to the first dose of the medication;

a final dose display area configured to receive one or more data elements pertaining to a final dose of the medication; and

a selectable calculation indicator display area configured to display a calculation indicator, selection of which initiates calculation of a planned regimen.

2. The user interface of claim 1, further comprising a planned regimen display area configured to display the planned regimen, wherein the planned regimen includes a set of orders defining a medication taper for the medication.

3. The user interface of claim 1, further comprising an order details display area configured to display one or more order details and detail values pertaining to the planned regimen.

4. The user interface of claim 1, wherein the one or more data elements pertaining to the first dose of the medication includes one or more of a dose field configured for receiving a starting dose value, a unit field configured for receiving a starting dose unit, a route field configured for receiving a medication administration route, a frequency field configured for receiving a medication frequency of administration, a start date field configured for receiving a start date for administration of the medication;

and a start time field configured for receiving a start time for administration of the medication.

5. The user interface of claim 1, wherein the one or more data elements pertaining to a change relative to the first dose of the medication includes one or more of an increment/decrement field configured for receiving an indication whether the change relative to the first dose is incremented or decremented;

a taper dose field configured for receiving a value by which the medication dose is to be changed relative to the first dose, a taper dose unit field configured for receiving a unit by which the medication dose is to be changed relative to the first dose, a dose duration field configured for receiving a duration value after which the change relative to the first dose is to occur; and

a dose duration unit field configured for receiving a unit to be associated with the duration value.

6. The user interface of claim 1, wherein the one or more data elements pertaining to a final dose of the medication includes one or more of a final dose field configured for receiving a final dose value, a final dose unit field configured for receiving a final dose unit, a stop field configured for receiving an indication whether a final dose of the medication is to be stopped after a specified period of time;

a stop duration field configured for receiving a unit value after which the final dose is to be stopped; and

a continuation field configured for receiving an indication that the final dose is to continue until further instruction is received.

7. The user interface of claim 1, wherein each of the start dose display area, the taper details display area, and the final dose display area are configured to receive only clinically appropriate taper details for the medication.

8. The user interface of claim 1, further comprising one or more of a selectable medication order adding indicator configured for permitting addition of an additional medication order to the one or more medication orders included in the planned regimen upon selection thereof and a selectable medication order deletion indicator configured to permit deletion of at least one of the one or more medication orders included in the planned regimen upon selection thereof.

9. The user interface of claim 1, further comprising a selectable add to favorites indicator configured to permit capturing of the medication taper to a favorites storage location upon selection thereof.

10. A user interface embodied on at least one computer storage medium, the user interface for managing medication tapers, the user interface comprising:

an orders display area displaying one or more orders associated with a patient'"'"'s electronic medical record, at least one of the one or more orders having an indicator associated therewith indicating the at least one order comprises a set of orders defining a medication taper, the orders display area being displayed via a computing device,

wherein the at least one order includes a selectable indicator associated therewith, selection of which initiates display of one or more additional details associated with the medication taper, and

wherein each order of the set of orders defining the medication taper includes a selectable indicator associated therewith, selection of which permits a modification to be made to the corresponding order within the medication taper without modifying the other orders within the medication taper.

11. The user interface of claim 10, wherein the one or more additional details associated with the medication taper comprises a selectable expansion indicator, selection of which initiates display of the set of orders defining the medication taper.

12. The user interface of claim 10 further comprising an alert display area configured to display an alert indicating the modification is clinically inappropriate.

13. The user interface of claim 10, wherein the modification to be made to the corresponding order within the medication taper comprises an adjustment of a dosage amount associated with the corresponding order.

14. A user interface embodied on at least one computer storage medium, the user interface for generating medication tapers, the user interface comprising:

a taper availability notice area configured to provide a notification that a medication taper is clinically appropriate for a medication based on a determination that the medication is deemed clinically appropriate for association with two or more medication orders having increasing or decreasing medication doses or frequencies of administration, the taper availability notice being displayed via a computing device, wherein

the notification is presented for a first medication when the medication taper is determined to be clinically appropriate for the first medication, and

the notification is not presented for a second medication when the medication taper is determined to be clinically inappropriate for the second medication; and

an orders display area configured to display a plurality of orders associated with the medication having increasing or decreasing medication doses or frequencies of administration associated with a patient'"'"'s electronic medical record, wherein

in accordance with a selection to modify one of the plurality of orders, presenting only modification options pertaining to modification of a single order independent of a modification of the other orders associated with the medication, wherein selection of a first modification option modifies the single order in accordance with the selection, and

in accordance with a selection to modify the plurality of orders as a group, presenting only modification options pertaining to modification of the plurality of orders, wherein selection of a second modification option modifies each of the plurality of orders in accordance with the selection.

15. The user interface of claim 14 further comprising an inappropriate change area configured to present an indication that a modification to an order or a plurality of orders is clinically inappropriate when a change is determined to be clinically inappropriate for a specific type of medication associated with the medication taper.