Predetermined presentation of patient data at bedside

• US 8,832,558 B2
• Filed: 10/09/2009
• Issued: 09/09/2014
• Est. Priority Date: 10/12/2008
• Status: Active Grant

• Current Assignee: University of Maryland Baltimore County (University of Maryland)
• Original Assignee: University of Maryland Baltimore County (University of Maryland)
• Inventors: Cardarelli, Marcelo G., Vaidya, Vinay, Xiao, Yan
• Primary Examiner(s): PITARO, RYAN F
• Application Number:
  US13/120,921
• Publication Number:
  US 20110179361A1
• Time in Patent Office: 1,796 Days
• Field of Search: 715/736, 715/771, 715/744, 705/3
• US Class Current: 715/736
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units
• CPC Class Codes: G06F 8/34 Graphical or visual programming
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: H04L 41/22 comprising specially adapted graphical user interfaces [GUI]
• CPC Class Codes: H04L 67/12 specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
• CPC Class Codes: H04L 67/62 Establishing a time schedule for servicing the requests
• CPC Class Codes: H04L 67/75 Indicating network or usage conditions on the user display

Abstract

Techniques for presenting patient data at the patient'"'"'s bedside include receiving predetermined presentation style data that indicates a subset of fewer than all parameters available from an electronic medical records (EMR) system and a first arrangement on a display device of related parameters in the subset. Without human intervention, the most recent values from the EMR system are received. The most recent values are associated in the EMR system with the particular patient for corresponding parameters of the subset. A first most recent value is presented according to the first arrangement at the particular bedside display device without human intervention. In some embodiments, the most recent values are also received or presented in response to a single stroke from a human user at an input for the particular display device.

Claims

1. A method for presenting patient data at the patient'"'"'s bedside comprising:

receiving without human intervention, at a particular display device located bedside for a particular patient, predetermined presentation style data that indicates;

a subset of fewer than all parameters available from an electronic medical records (EMR) system;

a first arrangement on a display device of related parameters in the subset;

receiving at the particular display device without human intervention a plurality of most recent values from the EMR system, wherein the plurality of most recent values is associated in the EMR system with the particular patient for a corresponding plurality of parameters of the subset;

presenting, on an initial screen at the particular display device according to the first arrangement without human intervention, a first most recent value of the plurality of most recent values;

wherein receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a predetermined query message and a predetermined schedule; and

receiving the plurality of most recent values further comprises sending the predetermined query message to the EMR system on the predetermined schedule without human intervention and receiving at least one value of the plurality of most recent values in response to sending the predetermined query.

2. The method as recited in claim 1, wherein the subset of fewer than all parameters available from the EMR system excludes such parameters that are not critical for determining status of or treatment for the patient by a caregiver.

3. The method as recited in claim 1, wherein receiving the plurality of most recent values further comprises receiving the plurality of most recent values from the EMR system on a predetermined schedule without human intervention.

4. The method as recited in claim 1, receiving the plurality of most recent values further comprises sending the predetermined query message to the EMR system in response to a single stroke from a human user at an input for the particular display device.

5. The method as recited in claim 1, further comprising receiving initialization data that indicates a particular bedside where the particular display device is located.

6. The method as recited in claim 1, further comprising receiving initialization data that indicates the particular patient in a bed where the particular display device is located bedside.

7. The method as recited in claim 1, wherein:

the method further comprises receiving policy data that indicates an alteration to a value for a particular parameter in the subset before presentation; and

presenting the first most recent value according to the first arrangement further comprises altering the first most recent value to a second most recent value corresponding to the particular parameter based on the policy data before presenting the second most recent value according to the first arrangement.

8. The method as recited in claim 1, wherein:

the first arrangement includes a font size on the display device for a parameter of the subset, such that a value of the parameter is visible on the display device to multiple viewers more than five feet from the display device; and

presenting the first most recent value according to the first arrangement further comprises presenting the first most recent value according to the font size.

9. The method as recited in claim 1, wherein:

the first arrangement includes a plurality of colors to distinguish a normal and stable value from a value trending toward an abnormal range or in a dangerous range; and

presenting the first most recent value according to the first arrangement further comprises presenting the first most recent value in one color of the plurality of colors to indicate whether the first most recent value is a normal and stable value or a value trending toward an abnormal range or in a dangerous range.

10. The method as recited in claim 1, wherein:

receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a different second arrangement on the display device of different related parameters in the subset; and

presenting the first most recent value according to the first arrangement further comprises presenting the first most recent value according to the first arrangement for a first limited time and then presenting a different second most recent value of a second parameter of the different related parameters according to the second arrangement for a second limited time.

11. The method as recited in claim 10, wherein presenting the first most recent value according to the first arrangement further comprises presenting the different second most recent value of the second parameter of the different related parameters according to the second arrangement in response to a single stroke from a human user at an input for the particular display device.

12. The method as recited in claim 1, wherein the first arrangement of related parameters includes at least one of:

a panel that displays vital signs;

or a panel that displays fluids, electrolytes, nutrition (FEN) parameters;

or a panel that displays respiratory parameters;

or a panel that displays blood chemistry parameters;

or a panel that displays cardiovascular system (CVS) parameters;

or a panel that displays infectious disease (ID) parameters;

or a panel that displays neurological parameters;

or a panel that displays medications;

or a panel that displays medication orders and laboratory orders and results for the last 24 hours.

13. The method as recited in claim 1, wherein the predetermined presentation style data further comprises a set of rules governing privacy requirements at the specified location for the subset of parameters.

14. A method for presenting patient data at the patient'"'"'s bedside comprising:

sending, without human intervention to a particular display device located bedside for a particular patient, a plurality of most recent values from an electronic medical records (EMR) system, wherein the plurality of most recent values is associated in the EMR system with the particular patient for a corresponding plurality of parameters of a subset of fewer than all parameters available from the EMR system,

wherein the particular display device presents on an initial screen, according to a first arrangement and without human intervention, a first most recent value of the plurality of most recent values of related parameters in the subset;

wherein receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a predetermined query message and a predetermined schedule; and

receiving the plurality of most recent values further comprises sending the predetermined query message to the EMR system on the predetermined schedule without human intervention and receiving at least one value of the plurality of most recent values in response to sending the predetermined query.

15. The method of claim 14, further comprising:

receiving without human intervention predetermined presentation style data that indicates the subset of fewer than all parameters available from the EMR system, and the first arrangement on the display device of the related parameters in the subset; and

sending without human intervention the predetermined presentation style data to the particular display device.

16. The method as recited in claim 14, wherein sending the plurality of most recent values without human intervention further comprises sending the plurality of most recent values on a predetermined schedule.

17. The method as recited in claim 14, wherein sending the plurality of most recent values without human intervention further comprises sending the plurality of most recent values in response to a query sent without human intervention from a client process on the particular display device.

18. The method as recited in claim 17, wherein the query from the client process is further received in response to a single stroke from a human user at an input for the particular display device.

19. The method as recited in claim 14, further comprising receiving initialization data that indicates a particular bedside where the particular display device is located.

20. The method as recited in claim 14, further comprising receiving initialization data that indicates the particular patient in a bed where the particular display device is located bedside.

21. The method as recited in claim 14, further comprising sending to the particular display device policy data that indicates an alteration to a value for a particular parameter in the subset before presentation at the particular display device.

22. The method as recited in claim 15, wherein the first arrangement includes a font size on the display device for a parameter of the subset, such that a value of the parameter is visible on the display device to multiple viewers more than five feet from the display device.

23. The method as recited in claim 15, wherein

receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a different second arrangement on the display device of different related parameters in the subset;

and

the particular display device presents the first most recent value according to the first arrangement for a first limited time and then presents a different second most recent value of a second parameter of the different related parameters according to the second arrangement for a second limited time.

24. The method as recited in claim 14, wherein the first arrangement of related parameters includes at least one of:

a panel that displays vital signs;

or a panel that displays fluids, electrolytes, nutrition (FEN) parameters;

or a panel that displays respiratory parameters;

or a panel that displays blood chemistry parameters;

or a panel that displays cardiovascular system (CVS) parameters;

or a panel that displays infectious disease (ID) parameters;

or a panel that displays neurological parameters;

or a panel that displays medications;

or a panel that displays medication orders and laboratory orders and results for the last 24 hours.

25. A non-transitory computer-readable storage medium carrying one or more sequences of instructions for presenting patient data at a particular display device located bedside for a particular patient, wherein execution of the one or more sequences of instructions by one or more processors causes the one or more processors to perform the steps of:

receiving without human intervention predetermined presentation style data that indicates;

a subset of fewer than all parameters available from an electronic medical records (EMR) system;

a first arrangement on a display device of related parameters in the subset;

receiving without human intervention a plurality of most recent values from the EMR system, wherein the plurality of most recent values is associated in the EMR system with the particular patient for a corresponding plurality of parameters of the subset;

presenting, on an initial screen according to the first arrangement, a first most recent value of the plurality of most recent values;

wherein receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a predetermined query message and a predetermined schedule; and

receiving the plurality of most recent values further comprises sending the predetermined query message to the EMR system on the predetermined schedule without human intervention and receiving at least one value of the plurality of most recent values in response to sending the predetermined query.

26. A non-transitory computer-readable storage medium carrying one or more sequences of instructions for presenting patient data at a particular display device located bedside for a particular patient, wherein execution of the one or more sequences of instructions by one or more processors causes the one or more processors to perform the step of:

sending, without human intervention to a particular display device located bedside for a particular patient, predetermined presentation style data that indicates;

a plurality of most recent values from an electronic medical records (EMR) system, wherein the plurality of most recent values is associated in the EMR system with the particular patient for a corresponding plurality of parameters of a subset of fewer than all parameters available from the EMR system,

wherein the particular display device presents on an initial screen, according to a first arrangement and without human intervention, a first most recent value of the plurality of most recent values of related parameters in the subset;

wherein sending the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a predetermined query message and a predetermined schedule; and

sending the plurality of most recent values further comprises receiving the predetermined query message from the particular display device on the predetermined schedule without human intervention and sending at least one value of the plurality of most recent values in response to receiving the predetermined query.

27. An apparatus for presenting patient data for a particular patient comprising:

a display for presenting data for viewing by a human user;

one or more processors;

logic encoded in one or more tangible media for

receiving predetermined presentation style data that indicates;

a subset of fewer than all parameters available from an electronic medical records (EMR) system;

a first arrangement on the display of related parameters in the subset;

receiving without human intervention a plurality of most recent values from the EMR system, wherein the plurality of most recent values is associated in the EMR system with the particular patient for a corresponding plurality of parameters of the subset;

presenting, on an initial screen according to the first arrangement, a first most recent value of the plurality of most recent values;

wherein receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a predetermined query message and a predetermined schedule; and

receiving the plurality of most recent values further comprises sending the predetermined query message to the EMR system on the predetermined schedule without human intervention and receiving at least one value of the plurality of most recent values in response to sending the predetermined query.

28. A system for presenting patient data for a particular patient:

a display device comprising;

a display for presenting data for viewing by a human user; and

logic encoded in one or more tangible media for;

receiving predetermined presentation style data that indicates;

a subset of fewer than all parameters available from an electronic medical records (EMR) system;

a first arrangement on the display of related parameters in the subset;

receiving without human intervention a plurality of most recent values from the EMR system, wherein the plurality of most recent values is associated in the EMR system with the particular patient for a corresponding plurality of parameters of the subset;

presenting, on a default an initial screen according to the first arrangement, a first most recent value of the plurality of most recent values;

a server comprising logic encoded in one or more tangible media for sending, without human intervention, to the display device located bedside for the particular patient, the plurality of most recent values from the EMR system;

wherein receiving the predetermined presentation style data further comprises receiving predetermined presentation style data that indicates a predetermined query message and a predetermined schedule; and

receiving the plurality of most recent values further comprises sending the predetermined query message to the EMR system on the predetermined schedule without human intervention and receiving at least one value of the plurality of most recent values in response to sending the predetermined query.