Workstation with bedside portal

• US 8,972,272 B1
• Filed: 09/15/2010
• Issued: 03/03/2015
• Est. Priority Date: 09/17/2009
• Status: Active Grant

• Current Assignee: Epic Systems Corporation
• Original Assignee: Epic Systems Corporation
• Inventors: Dvorak, Carl D., Martin, Stirling B., Webb, Aaron M.
• Primary Examiner(s): PAULS, JOHN A
• Application Number:
  US12/882,721
• Time in Patent Office: 1,630 Days
• Field of Search: 705/3, 600/301, 600/365, 340/5.8, 345/130, 345/173, 128/668
• US Class Current: 705/3
• 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: G16H 70/60 relating to pathologies

Abstract

A room-based terminal near the patient'"'"'s bedside is used to supplement the operation of a patient care computing device to improve contemporaneous data capture and information accessibility during a healthcare provider'"'"'s rounds. The particular benefits of the stationary terminal and patient care computing device augment each other in providing superior workflow.

Claims

1. An electronic medical record system comprising:

(a) a medical database system providing a communication interface for receiving and transmitting medical data related to patients;

(b) a patient care computing device including an electronic display, a text entry device, and a network circuit communicating with the medical database system;

(c) at least one stationary, room-based terminal providing;

(i) an electronic display adapted for mounting relative to a bedside associated with a given patient;

(ii) a network circuit communicating with the medical database system; and

(d) a communication network communicating the with the network circuits of the medical database system, the patient care computing device, and the room-based terminal,

wherein the medical database system, patient care computing device, and room-based terminal execute at least one stored program to;

(i) manage a secure log-on by a health care worker to the patient care computing device;

(ii) receive through the patient care computing device after log-on, an identification of a patient;

(iii) communicate patient medical data related to the patient from the medical database system to the patient care computing device through the communication network;

(iv) display the patient medical data on patient care computing device;

(v) receive a selection, at the patient care computing device of a portion of the patient medical data that is a subset of the displayed patient medical data;

(vi) transmit the selection of the portion of the patient medical data to the medical database system through the communication network;

(vii) provide duplicate communication of the portion of the patient medical data from the medical database system to the room-based terminal associated with a bedside of the patient through the communication network; and

(viii) receive a modification of the portion of the patient medical data communicated to the room-based terminal over the communication network and transmit the modified portion over the communication network to the patient care computing device for validation prior to acceptance of the data into the medical database system.

2. The electronic, medical record system of claim 1 including a plurality of room-based terminals wherein the stored program includes a patient room table, the patient room table mapping the patient to an address of the room-based terminal associated with a bedside of the patient;

wherein the medical database system further includes a means for directing the duplicate communication according to the address.

3. The electronic medical record system of claim 2 wherein the room-based terminal is a touch screen.

4. The electronic medical record system of claim 3 wherein the room-based terminal provides graphical elements for quantitative data entry employing a detection of a sliding of a stylus on the touch screen.

5. The electronic medical record system of claim 3 wherein the room-based terminal provides a plurality of display icons that may be touched to expand them to larger icons.

6. The electronic medical record system of claim 1 wherein the room-based terminal and patient care computing device provide for input of medical data and wherein the stored program further:

(v) communicates medical data from the room-based terminal and patient care computing device to the medical database records related to the patient.

7. The electronic medical record system of claim 6 wherein the stored program is configured to force an update for at least some medical data input at the patient care computing device to be communicated to the room-based terminal.

8. The electronic medical record system of claim 7 further including a device for recording an administering of medicine, the device in communication with the patient care computing device, wherein the stored program provides an advisors based on recordation of medicine administering at both the patient care computing device and the room-based terminal.

9. The electronic medical record system of claim 6 wherein the stored program further operates to display supplementary information on the room-based terminal related to generic roles of imputed observers selected from at least two of the group consisting of:

a physician imputed user, a family member imputed user, a case manager imputed user, and a nurse imputed user.

10. The electronic medical record system of claim 1 wherein the medical record system receives data identifying an imputed observer of the room-based terminal and wherein duplicate communication is selectively displayed according to the identification of the imputed observer.

11. The electronic medical record system of claim 10 wherein the identification of an imputed observer is performed by a presence-sensing of at least one person in proximity of the room-based terminal.

12. The electronic medical record system of claim 11 wherein the stored program provides a set of priority rules identifying one imputed observer when there are multiple persons sensed in proximity of the room-based terminal.

13. The electronic medical record system of claim 10 wherein the identification of an imputed observer is performed by detecting the health care worker logged into the patient care computing device.

14. The electronic medical record system of claim 1 wherein a display mode of the room-based terminal is based on a clinical condition of the patient.

15. The electronic medical record system of claim 1 wherein a display mode of the room-based terminal displays a selection of patient information from a patient care computing device when the patient care computing device is being used to access patient information and the patient is associated with the room-based terminal.

16. The electronic medical record system of claim 1 wherein the patient care computing device is associated with a mobile cart providing carrier surfaces for medical supplies and for the patient care computing device.

17. A computer implemented method for providing patient medical information at a room-based terminal in communication with a patient care computing device, comprising:

(a) receiving an access request from the patient care computing device in proximity to a patient room at a medical database processor of a computer-implemented medical database system using a secure access process over a communication network;

(b) identifying the room-based terminal using the medical database processor based on a detected location of the patient care computing device in proximity to the patient room based on information stored in the medical database system; and

(c) communicating patient medical data related to a patient associated with the detected location from the medical database system over the communication network to the patient care computing device, receiving a selection of a portion of the patient medical data over the communication network that is a subset of the patient medical data; and

communicating the selected portion of the patient medical data over the communication network to the room-based terminal associated with the detected location; and

(d) receiving a modification of the portion of the patient medical data communicated to the room-based terminal at the medical database processor over the communication network and transmitting the modified portion over the communication network to the patient care computing device for validation prior to acceptance of the data into the medical database system.

18. A computer implemented method for providing patient medical information at a room-based terminal in communication with a patient care computing device, comprising:

(a) receiving an access request from the patient care computing device using a secure access process at a medical database processor of a computer-implemented medical database system over a communication network, the access request identifying a patient;

(b) identifying the room-based terminal using the medical database processor based on the patient identification based on information stored in the medical database system;

(c) communicating patient medical data related to a patient associated with the detected location from the medical database system over the communication network to the patient care computing device, receiving a selection of a portion of the patient medical data over the communication network that is a subset of the patient medical data; and

communicating the selected portion of the patient medical data over the communication network to the room-based terminal associated with the detected location; and

(d) receiving a modification of the portion of the patient medical data communicated to the room-based terminal at the medical database processor over the communication network and transmitting the modified portion over the communication network to the patient care computing device for validation prior to acceptance of the data into the medical database system.

19. The computer implemented method of claim 18, further including receiving a input indicating the an administration of medicine at the patient care computing device and providing an advisory based on recordation of medicine administering at both the patient care computing device and the room-based terminal.