Electronic system for collecting and automatically populating clinical order information in an acute care setting

• US 20060080620A1
• Filed: 11/22/2005
• Published: 04/13/2006
• Est. Priority Date: 12/22/2000
• Status: Active Grant

• Current Assignee: Epic Systems Corporation
• Original Assignee: Epic Systems Corporation
• Inventors: Alban, Christopher, Prakash, Indu, Dvorak, Carl
• Granted Patent: US 7,533,353 B2
• Time in Patent Office: Days
• US Class Current: 715/781
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A graphical user interface for use on a computer coupled to an enterprise electronic medical records system for accepting order data including an order entry window corresponding to an identified order, the identified order including one or more parameters. The graphical user interface also including an expandable order editing box linked to the order entry window and responsive to identification of the order and adapted to accept an input from a user; an order parameter manager coupled to the enterprise electronic medical records system that is adapted to populate at least one of the one or more order parameters based on information associated with a patient for whom the order is being placed; and the graphical user interface adapted to display to the user the order and the at least one or more populated order parameters.

Claims

1. A graphical user interface for use on a computer coupled to an enterprise electronic medical records system for accepting order data, the graphical user interface comprising:

an order entry window corresponding to an identified order, the identified order including one or more parameters;

an expandable order editing box linked to the order entry window;

the expandable order editing box responsive to identification of the order and adapted to accept an input from a user; and

an order parameter manager coupled to the enterprise electronic medical records system, the order parameter manager adapted to populate at least one of the one or more order parameters based on information associated with a patient for whom the order is being placed; and

the graphical user interface adapted to display to the user the order and the at least one or more populated order parameters.

2. The graphical user interface of claim 1, wherein the order parameter manager is adapted to retrieve the information associated with the patient from a record stored within the enterprise electronic medical records system, the record being at least one of a patient record, a user profile, or a preference list.

3. The graphical user interface of claim 2, wherein the information associated with the patient is retrieved from the patient record, and wherein the at least one of the one or more order parameters is associated with at least one of lab information, medication information, vitals, allergy information, procedure information, test information, or a previous order value.

4. The graphical user interface of claim 2, wherein the at least one of the one or more order parameters retrieved is used to replace a default parameter value.

5. The graphical user interface of claim 1, wherein the order parameter manager is further adapted to populate the at least one of the one or more order parameters based on the patient'"'"'s history of care.

6. The graphical user interface of claim 1, further comprising an order data summary linked to the expandable order editing box, the order data summary responsive to the identified order.

7. The method of claim 6, wherein the order data summary includes additional information contained within at least one of a patient record, allergy information, lab information, an order record, a user record, a department record, a facility record, or a system record.

8. The graphical user interface of claim 1, further comprising an order type navigation bar, wherein an order type is selectable from the order type navigation bar.

9. The graphical user interface of claim 1, further comprising a decision support manager adapted to generate an alert, the alert associated with data stored in the electronic medical records system to aid a user in an order selection process.

10. A method of entering order information in a health care setting, the method comprising:

providing within a graphical user interface an ability to accept an input from a user identifying a particular clinical order from a plurality of possible clinical orders;

identifying a plurality of order parameters associated with the particular clinical order;

populating at least one of the plurality of order parameters based on information associated with a patient for whom the clinical order is being placed, the information associated with the patient being stored in a record in a database, the record being at least one of a patient record, a user profile, or a preference list; and

displaying the at least one of the plurality of order parameters associated with the selected clinical order within a display window of the graphical user interface, the display window including an order editing box that is responsive to the identified particular clinical order.

11. The method of claim 10, further comprising populating the at least one of the plurality of order parameters based on one of lab information, medication information, vitals, allergy information, procedure information, test information, or a previous order value.

12. The method of claim 10, further comprising dynamically displaying an order data summary within the display window that is responsive to the identified particular clinical order.

13. The method of claim 12, wherein the order data summary includes additional information contained within at least one of a patient record, allergy information, lab information, an order record, a user record, a department record, a facility record, or a system record.

14. The method of claim 10, further comprising generating a user configurable order type navigation bar listing a plurality of order types.

15. The method of claim 10, further comprising generating an alert, the alert associated with data stored in the database to aid a user in an order selection process.

16. A dynamic order composer device, the order composer device being coupled to and operating in conjunction with an integrated medical record system, the order composer device comprising:

means to identify one or more orders, the orders identified based on data stored in a database repository, the database repository being part of the integrated medical record system;

means to identify and retrieve from the database repository one or more values for order parameters associated with each of the one or more orders, wherein the one or more values are associated with a patient for whom the one or more orders are being placed;

means to populate at least one of the order parameters associated with each of the one or more orders based on at least one of the one or more values; and

means to display the order identified by the user and the one or more populated order parameters associated with each of the one or more orders.

17. The dynamic order composer device of claim 16, further comprising means to provide a user with the ability to use another user'"'"'s default values.

18. The dynamic order composer device of claim 16, further comprising means to generate a dynamic order data summary that is responsive to the identified order.

19. The dynamic order composer device of claim 16, further comprising means to generate an alert, the alert associated with data stored in the integrated medical record system to aid a user in an order selection process.

20. The dynamic order composer device of claim 19, further comprising means to generate a second alert, the second alert associated with patient record data to indicate a specified order is specifically indicated or counter-indicated for a patient.

21. A method of entering order information in a health care setting, the method comprising:

accessing a data repository holding a plurality of possible order templates and a plurality of possible order parameters available for an order, the order corresponding to the order transmittal;

generating a predictive set of order templates from the plurality of possible order templates available in the database, the predictive set of order templates being substantially smaller than the plurality of possible order templates;

displaying a list of the predictive set of order templates on a graphical user interface;

generating, for an order template selected from the predictive set of order templates, a predictive set of order parameters from the plurality of possible order parameters available in the database, the predictive set of order parameters being substantially smaller than the plurality of possible order parameters;

modifying the predictive set of order parameters to include at least one order parameter derived from a record, the record being at least one of a patient record, a user profile, or a preference list; and

displaying the modified predictive set of order parameters on the graphical user interface.

22. The method of claim 21, wherein the predictive set of order templates and the predictive set of order parameters are selected to be the most appropriate for a patient.

23. The method of claim 21, further comprising generating an alert based on information derived from one of the patient record or the selected order template.

24. The method of claim 21, further comprising dynamically displaying an order data summary within a display window on the graphical user interface, the order data summary responsive to at least the selected order template and the at least one order parameter derived from the record.