SYSTEM AND USER INTERFACE FOR PROCESSING PATIENT MEDICAL DATA

• US 20070055545A1
• Filed: 07/11/2006
• Published: 03/08/2007
• Est. Priority Date: 09/02/2005
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Inventors: Maughan, Rex, McCoy, Jennel, Lee, Jeffrey
• Granted Patent: US 8,099,304 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• 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 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A clinical data processing system systematically organizes and analyzes clinically significant information of a patient using a result flag indicating a critical or abnormal result to automate display of a view of clinical data in various contexts including diagnosis, insurance, medical complaint assessment and others to improve patient care. A system for use in processing patient clinical data for access by a user includes a repository associating an observation with a clinical significance indicator and with data indicating observations relevant to evaluation of the observation having the associated clinical significance indicator. A clinical data processor uses the repository fork automatically providing data for display in response to receiving data representing an input observation and an associated clinical significance indicator. The data for display supports a user in making a patient assessment and includes the input observation and associated relevant clinical data item,s. A display processor initiates generation of data representing an image including the data for display.

Claims

1. A system for use in processing patient clinical data for access by a user, comprising:

a repository associating an observation with a clinical significance indicator and with data indicating observations relevant to evaluation of said observation having said associated clinical significance indicator;

a clinical data processor for using said repository for automatically providing data for display in response to receiving data representing an input observation and an associated clinical significance indicator, said data for display supporting a user in making a patient assessment and including said input observation and associated relevant clinical data items, and

a display processor for initiating generation of data representing an image including said data for display.

2. A system according to claim 1, wherein

an observation comprises a value of a patient medical parameter and

a clinical significance indicator associated with an observation comprises an indicator indicating at least one of, (a) an observation is abnormal and (b) an observation is critical indicating a substantial impairment of patient medical condition.

3. A system according to claim 2, wherein

said patient medical parameter comprises at least one of, (a) a blood pressure parameter, (b) a ventilation parameter, (c) a vital sign parameter, (d) a blood oxygen concentration representative parameter, (e) a spontaneous tidal volume parameter, (t) a respiratory rate parameter, (g) a positive end-expiratory pressure parameter, (h) a temperature, (i) a heart rate, (j) a cardiac output, (k) an infusion pump parameter associated with fluid delivery, (l) a drip medication related parameter and (m) another fluid related parameter.

4. A system according to claim 2, wherein

said patient medical parameter comprises at least one of, (a) a laboratory test result and (b) a parameter acquired from a medical history record of said patient.

5. A system according to claim 1, wherein

said clinical data processor automatically provides data for display in a plurality of different images including an image enabling a user to select an individual image of said plurality of different images to be displayed.

6. A system according to claim 1, wherein

said associated relevant observations are derived from at least one of, (a) patient medical history, (b) family medical history, (c) a patient diagnosis, (d) a patient complaint, (e) a patient allergy record, (f) a patient medication and (g) a patient problem list.

7. A system according to claim 1, wherein

said associated relevant observations are derived from at least one of, (a) a treating physician specialty, (b) medical insurance information and (c) other patient medical parameter values.

8. A system for use in processing patient clinical data for access by a user, comprising

at least one repository including a first observation together with an associated clinical significance indicator and a second observation relevant to evaluation of said first observation;

a clinical data processor for using said at least one repository and for automatically applying predetermined rules adaptively conditioned based on said clinical significance indicator of said first observation, said predetermined rules determining whether said second observation is to be provided in information supporting a user in making a patient assessment compatible with said first and second observations; and

a display processor for initiating generation of data representing an image including said information for display.

9. A system according to claim 8, wherein

an observation comprises a value of a patient medical parameter and

a clinical significance indicator associated with an observation comprises an indicator indicating at least one of. (a) an observation is abnormal and (b) an observation is critical indicating a substantial impairment of patient medical condition.

10. A system according to claim 8, wherein

an observation comprises a value of a patient medical parameter and

a clinical significance indicator associated with an observation comprises an indicator indicating at least one of, (a) an observation is abnormal and (b) an observation is normal.

11. A system according to claim 8, wherein

said predetermined rules initiate addition or exclusion of said second observation from said information by said clinical data processor.

12. A system according to claim 8, wherein

said predetermined rules initiate selection of said second observation from a plurality of observations for inclusion in said information by said clinical data processor.

13. A system according to claim 8, wherein

said information includes a set of observations, including said first and second observations, supporting a user in making a patient assessment compatible with said set of observations.

14. A system according to claim 8, wherein

said clinical data processor adaptively conditions said predetermined rules by selecting a rule to apply from a plurality of different rules in response to whether said clinical significance indicator indicates an abnormal or non-abnormal observation.

15. A system according to claim 8, wherein

said clinical data processor adaptively conditions said predetermined rules by selecting a set of rules to apply from a plurality of different sets of rules associated with a corresponding plurality of different clinical significance indicators, in response to said clinical significance indicator of said first observation.

16. A system according to claim 15, wherein

said plurality of different sets of rules are associated with at least two of, (a) abnormal, (b) normal and (c) critical clinical significance indicators.

17. A system for use in processing patient clinical data for access by a user, comprising:

a search processor for searching stored observations of a patient for particular observations in response to received data indicating a type of information to be displayed and in response to a clinical significance indicator of a first observation of said patient indicating said first observation is at least one of, (a) abnormal and (b) critical; and

a display processor for initiating generation of data representing an image for display, said image including data presenting said particular observations and supporting a user in making a patient assessment compatible with said particular observations.

18. A system according to claim 17, wherein

said search processor automatically applies predetermined rules adaptively selected in response to said clinical significance indicator of said first observation to select said particular observations from said stored observations of said patient.

19. A system according to claim 17, wherein

said search processor automatically applies predetermined rules adaptively selected in response to whether said clinical significance indicator of said first observation indicates an abnormal or normal observation to select said particular observations from said stored observations of said patient.

20. A system according to claim 17, wherein

said data indicating said type of information to be displayed comprises user entered data indicating at least one of, (a) a patient diagnosis, (U) a medical specialty and (c) an expected observation.

21. A system according to claim 18, wherein

said patient diagnosis comprises cancer and

said medical specialty comprises at least one of, (a) pulmonology, (b) oncology, (c) endocrinology and (d) cardiology.

22. A system according to claim 17, wherein

said search processor searches stored observations related to, particular anatomical systems, laboratory test results and medical history, of said patient.

23. A system for use in processing patient clinical data for access by a user, comprising:

a search processor for searching stored observations of a patient for particular observations in response to received data indicating a type of information to be displayed comprising user entered data indicating at least one of, (a) a patient diagnosis, (b) a medical specialty and (c) an expected observation and in response to a clinical significance indicator of a first observation of said patient indicating said first observation is at least one of, (i) abnormal and (ii) critical, said search processor automatically applying predetermined rules adaptively selected in response to said clinical significance indicator of said first observation to select said particular observations from said stored observations of said patient; and

a display processor for initiating generation of data representing an image for display, said image including data presenting said particular observations and supporting a user in making a patient assessment compatible with said particular observations.