System and user interface for processing patient medical data

• US 8,099,304 B2
• Filed: 07/11/2006
• Issued: 01/17/2012
• Est. Priority Date: 09/02/2005
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Maughan, Rex Wendell, Lee, Jeffrey D., McCoy, Jennel L.
• Primary Examiner(s): O'Connor, Gerald J.
• Assistant Examiner(s): NGUYEN, TRANG T
• Application Number:
  US11/456,688
• Publication Number:
  US 20070055545A1
• Time in Patent Office: 2,016 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/3
• 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 items. A display processor initiates generation of data representing an image including the data for display.

Claims

1. A computer implemented 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 comprising observations including laboratory test results and measured patient medical parameter values contextually relevant to evaluation of said observation having said associated clinical significance indicator;

a clinical data processor operating using stored machine readable instructions and being electrically coupled to said repository, for using said repository for automatically adaptively providing data for display in response to receiving data representing an input observation tagged with a clinical significance indicator, said data for display comprising a first set of clinical information pertinent to the input observation if the received clinical significance indicator identifies the input observation as normal and a different second set of clinical information, including additional clinical observations absent from said first set, pertinent to the input observation if the received clinical significance indicator identifies the input observation as abnormal, the first and second set of clinical information supporting a user in making a patient assessment by including said input observation and associated contextually relevant clinical data items including the clinical significance indicator and data comprising laboratory test results and measured patient medical parameter values of the patient contextually relevant to evaluation of said observation having said associated clinical significance indicator derived from said repository; and

a display processor operating using stored machine readable instructions and being electrically coupled to said repository, for initiating generation of data representing an image including said data for display.

2. A system according to claim 1, wherein

said clinical data processor adaptively adds or excludes clinical observations from said second set in response to said received clinical significance indicator,

an observation comprises a value of a patient medical parameter and

a clinical significance indicator associated with an observation comprises an indicator indicating an observation is critical indicating a substantial impairment of patient medical condition and said data for display comprises a third set of clinical information pertinent to the input observation in response to the received clinical significance indicator identifying the input observation as critical and including

a search processor operating using stored machine readable instructions, 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 providing a clinical significance indicator of a first observation of said patient comprising at least one of, (i) an abnormal indication and (ii) a critical indication.

3. A system according to claim 2, wherein

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

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, (f) 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 first set of clinical information comprises a first diagnosis and said different second set of clinical information comprises a different second diagnosis previously stored by a user and

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 clinical data processor adaptively adds or excludes clinical observations from said second set in response to a determined user medical specialty and

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 computer implemented 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 comprising a laboratory test result or a measured patient medical parameter value of the patient contextually relevant to evaluation of said first observation;

a clinical data processor operating using stored machine readable instructions and being electrically coupled to said at least one repository, 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 contextually relevant to evaluation of said first observation having said associated clinical significance indicator and is to be provided in information supporting a user in making a patient assessment compatible with said first and second observations and for automatically adaptively providing data for display in response to receiving data representing the first observation tagged with a clinical significance indicator, said data for display comprising a first set of clinical information pertinent to the input observation if the received clinical significance indicator identifies the first observation as normal and a different second set of clinical information, including additional clinical observations absent from said first set and including the second observation pertinent to the first observation if the received clinical significance indicator identifies the input observation as abnormal;

a search processor operating using stored machine readable instructions, for searching stored observations of a patient in said at least one repository to identify said second observation in response to the clinical significance indicator associated with said first observation and 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

a display processor operating using stored machine readable instructions, for initiating generation of data representing an image including said information for display.

9. A system according to claim 8, wherein

said clinical data processor adaptively adds or excludes clinical observations from said second set in response to said received clinical significance indicator,

an observation comprises a value of a patient medical parameter and

a clinical significance indicator associated with an observation comprises an indicator indicating an observation is critical indicating a substantial impairment of patient medical condition and said data for display comprises a third set of clinical information pertinent to the input observation in response to the received clinical significance indicator identifying the input observation as critical and

said search processor provides said clinical significance indicator associated with said first observation and comprising at least one of, (i) an abnormal indication and (ii) a critical indication.

10. A system according to claim 8, wherein

an observation comprises a value of a patient medical parameter and

said first set of clinical information comprises a first diagnosis and said different second set of clinical information comprises a different second diagnosis previously stored by a user.

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 computer implemented 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 comprising observations including laboratory test results and measured patient medical parameter values contextually relevant to evaluation of said observation having said associated clinical significance indicator;

a search processor operating using stored machine readable instructions, for searching stored observations of a patient including said observation in said repository 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 operating using stored machine readable instructions, for initiating generation of data representing an image for display, said image comprising a first set of clinical information pertinent to the input observation if the received clinical significance indicator identifies the input observation as normal and a different second set of clinical information, including additional clinical observations absent from said first set, pertinent to the input observation if the received clinical significance indicator identifies the input observation as abnormal, the first and second set of clinical information and including data presenting said particular observations and supporting a user in making a patient assessment compatible with said particular observations by presenting contextually relevant clinical data items including a clinical significance indicator and data comprising laboratory test results and measured patient medical parameter values of the patient contextually relevant to evaluation of said observation having said associated clinical significance indicator.

18. A system according to claim 17, wherein

said display processor adaptively adds or excludes clinical observations from said second set in response to said received clinical significance indicator and

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, (b) a medical specialty and (c) an expected observation.

21. A system according to claim 20, 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 computer implemented system for use in processing patient clinical data for access by a user, comprising:

at least one repository associating an observation with a clinical significance indicator and with data comprising observations including laboratory test results and measured patient medical parameter values contextually relevant to evaluation of said observation having said associated clinical significance indicator;

a search processor operating using stored machine readable instructions, for searching stored observations of a patient including said observation in said at least one repository 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 operating using stored machine readable instructions, for initiating generation of data representing an image for display, said image comprising a first set of clinical information pertinent to the input observation if the received clinical significance indicator identifies the input observation as normal and a different second set of clinical information, including additional clinical observations absent from said first set, pertinent to the input observation if the received clinical significance indicator identifies the input observation as abnormal, the first and second set of clinical information and including data presenting said particular observations and supporting a user in making a patient assessment compatible with said particular observations by presenting contextually relevant clinical data items including a clinical significance indicator and data comprising laboratory test results and measured patient medical parameter values of the patient contextually relevant to evaluation of said observation having said associated clinical significance indicator.