Integrated treatment planning and scheduling system

• US 8,775,207 B2
• Filed: 09/28/2005
• Issued: 07/08/2014
• Est. Priority Date: 02/02/2005
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Abraham, Michele, Anderson, Jean, Fang, Zhanghui, Fitzgerald, Loretta A.
• Primary Examiner(s): Nguyen, Hiep V
• Assistant Examiner(s): WOODS, TERESA S
• Application Number:
  US11/237,298
• Publication Number:
  US 20060173725A1
• Time in Patent Office: 3,205 Days
• Field of Search: 705/8, 705/2, 705/3, 424/184.1, 378/65, 600/2
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/109 Time management, e.g. calendars, reminders, meetings or time accounting
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A system maps components of prescribed treatments to multiple appointments of a patient, tracks patient progress through a course of treatment by recording results of treatment in a clinical information system and replaces multiple manual processes to improve concurrent monitoring of a treatment plan versus actual results. A system schedules multiple appointments for a course of patient treatment. The system uses an input processor for receiving data identifying, a treatment type, a frequency of application of the treatment, a start date of the treatment and a number of applications of the treatment. An appointment processor determines validity of the received data and uses the validated received data to generate data representing a schedule of multiple appointments for receiving the treatment. An interface processor provides data representing the schedule of multiple appointments to a destination system.

Claims

1. A system for scheduling multiple appointments for a course of patient treatment, comprising:

a treatment planning system configured to receive a plurality of prescribed treatments, each prescribed treatment comprising an indication of treatment body site location, treatment type, frequency of treatment application, treatment start date, and number of treatment applications;

a treatment verification system configured to;

automatically identify one or more compatible treatment sets in the plurality of prescribed treatments, each compatible treatment set comprising prescribed treatments capable of being performed during a single appointment, create a treatment plan comprising one or more of the one or more compatible treatment sets, and

create an associated plan for one or more modality devices to be used in administering the treatment plan;

an appointment processor configured to automatically generate data representing a schedule of appointments over a plurality of days for receiving prescribed treatments included in the treatment plan;

a coordinating system configured to;

automatically generate data representing treatment orders for each respective appointment in the schedule of appointments,

automatically generate a plurality of instruction sets for execution by the one or more modality devices, and

associating each of the plurality of instruction sets with a distinct appointment in the schedule of appointments; and

a treatment modality system operably coupled to the one or more modality devices and configured to;

receive a user selection of a current appointment included in the schedule of appointments,

select an associated instruction set from the plurality of instruction sets based on the user selection of the current appointment, and

initiate execution of the set by the one or more modality devices.

2. A system according to claim 1, wherein the appointment processor is further configured to:

determine whether each prescribed treatment included in the treatment plan is valid by determining whether its respective number of treatment applications is consistent with at least one of (a) its respective treatment type and (b) its respective frequency of treatment application.

3. A system according to claim 1, wherein the appointment processor is further configured to:

adaptively generate data representing an adjusted schedule of appointments to accommodate a missed appointment by delaying a portion of the appointments in the schedule of appointments by a determined amount and creating at least one new appointment.

4. A system for scheduling multiple appointments for a course of patient treatment, comprising:

a treatment planning system configured to receive a plurality of prescribed treatments, each prescribed treatment comprising an indication of treatment body site location, treatment type, frequency of treatment application, treatment start date, and number of treatment applications;

a treatment verification system configured to;

automatically identify one or more compatible treatment sets in the plurality of prescribed treatments, each compatible treatment set comprising prescribed treatments capable of being performed during a single appointment, and

create a treatment plan comprising one or more of the compatible treatment sets, and

create an associated plan for one or more modality devices to be used in administering the treatment plan, the associated plan comprising a plurality of instruction sets executable by the one or more modality devices;

an appointment processor configured to;

automatically generate data representing a schedule comprising a pattern of a plurality of appointments over a plurality of days including individual appointments for receiving prescribed treatments included in the treatment plan,

associate each of the plurality of instruction sets in the associated plan with a distinct appointment in the plurality of appointments, and

adaptively generate data representing an adjusted pattern of appointments to accommodate a missed appointment by delaying a portion of the plurality of appointments by a determined amount and creating at least one new appointment; and

a treatment modality system operably coupled to the one or more modality devices and configured to;

identify a current appointment from the plurality of appointments;

select an associated instruction set from the plurality of instruction sets in response to the identification of the current appointment, and

initiate execution of the associated instruction set by the one or more modality devices.

5. A system according to claim 4, wherein the frequency of treatment application for each of the plurality of prescribed treatments comprises at least one of, (a) daily, (b) weekly, (c) on alternate days, (d) on every third day.

6. A system according to claim 4, the frequency of treatment application for each of the plurality of prescribed treatments comprises at least one of, (a) hourly, (b) on alternate hours, (d) on every third hour and (e) on every fourth hour and so on.

7. A system according to claim 4, wherein each prescribed treatment further comprises a treatment end date.

8. A system according to claim 4, wherein the appointment processor is further configured to:

determine validity of the prescribed treatments by determining whether the number of treatment applications associated with each prescribed treatment is consistent with at least one of (a) its treatment type and (b) its frequency of treatment application.

9. A system according to claim 4, wherein

the appointment processor is further configured to determine validity of the first prescribed treatment by determining whether the one or more modality devices are compatible with a corresponding treatment type associated with the first prescribed treatment.

10. A system for scheduling multiple appointments for a course of patient treatment, comprising:

an integrated treatment planning system communicating with a clinical information system and configured to;

receive treatment data identifying, for a plurality of prescribed treatments including first and second prescribed treatments to be applied to first and second different body sites of a single patient,

a treatment type,

a frequency of application of a treatment,

a start date of the treatment, and

a number of applications of the treatment;

a treatment verification system configured to;

automatically identify one or more compatible treatment sets in the plurality of prescribed treatments, each compatible treatment set comprising prescribed treatments capable of being performed during a single appointment, and

create a treatment plan comprising one or more of the compatible treatment sets, and

create an associated plan for one or more medical devices to be used in administering the treatment plan;

an appointment processor configured to automatically;

determine validity of the prescribed treatments in the compatible treatment sets, use the compatible treatment sets to generate data representing a schedule comprising a pattern of a plurality of appointments over a plurality of days including individual appointments for receiving each of the prescribed treatments in the compatible treatment sets, and

adaptively generate data representing the pattern of appointments to accommodate a missed appointment by delaying a portion of the plurality of appointments by a determined amount and creating at least one new appointment; and

a coordinating system configured to;

automatically generate data representing treatment orders for each appointment in the schedule,

automatically generate a plurality of instruction sets associated with the treatment orders for execution by the one or more medical devices, and

associate each of the plurality of instruction sets in the associated plan with a distinct appointment in the schedule;

a task processor configured to automatically schedule the plurality of appointments by allocating healthcare worker time and medical device time to the plurality of appointments; and

a treatment modality system operably coupled to the one or more medical devices and configured to;

identify a current appointment from the schedule;

select an associated instruction set from the plurality of instruction sets in response to the identification of the current appointment, and

initiate execution of the associated instruction set by the one or more medical devices.

11. A system according to claim 10, wherein the schedule comprises a pattern of individual appointments for receiving both the first and second prescribed treatments.

12. A system according to claim 10, further comprising:

a communication interface configured to communicate data indicating at least one treatment type and the plurality of appointments to the one or more medical devices used for providing treatment of the at least one treatment type.

13. A system according to claim 12, wherein

the plurality of instruction sets comprise device settings used for configuring the one or more medical devices to provide treatment for an individual appointment.

14. A system according to claim 10, wherein

the treatment type identifies first and second anatomical parts of a patient and the first and second prescribed treatments comprise first and second radiation doses to be applied to the first and second different body sites, respectively.

15. A system according to claim 10, wherein

the treatment type identifies an anatomical part of a patient and the first prescribed treatment comprises a radiation dose to be applied to the anatomical part and the second prescribed treatment comprises a non-radiation therapy.

16. A system according to claim 10, wherein the determined amount is a delay of at least one of (a) a first shift to a next subsequent appointment and (b) a second shift to a subsequent appointment following the next subsequent appointment.