CA2067747A1 - System for centralized storage of patient related data records including medical notes and tests results and for scheduling patient related services - Google Patents
System for centralized storage of patient related data records including medical notes and tests results and for scheduling patient related servicesInfo
- Publication number
- CA2067747A1 CA2067747A1 CA002067747A CA2067747A CA2067747A1 CA 2067747 A1 CA2067747 A1 CA 2067747A1 CA 002067747 A CA002067747 A CA 002067747A CA 2067747 A CA2067747 A CA 2067747A CA 2067747 A1 CA2067747 A1 CA 2067747A1
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- CA
- Canada
- Prior art keywords
- patient
- services
- invention according
- hospital
- results
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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Classifications
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
- Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
Abstract
A hospital computerized system (26) includes terminals (24) in all departments (12 and 14) for entering information pertinent to a patient's stay. The initial information entered includes the patient's history (28), admitting physician's physical examination results (3), and physician's orders for tests or hospital services to be performed. The system (26) prints a history and physical report for the patient's chart and highlights abnormal findings and complaints. The system (26) schedules and reschedules all hospital services for the patient on a priority basis, thereby eliminating this responsibility from the nurses and other hospital personnel, and avoids situations where the patient is scheduled to be in two places simultaneously. The system (26) receives and stores all test results and technician's, nurses, and doctor's notes and prints a summarized discharge planning document and a narrative discharge report for the chart, as well as a patient instruction document.
Description
2 o 6S 7 7 ,~ 7 PCr/U~90/06095 "SYST~ FOR CENTRALIZED STORAGE OF PATIE~T RELATED DA~CA P~ECO~I)S
INCLIOING ~EDICAL NOTES ANI) TEST RESULTS AND FOR SCHEOULI~TG
PATIENT RELATED SERVICES."
~ hi~ invention relates to a hosoit.~l medical recnrd m-~intenance. oeneration and schedulina system. and more particularlv. to a computerized system located throuohout the haspital facility for maintaining and aenerati-lg re-S quired medical records for a hospitalized patient and forscheduling various tests. therapies and other hospital ser-~fices for that patient.
In the past, record keeping ~or a hospitalized pa-tient has been a major problem for the proper administra-tion of a hospital and a major administrative drain on thetime of the me~ical staff. ~ patient'~ ohart. or file. is typically maintained at the nurse's station. which is in the area of the patient's hospital room. However. docu-ments ~rom various parts of the hospital, such as laobora-tory reports, physical therapist's reports, doctor's re-ports and the like are continually generated at locations throughout the hospital, or in other places remote from the hospital, and must be placed in this chart. The need for continual access to the chart places additional wor~. on the hospital support staff, such as the nurses and technicians, who must either travel to the chart area. or telephone the nurses station for a report on information contained in the chart. Further, a substantial expenditure of money on the part of the hospital results because Df the necessity of employing runners or messengers to physically carry the various reports to the nurses station for inclusion with the chart. These procedures can delay the placing of im-portant documents in the patient's chart ~or review by phy-sicians and nurses.
Another problem commonly present in most hospital systems is the scheduling of patients for various services performed by the hospital. Some services. such as physical therapy. respiratory therapy, X-ray~ and the like mav only ~ be able to handlD one, or a few, patients at a time. Fur-ther. a patient can onlv be scheduled to be in one place at .. ., . . . .. ., ~ . , ,_ . . .. , .. .. .... ~ . , .. ... ~ ,.. , ., " .. . .. .. ..... .... ... .... .. ... . . . . . .. . .. .. . .. . ... ..
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W(~ g]/1)6917 PCr/US~0/~36095 ~ ~ $ ~ rl ~ 7 a time. In order to properly schedule patients, the tech-nici~ns in the various service organization~ and nurses nn the patient floor are constantly communicating by telephone to set up appropriate schedules. This t~kes up valuable time of the hospi~al personnel. which otherwise could be used for direct patient care. Furthermore. emergency situ-ations often n~cur in a h~spital, resulting in changes to the schedule to permit the emergency t~sts to be performed, thereby causing normally scheduled non-emergency tests to either be rescheduled or causing the patient to wait for long periods of time at the service area. ~gain, this takes up additional time of the hospital s~pport staff which could better be utilized in providing direct patient care.
In addition to the above, there are many other problems which reduce the time that scarce medical staff has available to provided direct patient care. For exam-ple. for every patient discharged from a hospital, a dis-charge summary must be prepared based on the patients hos-pital stay. Much of the information contained in the discharge summary is contained in the patient's chart and needs to be summarized or abstracted before being placed in the discharge summary. In addition, physicians must dic-tate the discharge summary relating to the medical conclu-Z5 sions and ~uture care Df the patient. This results in ad-ditional physician time and inherent delays in the preparation of the discharge summary, since~ after being dictated by the physician, it must first be sent to a tran-scription service firm, ~hich typically is at a location ~0 remote from the hospital~ and then returned tD the hospital for inclusion with the chart before the patient i5 dis-charged. ~ similar problem exists for the history and physical reports, which are generated at the time the pa-tient is admitted.
~ost hospitals possess computer systems which are used for much of the administration within th~ hospital.
For examplel in most hospitals, computPr systems provide ----^--------, ,, , . . . - - - .
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2 ~ ~ 7 7 ~ l WO 91/06()17 PCr/US90/0~39 the bills for the patients. To generate a bill, substan-tial data. such as tests and service~ performed. must b~
entered into the computer in order ~or the bill to be aen-erated. ~ecause of the e~istence of computeri2ed billina utili~ed in most hospitals, computer terminals are typi-cally positioned throughout the hospital in order to permit the data to be entered at the location that the charge is generated. For e~ample. when laboratnry tests are per-formed, the data is entered into the billing computer di-rectly from the laboratory area so that the cost of thetest can be placed on the patient's bill. However, much of the same data may be hand carried to the patient's chart for review by the medical staff.
One could substantially increase the efficiency and lS reduce the paper work in a modern hospital by more fully utilizing existing computer systems, or by installing sup-plemental systems, to relieve much of the administrative burdens placed on physicians and support staffs in the hos-pitals. For example, the maintenance of medical records can be substantially simplified by utilizing computer tech-nology. In addition, the scheduling of patients can be simplified using the computer technology. ~y combining functions, such as scheduling and chart report generation into single systems, considerable ef-ficiencies and duplica-tions are further eliminated. 5ince much of +he informa-tion is already being entered into a computer system for billinq purposes, the incremental additional work is mini-mized. For example, one must now type in the ~arious labo-ratory tests performed for billing; to additionally type in the test results would not require significant additional effort. The benefit, of course, is that once the test re-sults are entéred into the system, anyone with access to a terminal and a password can see the results without physi-cally going to the chart or without calling and disturbing a nurse. Further, as soon as the results ale typed into the system, they can be printed at the nurses station and immediately be placed in the patient's chart.
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W~gl/~6~7 ~ ~ ~' 7 7 ~ 7 P~/U~90/~60~ -The prior art discloses various computer svstems which control portions of a hospital system. but nothing shows the entire integrated system ~s proposed herein For eY~ample. reference i5 made to the following United States P~tent~ which sho~ v~riou~ priar art hospital computeri~ed systems: 3,a72,44~ in the name of ~aker ~. ~itchell, ~r.
and entitled, "Hospital Data Processing 5ystem"; 4,135,241 in the name of Eugene A. Stanis et al and entitled, "Inven-tory Control, ~ed ~llocation and Accounting Data Handling 10 System"; 4,315,30~ in the name oF Robert D. Coli and enti-tled, "Integrated Medical Test Data Storage and Retrieval System"; 4,4919725 in the name of Lawrence E. Pritchard and entitled, "Medical Insurance Verification and Processing System"; 4,5~ 74 in the name of Donald H. Dornbush et al and entitled, "Information Recording ~nd Retrieval System";
4,~5~,357 in the name of Gary T. Carroll et al and enti-tl~d. "Tim~ and ~c ounting Sy~tem"; and 4,~17,050 in the name of Kenichi Komatsu et al and entitled, "Database Sys-tem".
In accordance with one aspect of this invention, there is provided a scheduling and reporting system for hospital patients comprising means for entering location data regarding each patient and physician orders for hospi-tal services to be performed for each patient. Further, Z5 the system includes means for scheduling the ordered ser-vices ~or each patient and ~or reporting the schedule in-formation to a common area in the vicinity o~ each patient's location. The system ~urther includes means for recording and repnr~ing the resùlts of the services admin-~ istered to each patient to the common area in the vicinity of each patient's location. Finally, the system includes means responsive to the recorded information for generating a discharge summary report for each patient at the conclu-sion of the hospitaIi2ation of such patient.
~5 In accordance with another aspect of this inven-tion, there i5 provided a method of scheduling patient ser-vices and recording patient data~for a hospitali2ed patient .. .... . . . , , . . ., ., . ,,, .. , .,, . .. ,,, . ., .. , . .. . . . ., ., . , .,, .. ., , . . , . ,, . . . . ,, , _,. . . .. .. . .
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- WO~/069~7 2 ~ ~ 7 7 ~ 7 PCT/US~0/~60g5 cnmprises the steps of recording and location f~r each pa-tient and recording physici~n orders fnr services tn be performed upon each patient. ~dditionally~ the method in-cludes the steps of automatically scheduling the services for each patient. recording the results of the perfcrmance of such services and providing the discharge summary record for each patient.
One preferred embodiment of the subject invention i5 hereafter described with specific reference being made to the following figure, in which:
Figure 1 shows a block diagram of the improved med-ical records and scheduling computer system;
Figure 2 illustrates a form a patient may use to providr medical history information for entrance into the computer system of the subject information; and Figure 3 illustrates a form a physician may use in providing information relating to a physical examination for entrance into the computer system of the subject infor-mation.
Z Referring now to Figure 1, a diagram illustrating the various areas of a hospital which would use the subject invention is shown. These various areas include the admit-ting area lO, the nurses' stations 12~ the various hospital service departments 14 and the medical record's department 25 16. Within each af these areas lO. 12, 14 and 1~. many sub-areas, to be specified hereafter, are included. Typi -cally, each individual area or sub-area of a hospital oper-ates independent of other areas or sub-areas; however, each area or sub-area must constantly communicate with c~rtain other areas or sub-areas to make information generally available. One purpose of the present invention is to fa-cilitate orderly, efficient and rapid communication among the various areas of the hospital and to provide such in-~ormation with minimal human intervention between the vari-ou5 areas and sub-areas. as necessary.
, WV91/06917 ~ 7 ~ 7 P~T/US90/~6~95 --~ ef~rring speci~ically to the ad~itting area 10.
the one parti~n of the hospital that every patient associ-ates is the admitting office 18. ~ patient may be admitted to a hospital, through admitting office 18, either through the emergency room 20 or by direct admittance from a doc-tor's office 22. Normally, some sort of a medical history, physical examination results and physician orders are sent to admitting office l~ by the admitting physician. Qt the admitting office, a patient's chart is initially set-up and the patient is assigned to a particular bed location in the hospital. Reports of the initial physical examination and patient history, as well as the physician's orders are then placed in the cnart. Other documents. such as prior hospi-tal di~charge reports may also be placed in the chart.
When using the subject invention, the bed location and other pertinent patient data tname, address, age, sex, etc.) of the patient and the physician admitting orders and hi~tary and phy~ical information are entered into terminal Z4. This information is transmitted to and stored in main Z computer 26 in the medical records department l~ and may be accessed by any of the other terminals 24 shown in Figure l. Of course, the information may be subject to pass~ord or other security procedures, which procedures are well known in the art.
Z5 The history and physical information may be derived from an emergency room physician's examination of a patient brought into emergency room ZO an~ may be entered from the terminal 24 in either the admitting office or the emergency room 20. ~lternatively, the history and physical in~orma-tion may have been generated earlier during an examination at doctor's office Z2 and may be entered from a terminal Z4 contained in the doctor's office 22 directly to the admit-ting office and tn computer 26. In such case~ the patient may be pre-admitted and go directly to an assigned room without visiting the admitting office l8, or with oniy a short visit to the admitting office 18.
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' P~/Us90/o~og5 ~ W091/~6917 2~677~ ~
One time saving technique for entering the historv ~nd physical information utilizes a program in which all normal camponents of a patient's history and physical exam-ination are pre-programmèd. Such a program permit~ the S physician to merely recite abnormal findings by dictating or checking a form for later data entry of the abnormali-ties. ~ fnrm 2B. of a type which may be completed by the patient, with or without assistance -from a nurse or other membPr of the physician's staffO i5 5hown in Figure 2. A
form 30, of a type which may be used by the physician for providing the information results of a physical examina-tion, is shown in Figure 3. Alternatively, the physician may use form 30, shown in Figure 3, as a guide in dictating a physical e~amination report and need only dictate the abnormal findings. As seen in both Figures Z and 3. both forms ~8 and 30 list many possible problem~ which could be associated with a particular patient. To use the forms 28 and 30, only the abnormal blo~k~ n~ed be checked. When the data is entered into the terminal Z4. the screen prompting the data entry operator will be organized similar to the various sections of the forms 28 and 30 and the information on the forms Z~ and 30 is thereby easily entered through terminal 24 into computer 26 of the system shown in Figure 1. ~n example of the entire forms 23 and 30 i5 shown in ~ppendix I and Qppendix II hereto, respectively.
As seen in Figure 2, the patient history portion of the required information i5 initially provided by the pa-tient filling in the lines or checking the appropriate blocks of fDrm 28. The blocks are organized by the various medical systems of the body. ~s seen from Figure 3, the physical examination form 30, as we]l as the program of computer 26, segregate each variDus part of the body, so that a physician may indicating by a checkmark or by dicta-tion, that a particular part of the body has no medical problems. This is indicated by the WNL (within normal lim-its) block. ~lternatively, where particular medical prob-lems are found during the physical examination. that prob-. . ....... . . . .. . , ..... ~ . , . ..... , . .. ,. . , . . . ,, . . , , ,, . . , . , , ", ",, , _ .
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''''' ' ' WO 91/06917 2 i~ ~ 7 ~ ~ 7 P~/US90t~)60~5 lem i5 mani-fested by either oirclin~ a system, followed by a comment to be filled in the blank on the form. ~lterna-tively, the physician may dictate the abnormal results o~
the examination by simply referring to ~orm 30 as a guide.
F~rm 30 further includes a block labeled "DEFERRED" which may be checked if nct examination of that particular body system was made. or if a referral to another physician is necessary.
From the information provided using the forms Z~
r~ and 30 in Figures 2 and 3, a history and ph~sical report meetinq the requirements of the ~oint Commission For ~c-creditation Of Healthcare Organizations can oe prepared by computer 2~, setting forth the entire physic~l cDndition of the patient including both normals and abnormalities. The output device, su~h as the printer or screen monitor, or both, is programmed to print or display the abnormalities in bald, underlin~d or italics text for ea~y scanning by other physicians and medical service personnel. The his-tory and physical repDrt includes hoth the patient's past medical history, which is typically generated by the pa-tient, and the results of a physiral examination. In ei-ther case, it is necessary to only enter the abnormalities because the normals are pre-programmed within the system.
Where a patient has completed the General section Z5 32 of form Z3 shown in Figure Z by checking the Fever, Chills and Night Sweats blocks under the General system block 3Z, the history and physical report may include a clause under the heading Clinical Uistory, as follLtws:
"General: The patient complains of fev~r~ chills and night ~eat~ The patient reports no weakness, fatigue nor fainting." The report may contain the following sentence under the heading Physical E~amination, where the physi~ian has checked, or dictated, for the General block 34 as seen in Figure 3, that the patient is a 50 year old White Fe-male. that is malnourished. "6eneral: The general e~amina-tion reveals this 50 ye~r old white-female is well-deveI-oped. i5 malnnurished, alert, does not appear acutelv ill - .
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2~77a~
- WO91/1)6917 PCT/US~0/06095 and i5 cooperative." It should be noted that in the narra-tive transcript report, the pDrtions checked or completed are printed in a b~ld print and the items left blank are printed in normal print~ This makes a review o~ the report easier for those wishing to scan for only medical problems.
Once the patient has been admitted through admit-tin~ office l3 and the chart has been prepared, the physi-cian's order document and the history and physical e:~amina-tion report are inserted into the chart. Then, b~th the patient and chart are transferred to the assinned bed loca-tion. If the patient had previously been hospitalized and the subject system had been in use~ the past discharge sum-mary could also be retrieved from long term storage device 36 and reprinted for inclusion in the chart. This will be lS described in more detail hereafter.
Every bed location in a hospital is in a defined type of patient areas, typically a floor, wing, etc. For example, typical floors, wings, or patient areas of a hos-pital include the ICU~CCU area for critically ill patients,20 the medical area for patients undergoing diagnostic testing or recovering frnm illnesses, the surgical area for pre-operative and post-operative patients, the pediatrics area for children and the obstetrics area for obstetric's pa-tients. Of course, different hospitals may have differentZ5 nr additional patient areas. Within each of the various patient areas nf a hospital, a central nurses' statinn is typically present and such nursls' stations are shown in Figure l in nurses' station hlock 12. Located at each of the nurses' stations l2 is a terminal 24~ which includes a keyboard, screen display and printer device.
When the patient is transferred to the bed in one of the nurses' station 12 areas of the hospital, the chart is physically stored at the central nurses station. New documents are to be placed into the chart as they are re-ceived on the printer associated with terminal 24 at the ~,oarticular nurses'~ station. In addition. nurse's initialass3ssments, patient readin~s, such as blood pressure, tem-.. .. . . .. , . ... , . . , ., .. ............ ... ... . ~ , .... . _ .. .. ... . . .. . ...... . .. . . .. .. ...
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WO ~1/06917 ,~ ~ ~, 7 ,7 ~ 7 PCI /US90/060 perature, fluid intake and output et~., and other similar information may be entered and printed througl~ the nurse's station terminal Z4. This permits the information to be stored in the central computer 26 and exist in the patient's chart. In addition, the information th~t i5 en-tered through one of the terminals 24 is stored in central c~mputel- 2L~ as wel 1 as being printed on the printer at the nurses' station for inclusion in the paper chart. As will be discussed hereafter, the information printed on the n~rses' station printer may also be entered at various oth-er locatinns in the hospital.
Qt the time the physician's orders were entered in admitting office 10, the information was stored in central computer 2~. Typical of the physician~s orders would be the performan~e of certain tests, such as laboratory tests, X-rays, neurology tests and the like, and the provision of cert~in therapie~ for th~ patient, ~uch a~ physical ther-apy. respiratory therapy and the like. Additionally. the physician may order certain medication for the patient From the hospital pharmacy or special diets for the patient from the hospital dietary department. The information entered from the physician order is stored in computer 26 and transferred to the appropriate hospital service departments 14. where it is printed or displayed on the terminal 24 at such department. As an example, the various departments in a hospital may be the Neurological (NEUR0~ department, the Cardio-Pulmonary ~CARD10 PULM.) department, the pharmacy ~PHARM) department, the Laboratory ~L~B) department, the Radiology (X-RAY) department, the Respiratory Therapy ~RESP. THERAPY) department, the Physical Therapy (PHYS.
THERAPY) department, and the kitchen ~DIETARY) department.
For the hospital departments 14 giving tests or providing therapy services, it is not sufficient tQ merely advise each of the departments 14 of the fact a test i5 to ~5 be performed or that 3 certain therapy i5 to be given.
Many tests or therapies are available to one, or a limited number`of patients at a time. Further. a pati~nt can only -- . . , .,, ~ .. . .. . . . . . . . . . .. .... . .
_ WO9~/069l7 2 ~ ~ 7 7 ~ ~ Pcr/~sgo/o~og~
, be at one place at any given time. For example, cert~in X-ray tests are only available ~or one patient at a time and it is necessary to schedule the patients t~ fully uti-lize the X-ray equipment, while at the same time not delay-inq for unacceptably long periods the time required to per-~orm the X-ray. Thus. it is desirable that computer 26 schedule the time each test and therapy is to occur for the entire hospit~l.
~t the time the physician order is entered through terminal Z4 at the admitting office 13. the tests requested may be designated in a priority manner. For example, the physician may determine that the test should be per~ormed ST~T, indicating immediately, ~S~P ~as soo!~ as possible3, indicating that same ~ay, or Routine, indicating during the next available time slot. Where a high priority test is ordered. computer 2L may have to reschedule previously scheduled tests. This is easily accomplished by a conven-ti~n~l ~chnduling pr~gram and by printing or displaying the rescheduled times at both the department terminal 24 and the nurses' station terminal 24. As the test~ and thera-pies are completed, the schedule may be revised to minin,ize patient waiting where the ~epartment is behind schedule, or to minimize technician waiting if a department is ahead of schedule.
; 25 After tests are completed, the test result informa-tion is transmitted by the testing department to computer 26 and computer 26 causes the information tn be printed on the printers at the appropriate nurses's station 12 closest to the patient's location. The test results may include raw test results, such as blnod test results, or may in-clude interpretations made by a physician, such as in the case of an X-ray or EKG reading. ~gain appropriate forms to be completed, or to serve as dictation guidesl similar to forms za And 30 in ;igures 2 and 3~ may be used by the phy-sicians interpreting the test results. Once the test re-sults are printed at the nurses' station, the Frinted paper is placed in the patient's chart. Since the test results : .. . . .. . . . . ........................... ..
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W0~1/06~)17 PCT/US9~/~6U9;
~7~7 12 or interpretation~ are also stored in central computer 26,the attænding physician, or a cons~lting physician, i~ able to review the results from their own terminal 24 without h~ving to 9D to the hospital. When the test results are entered, computer 26 further causes appropriate billing for the tests performed. ~y using the same system that sched-ules and reparts test results to derive billing in~orma-tion, duplicate billing and non-billing situations can be reduced.
l~ In addition to utili~ing the nurses station termi-nals 24 for displaying the scheduled information, the nurs-es initial histories and daily patient information, such as blood pressure, heart rate, temperature, respiratory rate an~ fluid intake and output can be recarded and stored in computer 26. Each of the patient information entries may be reported back to nurses station 24 or, as will be ex-plained hereafter 5 printed in a discharge summary in the form of graphs or in an abstracted form as determined by the program for computer 26. In addition. the information may be printed at the nurses' station terminals Z4 for in-clu~ion in the patient's paper chart for referral by physi-cians or other medical personnel. Since the same informa-tion will be stored by computer 2b, it may also be reviewed by a physician having access to a terminal in his office without having to come to the hospital.
Each of the various hospital service departments receive instructions and/or provide results or comments to terminals 24 associated in their area. Further, billing information is normally taken from the provision of the results or comments indicating that the Drdered service has been completed. For some services~ only test re~ults are reported. For other services, comments of a therapist or physician are reported. In all instances. the reported information is stored in the memory of computer 2~ and printed at the nurses' station for inc1usion in the pa-tient's chart. In addition,-additional physician qenerated in~ormation may be entered from a terminal 24 and stored in .. . . , , . , ..... , . , , .. , .. , ,, ., . . .. ,, ,,, . ,,, .,,,, .. , .. ,, _ . . . .. . .. ..... . . . .. . .. ... . .. .. ... . . . . . . ..
,, ~ - - - ,-- -,- ,, :- .
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W~ 9i7 2 ~ ~ 7 7 ~ 7 Pcr/us90/U~9s c~mputer 2~, particularly where ne~ patient ailments or a ~h~nge in treatment occur. ~lso, medical findings may be entered and stored in computer 2~.
The above described sequence uf scheduling and data S reporting continues for the duration of the patient's stay in the hospital. When the patient is to be discharged from the hospital, a discharge summary report must be prepared, which meets the requirements of the ~uint Commission For Qccreditation Of Healthcare Organizations. Portions of the discharge summary repnrt include items dictated by the phy-sician or entered by completino the Discharge Planning form attached hereto as ~ppendix III. In addition, other por-tions include a summary, or abstracting. of the test result data, the treatments, new complaints and the like.
lS In preparing the Discharge Summary report, computer Z6 prepares the Discharge Planning document ~ppendix III) for cornpletinn by the physician. The ~ischarge Planning document is based upon the initial patient complaints and abnormal findings entered at the admitting office 18, as supplemented by additional patient ailments and abnormal physical findings entered during the patient's stay in the hospital. The Discharge Planning document is generally requested by the attending physician the day prior to an-ticipated discharge and is completed so th~t the proper ~S discharge documents may be prepared in time for the pa-tient's discharge the next morning. The Discharge Planning document is in a form which first lists each diagnoses listed on the Physical Examination ~eport ~Figure 3 and Qppendix Il) entered as part of the admitting procedure, as ~0 supplemented by additional diagnoses made during the hospi-tal stay and entered as physician's comments. Next~ a sec-tion for a discharge diagnoses is provided for completion by the physician.
Thereafter, the Discharge Planning document lists the various patient complaints and includes an area for the physician completing the Discharge Planning document to check ~hether the complaint was stable. improved spnntane-.. . .. .. . . .. . . . .. . .. . . . . . . .. . . . . . . . .. .... . . . . . . . .. . . . .. ... ... ..
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wo 9l/n69l7 2 ~ ~ 7 7 ~ 7 P~r/usgo/~6095 ,~t ously, resolved spontaneously. impro~ed with treatment or resolved with treatment. In addition, a block labeled "Other", together with an associated space. is provided.
For complaints which changed, or were resolved, with treat-ment, a space is provided for physician's comments. Next asimilar ~ection is provided based upon the phvsical e~lmi-nation abnormal findings entered originally, or as supple-mented during the hospitali~ation.
Finally, a summary and abstraction of the various department 14 reports is prDvided. rhese may include the admission, or first, reading, discharge, or last, reading and the hospital course reading. The hospital course reading is a reading between admission and discharge and may typically be the highest, Dr most abnorma] reading. If all interim readings were normal, the hospital course read-ing may be le~t blank. Of course, some services may not have been utilized during the hospitali2ation and will be blank, or there may only be one or two readings. In addi-tion! a place is provided for the physician completing the ZO Discharge Planning document to indicate that a particular ~ection is non-contributory and should be left out of the discharge summary report.
The Discharge Planning document conLludes with a prognosis section, a discharge instruction ~e~tion and a disposition section, all of which are to be completed by the attending physician. The disposition section is used tD indicate whether the patient is to be allowed to go home, to a nursing home. a rehab center, or the li~e. If the patient is to go to a nursing home~ rehab center or the liké, a social service module of the program o~ com-puter 18 includes a database for determining whether such a ~acility is available ~or that patient. I~ not. the final Dischargè Report may be delayed. Alternatively, the dispo-sition may indicate that the patient is referred to another physician, generally a specialist ~or the ailment deter-mined during hospitali~atian.
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--- WO91/06917 ; P~TtUSgO/0609;
Once the Discharge Planning Document is completed by the physician, a Discharge Summary document i5 prepared in narrative form, with the abnormal result~ highlighted, such as being printed in bold. In addition, Discharoe In-structions in layman's terms are prepared and handed to thepatient upan discharge. Of course~ the patient's final bill is provided at the same time.
In case the patient ever returns to the hospital.
it would be advantageous to be able to recall the signifi-cant events of the prior hospital stay. In order tD pro-vide this information, the discharge summary, and other pertinent in~ormation may be stored in a long term storage device 3~ such as a l~ser disk memory. In such a system9 multiple disks may be necessary and will be typically org~-nized based upon a period of time. Each patient entry maybe cataloged by patient name and/or social security number, for example, and a master dataoa~e, sortable by patient ~m~ ~n~or ~ocS~l ~ cur~ty number, should be maintained for the multiple disks, so that the ne~t time the patient enters the hospital, the pertinent information may be re-trieved, reprinted and placed in the patient's chart. ~t most, one disk per hospitali~ation will have to be loaded into storage device 3~ and the patient's past hospitaliza-tion history c.n be ~uickly retrieved. ln other words, it is no longer necessary to go to the warehause and retrieve the paper chart from storage to see the pertinent events of the prior hospital stay.
From the above description, it is seen that the same information i5 used for many different aspects of the required records management requirements for patient care.
Further, the computer system is programmed to abstract cer-tain information and ignore other information based upon the normality or abnormality of the results~ thereby making the task of the medical personnel easier and ~reeing time for patient care.
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~091J06~7 2 ~ ~ 7 7 ~ PCT/~S90/~6~95 .
While the subject computerized hospital system has been described as a series of remote terminals Z4 communi-cating with a central computer 26. the system may be set up as one or more lDcal area networks. or a combination of S such systems.
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' WV ~ 6~17 2 0 ~ 7 ~ '~. 7 P~r/USgO/06095 CLIN~C~AL HiSTORY Pag~ 1 ~Admn Dnle Admn ~Im~
Admn Y Med Suîg Ditecl ER
__ Name _ Flrs~ Mlddle Sn~e M F Dale ol E~rlh Physiclan Soclal Socurily rY Dale . _ _ ____--Symplom Locallon - Duralion ~_ Dale o~ brsl Rocr7nlly symploms O More Frequenl O More Inlense U Conlinuous Symploms I I have b730n t] Less Fraquenl O Less Inlense Ll Periodic How did symplom(s) slar~
How did symplom(s) progrrJss Wh31 brings 1l on _ Whal reli0ves It Whal makes i~ worse Associaled symp~oms _ MEDICATIONS DOSAGE ~REOUNCY 11~2aboveispain checklherJne(s)~halbes~describen _ U SevrJre O Needle-lihe L~ SDhula~rP
O Mild 7J Slabbing L I Gnawing _ O Conlinuous U Cramping [-I Sudden _ O Periodic O Deep 7;~ Gradual O Inlemmlllenl O Supr7rlicial LJ Shilbng . _ _ , . ._ . . _ ~
~ ~ ~E3~ffl ~ 3~ ~
OENERAL Sll IN HEAD EYES EARS NOSE MOUTH THROAT
nWeaknes5 OColorChnngos DHoodrchos nalu~odVislon DHardolHearin3 r]Decre0sedSmoll nDloedmgGums I ISoreness D Fa(i9Uo n Nail Chang~s O Inluries O Glaucoma n Dealness O Dleeding I I Soles I I Dad Tonsils [1 Fever O Halr Chongos O Dumps O Redn~ss O Ringing Ll Pain 1 1 Denlal P~oblems ! I Hoarseness O Chills O Molos O llchlng O Discharge O Discharge U Pain i 1 Paln O Nighl Sweals O Ra~hos _~J_ O Durmng D EnrachD O Obslrucllon O Dad Droalh !' Trouble O Foinling O ll~hlng Lasl Eye Exam O Swell~ng n IlChing D Posl Nasal Drlp U 0SS ol 7asl~ Swallowing O Soros O Glas~os O Pain O Loss ol Balon~e O Devinled Soplum U Dry Moulh El Recurronl O Dryness O Conlacls O Drynr~ss O Dlir21noss O Runny Nose n Ulcors Inlecnons _ ~ C01~rDC75 O Tel ring O Room 5Pj s O Sinua Con ~o~bon D Dlis~ors NEClt DREAS75 LUNOS HEART DLOOD GASTROINTESTINAL
O Neck O Dbch~rgo O Cough O Murmur O Anemia O AbdomlnDI Pain D Diarrhea Enlorgomonl O Lumps O Phlegm O Palpllolions O Low Dlood Iron O Nnugoa D Gas O Sllll Neck O Peln O Dlood O Rapld Hearlbeal O Easy Druising O Vomiling n Hemo7rholds O Sorenoss O Dloedlng O Shorl ol DroDIh O Swollon Exlremllies D Easy Dloodmg O Dloalednsss U Hernias O Lumps O Nlpplo Chango~ O Wheoirlng O Cold E~lremlliRs O Swollon NorJos O Delching t ) Poor Appeli~e O Massos O Skln Chango~ O Pnln O Chesl Paln/Prus~uro O Painlul Nodos O HoarDùurn r ] Food Inloloranco O Sbolodnoss O Congrr31bn O Vari~r~so Volns O Sug~r In Dlood O Indlgeslion L9 BloodY 5~0~5 O Inhalenl Expr7suro O Dlood Clols O R~d Spols n Irregulrlr Dowol Habils rl Dlack Slools _ _ O Dlue E~lremlllos _ O Consllpallon OEHITOURINARY GYNECOLOt;lCAL
O Urgoncy O Smoll Slream O Spolling 90nvoen Porlods Conlracepllon - Type MENSTRUAL FLOW
O Inconlinonoo O Dlschorgo O Monslrual Cramps Ag~ 7R lirsl period O Slraining U Soros O Spolling Allor Mr~nopauso Age al msnopauso r 1 Heavy I I Moderale D Dghl 0 8ack P~in O Impou nCo O Dlsch7~rg o Duralion ol cycle O Frequsnl Voiding O Drlbbling O IlChing Durblion ol llow _ Lasl P~iod O Slonos O Cloudy Urlnù O PrHnlul Inlercourse No ol pregnancies O Durning O Irregular Perlods No ol birlhs Lasl Pap Smear _ _ _ O BedWenmg URINE COLOR O Hol Fla~hos No ol mlscarrlages O Dloody Urine O Poin Dslwoen Porlodo No ol aborllons Lasl M~mmogrem ~
iUUSCULOSKELET~L NEUROLOOICAL PSYCHIATRIC ENDOCRINE
O Muscla Paln O Injurlos a Sei2uros O Weak Grip O Hyporvenlllalion n Hallucinallons L I Welghl Loss O Musclr7 Woaknr7s~ O Tendornes~ O Verbgo O Paralys~s [I Insocurily n Loss 0l Memory I Welghl Galn O Uuscle Cramps O Curvaluro ol Splne O Dlz21ness O Dlllicully ol Speoch n DeprrJsslon [I Abohollsm I Hoar3eness n Muscle Twllching O Dack P7 in O Hond Trornbling O Tingling O Troubbd Sloep W Drug Addlclion ! Heal Inrolerancr U Joinl Slillnoss O Hol Joinls O Loss ol Sonsalions D Loss ol Momory n hrllrlblo n Drug Depondoncy Cr~ld Inlolorance n Joml Pain O Incoordinalion O Numbnoss r~ An~lou~ness rl Suicidal Thoughls Droasl Changes D Joinl Swellmg O Loss ol Focial 11 Undocidodness n E~lremo Worry Halr Changes _ _ _ ~ I ' Timid ~ I I Se~ual PIoblem5 E rreme Thl7s ~ ~ ` ~ ~ ~~ ~ A~en~i~- I~ (P~age-1- of~ 2~ - -- -- - - - -- --- - -- - -:. ., - ,- . -ntlnrTlTllT~ ~Itrr7~
~ f ~ 7 ~ r~7i ~
WO 91/()6917 ~ ~ ~; r ,~ Pcr/Usgo,ooo~s -- ,~ 7 ~ != 7 1~
_ .
Paslgonoralslaloolhoallh: OExcoaonl DC~ood t~Fai~ OPoor Cl Hay Fove~ O Skln Trouble O Tuberculosis O Hopnlllis Ll Gonorrhea f l Polio 1:1 Mumps LJ Cnlnracl5 L I Hoarl Trollble U Paresllr~s L.l Herma :J Monlal Illness !.. 1 Mensles I ] Tonsllllis [J Varlcose Voins O Dysenlery 1.1 Sexual Problems ! ! Alcoholism Rheumalic Fovor O Sinusllis U Phlebllls O Colllis 1_1 Proslalo Probloms ' J Depression ~ Allelgles Ll Goiler Ll Hyporlen~lon D Polyps 1.1 Hemorrhoids , I Norvous Breakdown 'Anr3mia U ElrraslTrouble USlroko OKidneyInleclions ~ Arlhrilis ;:1Olhers U Cancer U Aslhma O UlcrJrs D Kldney Slones U Goul U Tumor O Bronchllis U JDundico U Bladder T~ouble 1_1 Mlgraines .1 Blood Dls0ase 0 Plourlsy n Gallslones O Diabolos U EpilepsyU Lol~kemia O Pneurrlonia Cl Llvor Troublo U Syphllis LJ Paralysis ILLNESSES INJURIES OPERATIONS DATE HOSPITAL TREATMENT PHYSICIAN
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_ . ., _ _ IMMUNIZATIONSNACCINATIONS BLOODTYPE BLOODTRANSFUSIONS LAST CHEST X-RAY ALLERGIES
O DPT O Measles O A + O A - No. ol Trar sluslons Dale ;
U Mumps O Pneumococcal 0 9 ~ O B - DATE S REASONS D Normal ~1 Abnormal U Smallpo~ [1 Inlluenza D AB t O AB - ( ) I LASTTB SKIN TEST
OTyphoid O Polio O O + DO - _ I Dale . ~
O Telanus O MMR O Olher i I _ O Posilivo O Nogalive _. _ . _ ~n ~ ~ ~ ~
BlDod Rolatlvetl Age 11 Ago al Only Living Cealh Cause ol D0alh Slale ol Heallh Illnesses Falher _.
Molher _ _ 8rolher(s~ _ _ Sisterls) _ !.
Malernal Grandlalher _ _ _ Malernal Grandmolher Palernal Grandlalher Palernal Grandmolher . . _ _ ~ _ _ _ Currenl Welghl Usual Werghl Maximum Welghl Minimum W&ighl IUENTAL WORK PHYSICAL WOFtK EXERCISE SMOKING ALCOHOL
O Heavy O Heavy O Heavy O Moderele O Lighl Cl Curronl O Provious O 9eer AmounhWeek _ O Moderale O Modsrale Type(s) No. ol packs per day _ U Liquor Amounl Week _ U Lighl O Lighl No. ol yeers a Wme Amounl Week _ No.olhoursperday_ . No.olhoursperda I_ No. ol hours perweek _ Olher~ No. ol years CAFFEINEASPIRINS NUTRITION No. ol pr~r tlon~ per weoh DRUGS No. ol doses per week (Coffert Tr~a Cola) _ Mil)t _ Fruils _ Beel _ Vilamins _ Waler Pills _ Saccharin No.perday_ _ MilkProducls _ Breads _ Porh _ Laxalives _ SleepingPills Olhers:
Cupsporday_ No. olyoars_ (Choose Bullor) _ Coreal _ Chicken _ Anlarids _ Nerve Pills _ ___ No. ol years _. Othars _ Eggs _ Fish _ Shelllish _ Diel Pills _ Polassium _ Vegelables _ Liver _ Sweels _ PainPills _ Nulrasweel _ ,, _ . , ._ . , .. _. _ - Date l~r vrewed I - ~ - Heyleweo By ~ - - - - - - . .
nr TrTI rlrr ' . ' ' ~ ' :: ' , , .
:
_.WO(~/06917 2~7~ PC~/US90/06~95 PllYSlC~ALE)U~MlNATlONPclge1 ¦ l Admn, d~ Mr~d Surg Dllea ER
Vilol Signs EIP / P , T_ R HT WT Raca GENERAL DESCRIPTION
r~wNL OADNORMALFlNDlNGS~Cl~clo~ndglvoaonormallly) ClDEFEnREDTo _OMITSECTION
i. DovoloDm~nl 23 SNloaulr5~onlmr`~onnl5ciou no 4 ADDo~nco, Alhlud~
s Olho~s _ _ _ . -- --SKIN -OWNL OA0NoRMALFlNDlNGs~clncloandgiw~onorm~l//y~ ODEFERREnTo GoMlTsEcTloN
2 Color 3 El sli~lly s R ~nas, Soras 7. ome~s _ ., .
--~LYMPll NODES
OWNL pA8NoRMALFlNDlNGs/cirrb~r~dg~vo~ùnr3rm~l;b) ODEFERREDTo OOMITSECTION
2 C~lvic~l 3 Suerrrcl vlcul-~
5 Allll~ly 7. Othor~
_ _ T
EYES ~
OWNL DABNoRMALFlNDlNGs/cinclo~ndD~ bnorm~lllr) CDEFERREDTo OOMITSECTlON
2 scl ;rAc~ ocnourn~ vAùn~Lcch r3londs 4, Furldus 5 EOM;;Ny~l~gmu~,Vl~u~lAcully RS, NOSE, THROAT - ~
OWNL OA8NORM LFlNDlNGS/Cin~handgivo~ononm~ yJ ODEFERREDTO - nOMlTSECTlON
2 Tymponic Mrlmb~nos 3 NrJsai Mucos 5 Olal Mucosa, Seliv Glands, Tongue 7 Olhr~rs ,~ HEAD AND NECK -- I
OWNL DA0NoRuALFlNDlNGs/cincloandgivoabnom~aaly) ODEFERREDTO GoMlTsEcTloN
3 Tlaches . Thyloid L ornors _~BR~5-.
O WNL FEMALE O ABNORMAE FINDINGS /C9clr~-mdo~ve ~DnormaSly) O DEFERRED TO _ O OMIT SECTION
1 Sl~e Po~llion 2 NjDPIeS
3 Sidn M~5J~ NrJdulos I ~ OWNL MALE OA0NoRM I FiNWNGS/C~clarndg/lrolibnommalily~
2 Olh~s ~ ~ n , ~ RESPIRATORll' --OWNL rJABNoRMALFlNDlNGs/c/lcloondgivoaùnormal/ly) nDEFERREDTo --OMITSECTION
1 f30ny Thora~
2 i-~oan ion 4 Po~cus~/on TachlaF~emllus s -3realh Sounds , 5, R lq~ Rhonch~ Whoa~o~, Rubs _ _ , , , , A~eil~ix IJ !Paae 1 of 2) ... . ... ~ . . ... . .. . . . . . . .
- - - - - . - - - .. .
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'i~!!ni~sTlTl~E ~ r~T
W(~ 9~/06~17 ~ P~/US90/06U~5 --- --CiARDlOVASCULAR ~
I IWNL OAL3NoRMALFlNDlNGsrcm~lonndrylvo~bnolm3Dly) nDEFERREDTo~ .... ''OMITSECTION
2 Cr~rdlac Sl~e 3. ADox '30al. Thrllls 4 . Rhylhm, Ralo b Piirlphnral Pulrro~. 3rull~
7. Murmur~, Gnhopl, Rubs. Cllck~
3. Olhor~
_ _ . -- ABDOMEN ---WNL O ARNORMALFINDlNGS~CIrcloands~vr~obnormflb~rl O DEFERREDTO__ OMITSECTION
I Scors; Hnrnlallon~; Dlslonllon 3. Lhor. Gnllbladdor 4 Sglnon 6. Kldn0ys 9 Shllllng Dullno~s, Fluld Wavo 9. t30wal Sounds 10. Olhr~r6 . --- - - OENlrALlA -OWNL FEMALE: Q ARNORMALFlNDlNt35/Ci/clo~ndgiw~ùno~rn~S~yl O DEFERREDTO O OMITSECTION
2. Vagin~. Ce:vlx, Drynoss 3. Ulorus, Ovsrios, Tubos .
4 M3~sns, Dlsch~rgo O WNL MALE- O ARNORMAL FINDINGS /Cinclo ondglvo abnommoli~y) 1 Scrolurn, 70s!rrs 3. Horni~s 4. Olhors RECTUM -- - .
OWNL QA5RNORMALFlNDlNGS(Gncloflndgivrr~bnomma/ily) QDEFERREDTD DoMlTsEcTloN
2. Homorrholds 3. Pro~lrllo (Mon 0nly~
r - _ _ BACK AND EX~i'REMlTI~5 -OWNLOARNoRMALFlNDlNGs~clncloarrd9ivo3bnormfllily) QDEFERREDTo OoMlTsEcTloN
2. Exlr6mllios, ROM' 3 Edlrma, Cyano~is. Varicos, Ulcorallons - - -- ~ NEURS~LOGlCiAL~
DwNL OARNoRMALFlNDlNGs~cirrbandgivoabnonm3liryJ ODEFERREDTo OOMITSECTION 1. Mnnlal Slrllus 2 Crrjnial Norvos 4. Molor 5. Sonrlory EOU - E~llln~ir Oa~b~ ~o~rrn~rnr~ 2 RO~r _ Fur~ ol r~oliOn DIAGNOSE5 REC9MMENC~A'rlONS
2. 2. __ 3. 3.
~ _ 4.
5. 5.
6. . 6.
INCLIOING ~EDICAL NOTES ANI) TEST RESULTS AND FOR SCHEOULI~TG
PATIENT RELATED SERVICES."
~ hi~ invention relates to a hosoit.~l medical recnrd m-~intenance. oeneration and schedulina system. and more particularlv. to a computerized system located throuohout the haspital facility for maintaining and aenerati-lg re-S quired medical records for a hospitalized patient and forscheduling various tests. therapies and other hospital ser-~fices for that patient.
In the past, record keeping ~or a hospitalized pa-tient has been a major problem for the proper administra-tion of a hospital and a major administrative drain on thetime of the me~ical staff. ~ patient'~ ohart. or file. is typically maintained at the nurse's station. which is in the area of the patient's hospital room. However. docu-ments ~rom various parts of the hospital, such as laobora-tory reports, physical therapist's reports, doctor's re-ports and the like are continually generated at locations throughout the hospital, or in other places remote from the hospital, and must be placed in this chart. The need for continual access to the chart places additional wor~. on the hospital support staff, such as the nurses and technicians, who must either travel to the chart area. or telephone the nurses station for a report on information contained in the chart. Further, a substantial expenditure of money on the part of the hospital results because Df the necessity of employing runners or messengers to physically carry the various reports to the nurses station for inclusion with the chart. These procedures can delay the placing of im-portant documents in the patient's chart ~or review by phy-sicians and nurses.
Another problem commonly present in most hospital systems is the scheduling of patients for various services performed by the hospital. Some services. such as physical therapy. respiratory therapy, X-ray~ and the like mav only ~ be able to handlD one, or a few, patients at a time. Fur-ther. a patient can onlv be scheduled to be in one place at .. ., . . . .. ., ~ . , ,_ . . .. , .. .. .... ~ . , .. ... ~ ,.. , ., " .. . .. .. ..... .... ... .... .. ... . . . . . .. . .. .. . .. . ... ..
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W(~ g]/1)6917 PCr/US~0/~36095 ~ ~ $ ~ rl ~ 7 a time. In order to properly schedule patients, the tech-nici~ns in the various service organization~ and nurses nn the patient floor are constantly communicating by telephone to set up appropriate schedules. This t~kes up valuable time of the hospi~al personnel. which otherwise could be used for direct patient care. Furthermore. emergency situ-ations often n~cur in a h~spital, resulting in changes to the schedule to permit the emergency t~sts to be performed, thereby causing normally scheduled non-emergency tests to either be rescheduled or causing the patient to wait for long periods of time at the service area. ~gain, this takes up additional time of the hospital s~pport staff which could better be utilized in providing direct patient care.
In addition to the above, there are many other problems which reduce the time that scarce medical staff has available to provided direct patient care. For exam-ple. for every patient discharged from a hospital, a dis-charge summary must be prepared based on the patients hos-pital stay. Much of the information contained in the discharge summary is contained in the patient's chart and needs to be summarized or abstracted before being placed in the discharge summary. In addition, physicians must dic-tate the discharge summary relating to the medical conclu-Z5 sions and ~uture care Df the patient. This results in ad-ditional physician time and inherent delays in the preparation of the discharge summary, since~ after being dictated by the physician, it must first be sent to a tran-scription service firm, ~hich typically is at a location ~0 remote from the hospital~ and then returned tD the hospital for inclusion with the chart before the patient i5 dis-charged. ~ similar problem exists for the history and physical reports, which are generated at the time the pa-tient is admitted.
~ost hospitals possess computer systems which are used for much of the administration within th~ hospital.
For examplel in most hospitals, computPr systems provide ----^--------, ,, , . . . - - - .
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2 ~ ~ 7 7 ~ l WO 91/06()17 PCr/US90/0~39 the bills for the patients. To generate a bill, substan-tial data. such as tests and service~ performed. must b~
entered into the computer in order ~or the bill to be aen-erated. ~ecause of the e~istence of computeri2ed billina utili~ed in most hospitals, computer terminals are typi-cally positioned throughout the hospital in order to permit the data to be entered at the location that the charge is generated. For e~ample. when laboratnry tests are per-formed, the data is entered into the billing computer di-rectly from the laboratory area so that the cost of thetest can be placed on the patient's bill. However, much of the same data may be hand carried to the patient's chart for review by the medical staff.
One could substantially increase the efficiency and lS reduce the paper work in a modern hospital by more fully utilizing existing computer systems, or by installing sup-plemental systems, to relieve much of the administrative burdens placed on physicians and support staffs in the hos-pitals. For example, the maintenance of medical records can be substantially simplified by utilizing computer tech-nology. In addition, the scheduling of patients can be simplified using the computer technology. ~y combining functions, such as scheduling and chart report generation into single systems, considerable ef-ficiencies and duplica-tions are further eliminated. 5ince much of +he informa-tion is already being entered into a computer system for billinq purposes, the incremental additional work is mini-mized. For example, one must now type in the ~arious labo-ratory tests performed for billing; to additionally type in the test results would not require significant additional effort. The benefit, of course, is that once the test re-sults are entéred into the system, anyone with access to a terminal and a password can see the results without physi-cally going to the chart or without calling and disturbing a nurse. Further, as soon as the results ale typed into the system, they can be printed at the nurses station and immediately be placed in the patient's chart.
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W~gl/~6~7 ~ ~ ~' 7 7 ~ 7 P~/U~90/~60~ -The prior art discloses various computer svstems which control portions of a hospital system. but nothing shows the entire integrated system ~s proposed herein For eY~ample. reference i5 made to the following United States P~tent~ which sho~ v~riou~ priar art hospital computeri~ed systems: 3,a72,44~ in the name of ~aker ~. ~itchell, ~r.
and entitled, "Hospital Data Processing 5ystem"; 4,135,241 in the name of Eugene A. Stanis et al and entitled, "Inven-tory Control, ~ed ~llocation and Accounting Data Handling 10 System"; 4,315,30~ in the name oF Robert D. Coli and enti-tled, "Integrated Medical Test Data Storage and Retrieval System"; 4,4919725 in the name of Lawrence E. Pritchard and entitled, "Medical Insurance Verification and Processing System"; 4,5~ 74 in the name of Donald H. Dornbush et al and entitled, "Information Recording ~nd Retrieval System";
4,~5~,357 in the name of Gary T. Carroll et al and enti-tl~d. "Tim~ and ~c ounting Sy~tem"; and 4,~17,050 in the name of Kenichi Komatsu et al and entitled, "Database Sys-tem".
In accordance with one aspect of this invention, there is provided a scheduling and reporting system for hospital patients comprising means for entering location data regarding each patient and physician orders for hospi-tal services to be performed for each patient. Further, Z5 the system includes means for scheduling the ordered ser-vices ~or each patient and ~or reporting the schedule in-formation to a common area in the vicinity o~ each patient's location. The system ~urther includes means for recording and repnr~ing the resùlts of the services admin-~ istered to each patient to the common area in the vicinity of each patient's location. Finally, the system includes means responsive to the recorded information for generating a discharge summary report for each patient at the conclu-sion of the hospitaIi2ation of such patient.
~5 In accordance with another aspect of this inven-tion, there i5 provided a method of scheduling patient ser-vices and recording patient data~for a hospitali2ed patient .. .... . . . , , . . ., ., . ,,, .. , .,, . .. ,,, . ., .. , . .. . . . ., ., . , .,, .. ., , . . , . ,, . . . . ,, , _,. . . .. .. . .
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- WO~/069~7 2 ~ ~ 7 7 ~ 7 PCT/US~0/~60g5 cnmprises the steps of recording and location f~r each pa-tient and recording physici~n orders fnr services tn be performed upon each patient. ~dditionally~ the method in-cludes the steps of automatically scheduling the services for each patient. recording the results of the perfcrmance of such services and providing the discharge summary record for each patient.
One preferred embodiment of the subject invention i5 hereafter described with specific reference being made to the following figure, in which:
Figure 1 shows a block diagram of the improved med-ical records and scheduling computer system;
Figure 2 illustrates a form a patient may use to providr medical history information for entrance into the computer system of the subject information; and Figure 3 illustrates a form a physician may use in providing information relating to a physical examination for entrance into the computer system of the subject infor-mation.
Z Referring now to Figure 1, a diagram illustrating the various areas of a hospital which would use the subject invention is shown. These various areas include the admit-ting area lO, the nurses' stations 12~ the various hospital service departments 14 and the medical record's department 25 16. Within each af these areas lO. 12, 14 and 1~. many sub-areas, to be specified hereafter, are included. Typi -cally, each individual area or sub-area of a hospital oper-ates independent of other areas or sub-areas; however, each area or sub-area must constantly communicate with c~rtain other areas or sub-areas to make information generally available. One purpose of the present invention is to fa-cilitate orderly, efficient and rapid communication among the various areas of the hospital and to provide such in-~ormation with minimal human intervention between the vari-ou5 areas and sub-areas. as necessary.
, WV91/06917 ~ 7 ~ 7 P~T/US90/~6~95 --~ ef~rring speci~ically to the ad~itting area 10.
the one parti~n of the hospital that every patient associ-ates is the admitting office 18. ~ patient may be admitted to a hospital, through admitting office 18, either through the emergency room 20 or by direct admittance from a doc-tor's office 22. Normally, some sort of a medical history, physical examination results and physician orders are sent to admitting office l~ by the admitting physician. Qt the admitting office, a patient's chart is initially set-up and the patient is assigned to a particular bed location in the hospital. Reports of the initial physical examination and patient history, as well as the physician's orders are then placed in the cnart. Other documents. such as prior hospi-tal di~charge reports may also be placed in the chart.
When using the subject invention, the bed location and other pertinent patient data tname, address, age, sex, etc.) of the patient and the physician admitting orders and hi~tary and phy~ical information are entered into terminal Z4. This information is transmitted to and stored in main Z computer 26 in the medical records department l~ and may be accessed by any of the other terminals 24 shown in Figure l. Of course, the information may be subject to pass~ord or other security procedures, which procedures are well known in the art.
Z5 The history and physical information may be derived from an emergency room physician's examination of a patient brought into emergency room ZO an~ may be entered from the terminal 24 in either the admitting office or the emergency room 20. ~lternatively, the history and physical in~orma-tion may have been generated earlier during an examination at doctor's office Z2 and may be entered from a terminal Z4 contained in the doctor's office 22 directly to the admit-ting office and tn computer 26. In such case~ the patient may be pre-admitted and go directly to an assigned room without visiting the admitting office l8, or with oniy a short visit to the admitting office 18.
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' P~/Us90/o~og5 ~ W091/~6917 2~677~ ~
One time saving technique for entering the historv ~nd physical information utilizes a program in which all normal camponents of a patient's history and physical exam-ination are pre-programmèd. Such a program permit~ the S physician to merely recite abnormal findings by dictating or checking a form for later data entry of the abnormali-ties. ~ fnrm 2B. of a type which may be completed by the patient, with or without assistance -from a nurse or other membPr of the physician's staffO i5 5hown in Figure 2. A
form 30, of a type which may be used by the physician for providing the information results of a physical examina-tion, is shown in Figure 3. Alternatively, the physician may use form 30, shown in Figure 3, as a guide in dictating a physical e~amination report and need only dictate the abnormal findings. As seen in both Figures Z and 3. both forms ~8 and 30 list many possible problem~ which could be associated with a particular patient. To use the forms 28 and 30, only the abnormal blo~k~ n~ed be checked. When the data is entered into the terminal Z4. the screen prompting the data entry operator will be organized similar to the various sections of the forms 28 and 30 and the information on the forms Z~ and 30 is thereby easily entered through terminal 24 into computer 26 of the system shown in Figure 1. ~n example of the entire forms 23 and 30 i5 shown in ~ppendix I and Qppendix II hereto, respectively.
As seen in Figure 2, the patient history portion of the required information i5 initially provided by the pa-tient filling in the lines or checking the appropriate blocks of fDrm 28. The blocks are organized by the various medical systems of the body. ~s seen from Figure 3, the physical examination form 30, as we]l as the program of computer 26, segregate each variDus part of the body, so that a physician may indicating by a checkmark or by dicta-tion, that a particular part of the body has no medical problems. This is indicated by the WNL (within normal lim-its) block. ~lternatively, where particular medical prob-lems are found during the physical examination. that prob-. . ....... . . . .. . , ..... ~ . , . ..... , . .. ,. . , . . . ,, . . , , ,, . . , . , , ", ",, , _ .
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''''' ' ' WO 91/06917 2 i~ ~ 7 ~ ~ 7 P~/US90t~)60~5 lem i5 mani-fested by either oirclin~ a system, followed by a comment to be filled in the blank on the form. ~lterna-tively, the physician may dictate the abnormal results o~
the examination by simply referring to ~orm 30 as a guide.
F~rm 30 further includes a block labeled "DEFERRED" which may be checked if nct examination of that particular body system was made. or if a referral to another physician is necessary.
From the information provided using the forms Z~
r~ and 30 in Figures 2 and 3, a history and ph~sical report meetinq the requirements of the ~oint Commission For ~c-creditation Of Healthcare Organizations can oe prepared by computer 2~, setting forth the entire physic~l cDndition of the patient including both normals and abnormalities. The output device, su~h as the printer or screen monitor, or both, is programmed to print or display the abnormalities in bald, underlin~d or italics text for ea~y scanning by other physicians and medical service personnel. The his-tory and physical repDrt includes hoth the patient's past medical history, which is typically generated by the pa-tient, and the results of a physiral examination. In ei-ther case, it is necessary to only enter the abnormalities because the normals are pre-programmed within the system.
Where a patient has completed the General section Z5 32 of form Z3 shown in Figure Z by checking the Fever, Chills and Night Sweats blocks under the General system block 3Z, the history and physical report may include a clause under the heading Clinical Uistory, as follLtws:
"General: The patient complains of fev~r~ chills and night ~eat~ The patient reports no weakness, fatigue nor fainting." The report may contain the following sentence under the heading Physical E~amination, where the physi~ian has checked, or dictated, for the General block 34 as seen in Figure 3, that the patient is a 50 year old White Fe-male. that is malnourished. "6eneral: The general e~amina-tion reveals this 50 ye~r old white-female is well-deveI-oped. i5 malnnurished, alert, does not appear acutelv ill - .
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2~77a~
- WO91/1)6917 PCT/US~0/06095 and i5 cooperative." It should be noted that in the narra-tive transcript report, the pDrtions checked or completed are printed in a b~ld print and the items left blank are printed in normal print~ This makes a review o~ the report easier for those wishing to scan for only medical problems.
Once the patient has been admitted through admit-tin~ office l3 and the chart has been prepared, the physi-cian's order document and the history and physical e:~amina-tion report are inserted into the chart. Then, b~th the patient and chart are transferred to the assinned bed loca-tion. If the patient had previously been hospitalized and the subject system had been in use~ the past discharge sum-mary could also be retrieved from long term storage device 36 and reprinted for inclusion in the chart. This will be lS described in more detail hereafter.
Every bed location in a hospital is in a defined type of patient areas, typically a floor, wing, etc. For example, typical floors, wings, or patient areas of a hos-pital include the ICU~CCU area for critically ill patients,20 the medical area for patients undergoing diagnostic testing or recovering frnm illnesses, the surgical area for pre-operative and post-operative patients, the pediatrics area for children and the obstetrics area for obstetric's pa-tients. Of course, different hospitals may have differentZ5 nr additional patient areas. Within each of the various patient areas nf a hospital, a central nurses' statinn is typically present and such nursls' stations are shown in Figure l in nurses' station hlock 12. Located at each of the nurses' stations l2 is a terminal 24~ which includes a keyboard, screen display and printer device.
When the patient is transferred to the bed in one of the nurses' station 12 areas of the hospital, the chart is physically stored at the central nurses station. New documents are to be placed into the chart as they are re-ceived on the printer associated with terminal 24 at the ~,oarticular nurses'~ station. In addition. nurse's initialass3ssments, patient readin~s, such as blood pressure, tem-.. .. . . .. , . ... , . . , ., .. ............ ... ... . ~ , .... . _ .. .. ... . . .. . ...... . .. . . .. .. ...
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WO ~1/06917 ,~ ~ ~, 7 ,7 ~ 7 PCI /US90/060 perature, fluid intake and output et~., and other similar information may be entered and printed througl~ the nurse's station terminal Z4. This permits the information to be stored in the central computer 26 and exist in the patient's chart. In addition, the information th~t i5 en-tered through one of the terminals 24 is stored in central c~mputel- 2L~ as wel 1 as being printed on the printer at the nurses' station for inclusion in the paper chart. As will be discussed hereafter, the information printed on the n~rses' station printer may also be entered at various oth-er locatinns in the hospital.
Qt the time the physician's orders were entered in admitting office 10, the information was stored in central computer 2~. Typical of the physician~s orders would be the performan~e of certain tests, such as laboratory tests, X-rays, neurology tests and the like, and the provision of cert~in therapie~ for th~ patient, ~uch a~ physical ther-apy. respiratory therapy and the like. Additionally. the physician may order certain medication for the patient From the hospital pharmacy or special diets for the patient from the hospital dietary department. The information entered from the physician order is stored in computer 26 and transferred to the appropriate hospital service departments 14. where it is printed or displayed on the terminal 24 at such department. As an example, the various departments in a hospital may be the Neurological (NEUR0~ department, the Cardio-Pulmonary ~CARD10 PULM.) department, the pharmacy ~PHARM) department, the Laboratory ~L~B) department, the Radiology (X-RAY) department, the Respiratory Therapy ~RESP. THERAPY) department, the Physical Therapy (PHYS.
THERAPY) department, and the kitchen ~DIETARY) department.
For the hospital departments 14 giving tests or providing therapy services, it is not sufficient tQ merely advise each of the departments 14 of the fact a test i5 to ~5 be performed or that 3 certain therapy i5 to be given.
Many tests or therapies are available to one, or a limited number`of patients at a time. Further. a pati~nt can only -- . . , .,, ~ .. . .. . . . . . . . . . .. .... . .
_ WO9~/069l7 2 ~ ~ 7 7 ~ ~ Pcr/~sgo/o~og~
, be at one place at any given time. For example, cert~in X-ray tests are only available ~or one patient at a time and it is necessary to schedule the patients t~ fully uti-lize the X-ray equipment, while at the same time not delay-inq for unacceptably long periods the time required to per-~orm the X-ray. Thus. it is desirable that computer 26 schedule the time each test and therapy is to occur for the entire hospit~l.
~t the time the physician order is entered through terminal Z4 at the admitting office 13. the tests requested may be designated in a priority manner. For example, the physician may determine that the test should be per~ormed ST~T, indicating immediately, ~S~P ~as soo!~ as possible3, indicating that same ~ay, or Routine, indicating during the next available time slot. Where a high priority test is ordered. computer 2L may have to reschedule previously scheduled tests. This is easily accomplished by a conven-ti~n~l ~chnduling pr~gram and by printing or displaying the rescheduled times at both the department terminal 24 and the nurses' station terminal 24. As the test~ and thera-pies are completed, the schedule may be revised to minin,ize patient waiting where the ~epartment is behind schedule, or to minimize technician waiting if a department is ahead of schedule.
; 25 After tests are completed, the test result informa-tion is transmitted by the testing department to computer 26 and computer 26 causes the information tn be printed on the printers at the appropriate nurses's station 12 closest to the patient's location. The test results may include raw test results, such as blnod test results, or may in-clude interpretations made by a physician, such as in the case of an X-ray or EKG reading. ~gain appropriate forms to be completed, or to serve as dictation guidesl similar to forms za And 30 in ;igures 2 and 3~ may be used by the phy-sicians interpreting the test results. Once the test re-sults are printed at the nurses' station, the Frinted paper is placed in the patient's chart. Since the test results : .. . . .. . . . . ........................... ..
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W0~1/06~)17 PCT/US9~/~6U9;
~7~7 12 or interpretation~ are also stored in central computer 26,the attænding physician, or a cons~lting physician, i~ able to review the results from their own terminal 24 without h~ving to 9D to the hospital. When the test results are entered, computer 26 further causes appropriate billing for the tests performed. ~y using the same system that sched-ules and reparts test results to derive billing in~orma-tion, duplicate billing and non-billing situations can be reduced.
l~ In addition to utili~ing the nurses station termi-nals 24 for displaying the scheduled information, the nurs-es initial histories and daily patient information, such as blood pressure, heart rate, temperature, respiratory rate an~ fluid intake and output can be recarded and stored in computer 26. Each of the patient information entries may be reported back to nurses station 24 or, as will be ex-plained hereafter 5 printed in a discharge summary in the form of graphs or in an abstracted form as determined by the program for computer 26. In addition. the information may be printed at the nurses' station terminals Z4 for in-clu~ion in the patient's paper chart for referral by physi-cians or other medical personnel. Since the same informa-tion will be stored by computer 2b, it may also be reviewed by a physician having access to a terminal in his office without having to come to the hospital.
Each of the various hospital service departments receive instructions and/or provide results or comments to terminals 24 associated in their area. Further, billing information is normally taken from the provision of the results or comments indicating that the Drdered service has been completed. For some services~ only test re~ults are reported. For other services, comments of a therapist or physician are reported. In all instances. the reported information is stored in the memory of computer 2~ and printed at the nurses' station for inc1usion in the pa-tient's chart. In addition,-additional physician qenerated in~ormation may be entered from a terminal 24 and stored in .. . . , , . , ..... , . , , .. , .. , ,, ., . . .. ,, ,,, . ,,, .,,,, .. , .. ,, _ . . . .. . .. ..... . . . .. . .. ... . .. .. ... . . . . . . ..
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W~ 9i7 2 ~ ~ 7 7 ~ 7 Pcr/us90/U~9s c~mputer 2~, particularly where ne~ patient ailments or a ~h~nge in treatment occur. ~lso, medical findings may be entered and stored in computer 2~.
The above described sequence uf scheduling and data S reporting continues for the duration of the patient's stay in the hospital. When the patient is to be discharged from the hospital, a discharge summary report must be prepared, which meets the requirements of the ~uint Commission For Qccreditation Of Healthcare Organizations. Portions of the discharge summary repnrt include items dictated by the phy-sician or entered by completino the Discharge Planning form attached hereto as ~ppendix III. In addition, other por-tions include a summary, or abstracting. of the test result data, the treatments, new complaints and the like.
lS In preparing the Discharge Summary report, computer Z6 prepares the Discharge Planning document ~ppendix III) for cornpletinn by the physician. The ~ischarge Planning document is based upon the initial patient complaints and abnormal findings entered at the admitting office 18, as supplemented by additional patient ailments and abnormal physical findings entered during the patient's stay in the hospital. The Discharge Planning document is generally requested by the attending physician the day prior to an-ticipated discharge and is completed so th~t the proper ~S discharge documents may be prepared in time for the pa-tient's discharge the next morning. The Discharge Planning document is in a form which first lists each diagnoses listed on the Physical Examination ~eport ~Figure 3 and Qppendix Il) entered as part of the admitting procedure, as ~0 supplemented by additional diagnoses made during the hospi-tal stay and entered as physician's comments. Next~ a sec-tion for a discharge diagnoses is provided for completion by the physician.
Thereafter, the Discharge Planning document lists the various patient complaints and includes an area for the physician completing the Discharge Planning document to check ~hether the complaint was stable. improved spnntane-.. . .. .. . . .. . . . .. . .. . . . . . . .. . . . . . . . .. .... . . . . . . . .. . . . .. ... ... ..
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wo 9l/n69l7 2 ~ ~ 7 7 ~ 7 P~r/usgo/~6095 ,~t ously, resolved spontaneously. impro~ed with treatment or resolved with treatment. In addition, a block labeled "Other", together with an associated space. is provided.
For complaints which changed, or were resolved, with treat-ment, a space is provided for physician's comments. Next asimilar ~ection is provided based upon the phvsical e~lmi-nation abnormal findings entered originally, or as supple-mented during the hospitali~ation.
Finally, a summary and abstraction of the various department 14 reports is prDvided. rhese may include the admission, or first, reading, discharge, or last, reading and the hospital course reading. The hospital course reading is a reading between admission and discharge and may typically be the highest, Dr most abnorma] reading. If all interim readings were normal, the hospital course read-ing may be le~t blank. Of course, some services may not have been utilized during the hospitali2ation and will be blank, or there may only be one or two readings. In addi-tion! a place is provided for the physician completing the ZO Discharge Planning document to indicate that a particular ~ection is non-contributory and should be left out of the discharge summary report.
The Discharge Planning document conLludes with a prognosis section, a discharge instruction ~e~tion and a disposition section, all of which are to be completed by the attending physician. The disposition section is used tD indicate whether the patient is to be allowed to go home, to a nursing home. a rehab center, or the li~e. If the patient is to go to a nursing home~ rehab center or the liké, a social service module of the program o~ com-puter 18 includes a database for determining whether such a ~acility is available ~or that patient. I~ not. the final Dischargè Report may be delayed. Alternatively, the dispo-sition may indicate that the patient is referred to another physician, generally a specialist ~or the ailment deter-mined during hospitali~atian.
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--- WO91/06917 ; P~TtUSgO/0609;
Once the Discharge Planning Document is completed by the physician, a Discharge Summary document i5 prepared in narrative form, with the abnormal result~ highlighted, such as being printed in bold. In addition, Discharoe In-structions in layman's terms are prepared and handed to thepatient upan discharge. Of course~ the patient's final bill is provided at the same time.
In case the patient ever returns to the hospital.
it would be advantageous to be able to recall the signifi-cant events of the prior hospital stay. In order tD pro-vide this information, the discharge summary, and other pertinent in~ormation may be stored in a long term storage device 3~ such as a l~ser disk memory. In such a system9 multiple disks may be necessary and will be typically org~-nized based upon a period of time. Each patient entry maybe cataloged by patient name and/or social security number, for example, and a master dataoa~e, sortable by patient ~m~ ~n~or ~ocS~l ~ cur~ty number, should be maintained for the multiple disks, so that the ne~t time the patient enters the hospital, the pertinent information may be re-trieved, reprinted and placed in the patient's chart. ~t most, one disk per hospitali~ation will have to be loaded into storage device 3~ and the patient's past hospitaliza-tion history c.n be ~uickly retrieved. ln other words, it is no longer necessary to go to the warehause and retrieve the paper chart from storage to see the pertinent events of the prior hospital stay.
From the above description, it is seen that the same information i5 used for many different aspects of the required records management requirements for patient care.
Further, the computer system is programmed to abstract cer-tain information and ignore other information based upon the normality or abnormality of the results~ thereby making the task of the medical personnel easier and ~reeing time for patient care.
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~091J06~7 2 ~ ~ 7 7 ~ PCT/~S90/~6~95 .
While the subject computerized hospital system has been described as a series of remote terminals Z4 communi-cating with a central computer 26. the system may be set up as one or more lDcal area networks. or a combination of S such systems.
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' WV ~ 6~17 2 0 ~ 7 ~ '~. 7 P~r/USgO/06095 CLIN~C~AL HiSTORY Pag~ 1 ~Admn Dnle Admn ~Im~
Admn Y Med Suîg Ditecl ER
__ Name _ Flrs~ Mlddle Sn~e M F Dale ol E~rlh Physiclan Soclal Socurily rY Dale . _ _ ____--Symplom Locallon - Duralion ~_ Dale o~ brsl Rocr7nlly symploms O More Frequenl O More Inlense U Conlinuous Symploms I I have b730n t] Less Fraquenl O Less Inlense Ll Periodic How did symplom(s) slar~
How did symplom(s) progrrJss Wh31 brings 1l on _ Whal reli0ves It Whal makes i~ worse Associaled symp~oms _ MEDICATIONS DOSAGE ~REOUNCY 11~2aboveispain checklherJne(s)~halbes~describen _ U SevrJre O Needle-lihe L~ SDhula~rP
O Mild 7J Slabbing L I Gnawing _ O Conlinuous U Cramping [-I Sudden _ O Periodic O Deep 7;~ Gradual O Inlemmlllenl O Supr7rlicial LJ Shilbng . _ _ , . ._ . . _ ~
~ ~ ~E3~ffl ~ 3~ ~
OENERAL Sll IN HEAD EYES EARS NOSE MOUTH THROAT
nWeaknes5 OColorChnngos DHoodrchos nalu~odVislon DHardolHearin3 r]Decre0sedSmoll nDloedmgGums I ISoreness D Fa(i9Uo n Nail Chang~s O Inluries O Glaucoma n Dealness O Dleeding I I Soles I I Dad Tonsils [1 Fever O Halr Chongos O Dumps O Redn~ss O Ringing Ll Pain 1 1 Denlal P~oblems ! I Hoarseness O Chills O Molos O llchlng O Discharge O Discharge U Pain i 1 Paln O Nighl Sweals O Ra~hos _~J_ O Durmng D EnrachD O Obslrucllon O Dad Droalh !' Trouble O Foinling O ll~hlng Lasl Eye Exam O Swell~ng n IlChing D Posl Nasal Drlp U 0SS ol 7asl~ Swallowing O Soros O Glas~os O Pain O Loss ol Balon~e O Devinled Soplum U Dry Moulh El Recurronl O Dryness O Conlacls O Drynr~ss O Dlir21noss O Runny Nose n Ulcors Inlecnons _ ~ C01~rDC75 O Tel ring O Room 5Pj s O Sinua Con ~o~bon D Dlis~ors NEClt DREAS75 LUNOS HEART DLOOD GASTROINTESTINAL
O Neck O Dbch~rgo O Cough O Murmur O Anemia O AbdomlnDI Pain D Diarrhea Enlorgomonl O Lumps O Phlegm O Palpllolions O Low Dlood Iron O Nnugoa D Gas O Sllll Neck O Peln O Dlood O Rapld Hearlbeal O Easy Druising O Vomiling n Hemo7rholds O Sorenoss O Dloedlng O Shorl ol DroDIh O Swollon Exlremllies D Easy Dloodmg O Dloalednsss U Hernias O Lumps O Nlpplo Chango~ O Wheoirlng O Cold E~lremlliRs O Swollon NorJos O Delching t ) Poor Appeli~e O Massos O Skln Chango~ O Pnln O Chesl Paln/Prus~uro O Painlul Nodos O HoarDùurn r ] Food Inloloranco O Sbolodnoss O Congrr31bn O Vari~r~so Volns O Sug~r In Dlood O Indlgeslion L9 BloodY 5~0~5 O Inhalenl Expr7suro O Dlood Clols O R~d Spols n Irregulrlr Dowol Habils rl Dlack Slools _ _ O Dlue E~lremlllos _ O Consllpallon OEHITOURINARY GYNECOLOt;lCAL
O Urgoncy O Smoll Slream O Spolling 90nvoen Porlods Conlracepllon - Type MENSTRUAL FLOW
O Inconlinonoo O Dlschorgo O Monslrual Cramps Ag~ 7R lirsl period O Slraining U Soros O Spolling Allor Mr~nopauso Age al msnopauso r 1 Heavy I I Moderale D Dghl 0 8ack P~in O Impou nCo O Dlsch7~rg o Duralion ol cycle O Frequsnl Voiding O Drlbbling O IlChing Durblion ol llow _ Lasl P~iod O Slonos O Cloudy Urlnù O PrHnlul Inlercourse No ol pregnancies O Durning O Irregular Perlods No ol birlhs Lasl Pap Smear _ _ _ O BedWenmg URINE COLOR O Hol Fla~hos No ol mlscarrlages O Dloody Urine O Poin Dslwoen Porlodo No ol aborllons Lasl M~mmogrem ~
iUUSCULOSKELET~L NEUROLOOICAL PSYCHIATRIC ENDOCRINE
O Muscla Paln O Injurlos a Sei2uros O Weak Grip O Hyporvenlllalion n Hallucinallons L I Welghl Loss O Musclr7 Woaknr7s~ O Tendornes~ O Verbgo O Paralys~s [I Insocurily n Loss 0l Memory I Welghl Galn O Uuscle Cramps O Curvaluro ol Splne O Dlz21ness O Dlllicully ol Speoch n DeprrJsslon [I Abohollsm I Hoar3eness n Muscle Twllching O Dack P7 in O Hond Trornbling O Tingling O Troubbd Sloep W Drug Addlclion ! Heal Inrolerancr U Joinl Slillnoss O Hol Joinls O Loss ol Sonsalions D Loss ol Momory n hrllrlblo n Drug Depondoncy Cr~ld Inlolorance n Joml Pain O Incoordinalion O Numbnoss r~ An~lou~ness rl Suicidal Thoughls Droasl Changes D Joinl Swellmg O Loss ol Focial 11 Undocidodness n E~lremo Worry Halr Changes _ _ _ ~ I ' Timid ~ I I Se~ual PIoblem5 E rreme Thl7s ~ ~ ` ~ ~ ~~ ~ A~en~i~- I~ (P~age-1- of~ 2~ - -- -- - - - -- --- - -- - -:. ., - ,- . -ntlnrTlTllT~ ~Itrr7~
~ f ~ 7 ~ r~7i ~
WO 91/()6917 ~ ~ ~; r ,~ Pcr/Usgo,ooo~s -- ,~ 7 ~ != 7 1~
_ .
Paslgonoralslaloolhoallh: OExcoaonl DC~ood t~Fai~ OPoor Cl Hay Fove~ O Skln Trouble O Tuberculosis O Hopnlllis Ll Gonorrhea f l Polio 1:1 Mumps LJ Cnlnracl5 L I Hoarl Trollble U Paresllr~s L.l Herma :J Monlal Illness !.. 1 Mensles I ] Tonsllllis [J Varlcose Voins O Dysenlery 1.1 Sexual Problems ! ! Alcoholism Rheumalic Fovor O Sinusllis U Phlebllls O Colllis 1_1 Proslalo Probloms ' J Depression ~ Allelgles Ll Goiler Ll Hyporlen~lon D Polyps 1.1 Hemorrhoids , I Norvous Breakdown 'Anr3mia U ElrraslTrouble USlroko OKidneyInleclions ~ Arlhrilis ;:1Olhers U Cancer U Aslhma O UlcrJrs D Kldney Slones U Goul U Tumor O Bronchllis U JDundico U Bladder T~ouble 1_1 Mlgraines .1 Blood Dls0ase 0 Plourlsy n Gallslones O Diabolos U EpilepsyU Lol~kemia O Pneurrlonia Cl Llvor Troublo U Syphllis LJ Paralysis ILLNESSES INJURIES OPERATIONS DATE HOSPITAL TREATMENT PHYSICIAN
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_ . ., _ _ IMMUNIZATIONSNACCINATIONS BLOODTYPE BLOODTRANSFUSIONS LAST CHEST X-RAY ALLERGIES
O DPT O Measles O A + O A - No. ol Trar sluslons Dale ;
U Mumps O Pneumococcal 0 9 ~ O B - DATE S REASONS D Normal ~1 Abnormal U Smallpo~ [1 Inlluenza D AB t O AB - ( ) I LASTTB SKIN TEST
OTyphoid O Polio O O + DO - _ I Dale . ~
O Telanus O MMR O Olher i I _ O Posilivo O Nogalive _. _ . _ ~n ~ ~ ~ ~
BlDod Rolatlvetl Age 11 Ago al Only Living Cealh Cause ol D0alh Slale ol Heallh Illnesses Falher _.
Molher _ _ 8rolher(s~ _ _ Sisterls) _ !.
Malernal Grandlalher _ _ _ Malernal Grandmolher Palernal Grandlalher Palernal Grandmolher . . _ _ ~ _ _ _ Currenl Welghl Usual Werghl Maximum Welghl Minimum W&ighl IUENTAL WORK PHYSICAL WOFtK EXERCISE SMOKING ALCOHOL
O Heavy O Heavy O Heavy O Moderele O Lighl Cl Curronl O Provious O 9eer AmounhWeek _ O Moderale O Modsrale Type(s) No. ol packs per day _ U Liquor Amounl Week _ U Lighl O Lighl No. ol yeers a Wme Amounl Week _ No.olhoursperday_ . No.olhoursperda I_ No. ol hours perweek _ Olher~ No. ol years CAFFEINEASPIRINS NUTRITION No. ol pr~r tlon~ per weoh DRUGS No. ol doses per week (Coffert Tr~a Cola) _ Mil)t _ Fruils _ Beel _ Vilamins _ Waler Pills _ Saccharin No.perday_ _ MilkProducls _ Breads _ Porh _ Laxalives _ SleepingPills Olhers:
Cupsporday_ No. olyoars_ (Choose Bullor) _ Coreal _ Chicken _ Anlarids _ Nerve Pills _ ___ No. ol years _. Othars _ Eggs _ Fish _ Shelllish _ Diel Pills _ Polassium _ Vegelables _ Liver _ Sweels _ PainPills _ Nulrasweel _ ,, _ . , ._ . , .. _. _ - Date l~r vrewed I - ~ - Heyleweo By ~ - - - - - - . .
nr TrTI rlrr ' . ' ' ~ ' :: ' , , .
:
_.WO(~/06917 2~7~ PC~/US90/06~95 PllYSlC~ALE)U~MlNATlONPclge1 ¦ l Admn, d~ Mr~d Surg Dllea ER
Vilol Signs EIP / P , T_ R HT WT Raca GENERAL DESCRIPTION
r~wNL OADNORMALFlNDlNGS~Cl~clo~ndglvoaonormallly) ClDEFEnREDTo _OMITSECTION
i. DovoloDm~nl 23 SNloaulr5~onlmr`~onnl5ciou no 4 ADDo~nco, Alhlud~
s Olho~s _ _ _ . -- --SKIN -OWNL OA0NoRMALFlNDlNGs~clncloandgiw~onorm~l//y~ ODEFERREnTo GoMlTsEcTloN
2 Color 3 El sli~lly s R ~nas, Soras 7. ome~s _ ., .
--~LYMPll NODES
OWNL pA8NoRMALFlNDlNGs/cirrb~r~dg~vo~ùnr3rm~l;b) ODEFERREDTo OOMITSECTION
2 C~lvic~l 3 Suerrrcl vlcul-~
5 Allll~ly 7. Othor~
_ _ T
EYES ~
OWNL DABNoRMALFlNDlNGs/cinclo~ndD~ bnorm~lllr) CDEFERREDTo OOMITSECTlON
2 scl ;rAc~ ocnourn~ vAùn~Lcch r3londs 4, Furldus 5 EOM;;Ny~l~gmu~,Vl~u~lAcully RS, NOSE, THROAT - ~
OWNL OA8NORM LFlNDlNGS/Cin~handgivo~ononm~ yJ ODEFERREDTO - nOMlTSECTlON
2 Tymponic Mrlmb~nos 3 NrJsai Mucos 5 Olal Mucosa, Seliv Glands, Tongue 7 Olhr~rs ,~ HEAD AND NECK -- I
OWNL DA0NoRuALFlNDlNGs/cincloandgivoabnom~aaly) ODEFERREDTO GoMlTsEcTloN
3 Tlaches . Thyloid L ornors _~BR~5-.
O WNL FEMALE O ABNORMAE FINDINGS /C9clr~-mdo~ve ~DnormaSly) O DEFERRED TO _ O OMIT SECTION
1 Sl~e Po~llion 2 NjDPIeS
3 Sidn M~5J~ NrJdulos I ~ OWNL MALE OA0NoRM I FiNWNGS/C~clarndg/lrolibnommalily~
2 Olh~s ~ ~ n , ~ RESPIRATORll' --OWNL rJABNoRMALFlNDlNGs/c/lcloondgivoaùnormal/ly) nDEFERREDTo --OMITSECTION
1 f30ny Thora~
2 i-~oan ion 4 Po~cus~/on TachlaF~emllus s -3realh Sounds , 5, R lq~ Rhonch~ Whoa~o~, Rubs _ _ , , , , A~eil~ix IJ !Paae 1 of 2) ... . ... ~ . . ... . .. . . . . . . .
- - - - - . - - - .. .
.. . .
'i~!!ni~sTlTl~E ~ r~T
W(~ 9~/06~17 ~ P~/US90/06U~5 --- --CiARDlOVASCULAR ~
I IWNL OAL3NoRMALFlNDlNGsrcm~lonndrylvo~bnolm3Dly) nDEFERREDTo~ .... ''OMITSECTION
2 Cr~rdlac Sl~e 3. ADox '30al. Thrllls 4 . Rhylhm, Ralo b Piirlphnral Pulrro~. 3rull~
7. Murmur~, Gnhopl, Rubs. Cllck~
3. Olhor~
_ _ . -- ABDOMEN ---WNL O ARNORMALFINDlNGS~CIrcloands~vr~obnormflb~rl O DEFERREDTO__ OMITSECTION
I Scors; Hnrnlallon~; Dlslonllon 3. Lhor. Gnllbladdor 4 Sglnon 6. Kldn0ys 9 Shllllng Dullno~s, Fluld Wavo 9. t30wal Sounds 10. Olhr~r6 . --- - - OENlrALlA -OWNL FEMALE: Q ARNORMALFlNDlNt35/Ci/clo~ndgiw~ùno~rn~S~yl O DEFERREDTO O OMITSECTION
2. Vagin~. Ce:vlx, Drynoss 3. Ulorus, Ovsrios, Tubos .
4 M3~sns, Dlsch~rgo O WNL MALE- O ARNORMAL FINDINGS /Cinclo ondglvo abnommoli~y) 1 Scrolurn, 70s!rrs 3. Horni~s 4. Olhors RECTUM -- - .
OWNL QA5RNORMALFlNDlNGS(Gncloflndgivrr~bnomma/ily) QDEFERREDTD DoMlTsEcTloN
2. Homorrholds 3. Pro~lrllo (Mon 0nly~
r - _ _ BACK AND EX~i'REMlTI~5 -OWNLOARNoRMALFlNDlNGs~clncloarrd9ivo3bnormfllily) QDEFERREDTo OoMlTsEcTloN
2. Exlr6mllios, ROM' 3 Edlrma, Cyano~is. Varicos, Ulcorallons - - -- ~ NEURS~LOGlCiAL~
DwNL OARNoRMALFlNDlNGs~cirrbandgivoabnonm3liryJ ODEFERREDTo OOMITSECTION 1. Mnnlal Slrllus 2 Crrjnial Norvos 4. Molor 5. Sonrlory EOU - E~llln~ir Oa~b~ ~o~rrn~rnr~ 2 RO~r _ Fur~ ol r~oliOn DIAGNOSE5 REC9MMENC~A'rlONS
2. 2. __ 3. 3.
~ _ 4.
5. 5.
6. . 6.
8. 3.
10. Iû.
_ . _ OFFICE RECORoS - ' -' ' ' ' - ' DATE - - - - - ~ - ' PHYSICIAN'S SIGNATURE - - -........ . . . . .. , ... . .... . ~ . . _ . ,, , _ .. . , . .. . ~ .. . . ... . .. ..
.. . .. . .. _ . . .. . . .
~!''DST!T!'TC ~IlFFT
. . .
.~ WO91/1)6917 ~a~77~7 . PCr/US91~/O~v0~5 .
. . _ Name: Jane Admn. Dat8: 01/10 D0v ll/03/v7 Time: 12:00 AM
A~e : 8 1 yrs ., 5 moG . DC Date : J
Race: Wh1te Time: : am/pm S~x: Female Admn t-SS#: 221-06-3459 Admn. Type- Medlcal - Dlrect DIBC~AR~E: PLAN~tIN~2 Admitting hyslcian(8): Harry DIA13Nov~:a ~Check if DC Dx ~r,ctly ~u~ o~ ~lttlng Dx; tdlt xl~tlng Dx; or dd n~u DC Dx.l 1. Admission: CHEST-PAINS R/O MI VS. UNSTAB_E ANGINA
Discharge: [ ~
2 . Adm~ ssion: HTN
Discharqe: [ ]
3. Admission: ACUTE EXACERBATION OF CIIF
Discharge: [ ]
4. Admission: HISTORY OF RHEUMATIC FEVER
Discharge: [ ]
5. Admisslon: ~7ISTORY OF HYPERTENSION
Discharge: [
Discharge Diagnoses:
6.
8 ~_ ___ 9.
1 n v ~
II08PITAsv CO'JR8E
COMPLAINTS ~AII ur~n u~r d corpl~lnt~ ar~ rxoltted tre~ n rrt1tlv~.1 s~tobl~ 15-lrproved apr,nt~ner~ly, RS-re~olved ~pont~neou~ly, 17-lrproved u/trtot~ent, R7~r~olved u ~tr~str~nt S 15 RS IT RT other G~n; i- u~-kn ~ rt ir ~ it J ri ~ it 2 1 1 t 1 t~tlgu.................. ~ , 1 2 1 ~
5kln: rol~............... t 1 t 2 t J t 1 ~_ 1 1 1 l Ey~: blurrcd vlclon.. ,... l 1 1 1 1 1 t 1 1 E-r~: lo.~ O~ bal~nc~
uO~-: rurny n~-; t 1 I 1 t 1 t 1 -- - -- t ~ _ t 1 Urck: ~tl1i n ck..........l 1 t 1 1 1 I J t 1 t J
rtn.-. o~ br-~th...... ~ ~ t ~ 1 cv: p-lplt~tlr,n~ t l t ~
~uoll-n xtr~ltl-~...... l 1 t 3 1 1 t 1 _ t 1 . t 1 eh-~t p In o, pr--~ur~.. t J I J t 1 1 2 t 1 I J
Gl: n~u~rr............... ~ t ~
lCont .1 . .
Appenr~ i x I l I ( Page I r f c, i ,,, . . ~ .. . . . . .. .. . .
-.
- .
WO 91/06917 2 ~ 6 7 7 4 ~ Pc~r/us90/06,Jg~
DIFCEtARCiE YI~UINING
Name: Jane Page 2 ItOtiPI~A~ CO~-RS~
COMPLAINTS (contlnued...) 5~t~bl~, 15~1mprDv d ~pDnt~n ou~ly, N5.r~olvrd ~Pont-n~ou-lY, IT~lmprov d u/t~--tm~nt, Rl~re~olv~d u/tr~tment s 15 RS lt RT Oth~r CU: polyurl~............... l 1 1 1 I 1 1 1 t 1 ~
rSl r~u~el~ ~r-mp~......... l 1 1 1 t 1 t 1 _ " t 1 ~eurr,: dl~ln~--........... t 1 t 1 t I t 1 " t numi~....... , .. , .. ,.. t 1 1 1 I 1 1 1 t ' t 1 P~y~h: In-o~nl-...... .... ,.. l 1 I 1 t 1 I 1 U~u Compl~lnt~ I 1 I I I 1 I 1 1 1 t 1 t' t'i 1' t' t' ---t ...................... 11 1~ tl tl t~
ti t`i t i t' tt~ _ tI
...................... 11 11 11 11 11 11 t' t' t ' t' _ t i tt~
...................... 11 tl tl tl "
. , .
ABNOPUIAL PHYSICAL FINDINGS t~ll unun~uer d ~bnorr~l flndln~ r~ omltt~d trrJm n~rr~tlv~.) S~t~bl~ 15~1rlproved ~pont~neou~ly R5~r~olved pont-ntou ly, lt~ prov~d u/tr--tment, Rt.r~olv~d u/tr~tm~nt , ~ , RS lt Rt other Ju~l r~; ~ Jv~............... t 1C~rdlov~cul~r:
U~rt 50urds- -53............ 1 1 1 1 1 1 1 1 1 1 t 1 Liv~r, h pttr~r,-ly.......... l 1 I 1 1 1 1 1 1 1 1 1 a.ci ~nd E~tr2mltl~:
td~- ~ 3 plttlnc edenu l~o~.. l 1 1 1 1 1 1 1 1 1 1 1 li~U rlndlnc~:
........................ t~ t~ 11 t~ 1~ t ............. ,............... tl t~ t~ tl tl tl tt' tt1 t ' t' t~ l ........................ 1 1 1 1 1 1 1 ~
........................ 1~,11 11 11 tl --........................ I 1 t 1 t 1 t 1 "~~ t ' --........................ t ~ I 1 t 1 1 1 t 1 _ VITAL SIGNS t-let oU-Y ~bnorm~l hosp. cour~e V.S. Ll~t corr~cpor.dino di~churo~ V.5.) 8P P T R Ht. Wt.
Admission: l62 / 94 88 98.4 24 5' 3" 165 Hosp. Course: / .
_ _ Discharge: / _ ~ppendix 111 ~Page 2 of c;) -.
'' '~ S~ Tr~r~ Sr , W 0 91/06917 2 ~ 6 7 7 ~ 7 PC~r/U~90/06095 DIRC~AR~ PhANNING
Name: Jane Page 3 H08PITAL COUR8E ~t~o~t.) LABS t~l~tr~.~ll.~ ~nd th~lr ~Drr~p~lr~ dl~ch~rg~ v~ L~v~ bl~n~ It ~ ) CHEMISTRY [ ] Non-contributory It~lt thlr ~tlr~ Irrr r~rr~tlv~ ~
Glu Na K Cl C02 ~UN Cr Ur~c Ca Phos TP Alb Glob Adm~sslon: = = = = = = = = = = = = =
Hosp. Course: _ _ _ . _ _ _ _ Discharge: _ _ _ _ . _ Bili Alk LDH SGOT SGPT Chl Trig Amy Dig T3 T4 FTI TSH
. . I
Admission: _ _ _ _ l _ Hosp. Course: _ _ _ _ _ ¦
Dlscharae: _ _ Other5:
HEMATOLOGY [ ] Non-contributory ~t~lt thl~ tlr~ trr~ n~rr-tlv~ ~
WBC RBC Hgb Hct MCV PT PTT Plat p 1 m e b Admlssion: = = ¦ = ¦ ¦ K~
Hosp. Course: _ . l Discharge: l I ¦ K¦
IK~1000) others:
URINALY5IS 1 ~ Non-cont~ibutory tr~lt thl~ tlr~ frr~ n~rr-tlve ~
Leuk Nitr Urob Prot PH Bld SpGr Keto ~ili GlU Mlcro ~0-4~ 0-5) ~0 5) t~ n 5) ~0 5~ ~1 100 ~0~5~ ~O~S) ~O-S~
Admlssion:
Hosp. Course~
Discharge Color: other:
~ppendix 111 (Page 3 af 6 ' . ' ' ~......... ' ' ': , . ~, . ' ~ ' :, ' ' .
- 5;ilR~'TlTiiTF ~ CT
~1~ I~S~ ~ ~ F ~ ~ ~ ~,. F ~ ~,_F, F
' . ' WO91/~6927 ,~ 7~ 7 PCT/US90/06095 2~
DI8CHAPtal!: PI~NNINa Name: Jan~ Page 4 ~ObPIT~L COUR8~ (cont.) DIAGNOSTIC STUDIES t~l-touL~ bnorr~l ~tudl~ ~nd th~lr ~orr--pondlno rJl~h~r~ v~ . L-~v~ bl-n)~ IUL.
EKG [ ] Non-Contributory ~lt ~hl~ ~ctlon tro~ n~rr~tlv~ ) WNL Abnormality Admission: ~ ]
Hosp. Course: [ ] _ _ _ Discharge: [ ]
CXR [ ] Non-Contributory lo~lt thl~ tlon ~rr~ r~rr-tlv~.
WNL Abnormality Admission: [ ~
Hosp. Course: [ ]
Discharge: [ ~
OTHER STUDIES ~L.~v. bl~nL lt UOUE.~ -Exam - WNL Abnormality [ ]
[ ]
_ ~ ]
[ ~ _ CON5ULTATIONS ~Le~ve bl~nk lt UOUE ~
Name SpecialtyRecommendations .
SURGICAL PROCEDURES / 5URGERY tL~v~blnYIt UOUE ) Physician ProcedureComments/Complications pRo~NosIe [ ~ Excellent [ ] Good [ j Fair [ ] Poor [ ] Dece~sed: Date J _ Time _ : _ ~qppendix Ill (Page 4 o~ ~) . , . , . . , . . . , . . . . , . . . . .. , .. ~ .. .... , . , . .. ., . .. . .. ., . , . _ . . . .
.. ..... . . . . .. .
.: . _ ~ - ,-- , E ~i~E~T
2~677 ~1 WO (~ 6917 P~T/US90/0~095 DIBC~ARa~ PLANNINQ
Name: Jane Page 5 DI~C~AR~E INBT~UCTION~
Dlet: ~Check ~Iy 1~ h~T on re~ r dl~t) [ ~ 2gm Na ~ ] Low cholestorol [ ~ ~lgh fiber t ] Clear liquld ~ ] Hypoglycemla dlet t ] Puree dlet ~ ] Full llquld [ ] ~lnnd dlet ~ ] Low trlglycerlde [ ] Low purlne [ ] Low resldue [ ] ADA, cal. [ l Reduclng-dlet, _ cal.
other: -Activlty: tCh-ck only If .~ t-tlon~) [ ] Comp. bed rest [ ] Ambulate indoors [ ] Ambulate outdoors [ ] No bendlng [ ] No llfting [ ] No strstching [ ] No reaching other: _ -Dlscharge Medications:
Medicatlons Dosage Frequency _ DI8Po8ITION [ ] Home [ ] Home w/home health [ ] Nursing home [ ] AMA [ ] Rehabllitatlon lnst. [ ] Funeral home See: Physiciah Phone Date -- J
-_ Special Instructions to Patient:
Physlcian ~ 6 Comments:
Appendix III ~Page 5 of c~
.. , ., .. . . . , .. . . .. . .. ,, . ,, . , . .. , _ .. .. , . , . ., , .. . ,, ... . _ .. . . ..... . .. . . . .
,, . ~
TlTi!TE ~ T
~O 91/06917 ~ ~ ~ 7 7 ~ 7 P~/US90/06~95 DIBC~ARC~ ~L~NNINC
Name: Jane Page 6 _ , Date Phy~lclan'~ slgnature ..
[ ~ Copy of dlscharge ~u~mary to phy~lcian Cop~rl~ht ~c) 19a9 D~t~ed For~ u d Solt~/~r~ Inc 80cr i~ton, FL 33~7 1-300-D~TAII~D 1-1107-36a-C000 Drlnt~d 0~/Z~7~9 11 36 ~7 ~ppendix 111 ~Page 6 ~f 6) . . , ~ , . . , . -D~TlTIlTÉ ~ T
~uU~icu~ ~"~, .,. - , .
_ . _ OFFICE RECORoS - ' -' ' ' ' - ' DATE - - - - - ~ - ' PHYSICIAN'S SIGNATURE - - -........ . . . . .. , ... . .... . ~ . . _ . ,, , _ .. . , . .. . ~ .. . . ... . .. ..
.. . .. . .. _ . . .. . . .
~!''DST!T!'TC ~IlFFT
. . .
.~ WO91/1)6917 ~a~77~7 . PCr/US91~/O~v0~5 .
. . _ Name: Jane Admn. Dat8: 01/10 D0v ll/03/v7 Time: 12:00 AM
A~e : 8 1 yrs ., 5 moG . DC Date : J
Race: Wh1te Time: : am/pm S~x: Female Admn t-SS#: 221-06-3459 Admn. Type- Medlcal - Dlrect DIBC~AR~E: PLAN~tIN~2 Admitting hyslcian(8): Harry DIA13Nov~:a ~Check if DC Dx ~r,ctly ~u~ o~ ~lttlng Dx; tdlt xl~tlng Dx; or dd n~u DC Dx.l 1. Admission: CHEST-PAINS R/O MI VS. UNSTAB_E ANGINA
Discharge: [ ~
2 . Adm~ ssion: HTN
Discharqe: [ ]
3. Admission: ACUTE EXACERBATION OF CIIF
Discharge: [ ]
4. Admission: HISTORY OF RHEUMATIC FEVER
Discharge: [ ]
5. Admisslon: ~7ISTORY OF HYPERTENSION
Discharge: [
Discharge Diagnoses:
6.
8 ~_ ___ 9.
1 n v ~
II08PITAsv CO'JR8E
COMPLAINTS ~AII ur~n u~r d corpl~lnt~ ar~ rxoltted tre~ n rrt1tlv~.1 s~tobl~ 15-lrproved apr,nt~ner~ly, RS-re~olved ~pont~neou~ly, 17-lrproved u/trtot~ent, R7~r~olved u ~tr~str~nt S 15 RS IT RT other G~n; i- u~-kn ~ rt ir ~ it J ri ~ it 2 1 1 t 1 t~tlgu.................. ~ , 1 2 1 ~
5kln: rol~............... t 1 t 2 t J t 1 ~_ 1 1 1 l Ey~: blurrcd vlclon.. ,... l 1 1 1 1 1 t 1 1 E-r~: lo.~ O~ bal~nc~
uO~-: rurny n~-; t 1 I 1 t 1 t 1 -- - -- t ~ _ t 1 Urck: ~tl1i n ck..........l 1 t 1 1 1 I J t 1 t J
rtn.-. o~ br-~th...... ~ ~ t ~ 1 cv: p-lplt~tlr,n~ t l t ~
~uoll-n xtr~ltl-~...... l 1 t 3 1 1 t 1 _ t 1 . t 1 eh-~t p In o, pr--~ur~.. t J I J t 1 1 2 t 1 I J
Gl: n~u~rr............... ~ t ~
lCont .1 . .
Appenr~ i x I l I ( Page I r f c, i ,,, . . ~ .. . . . . .. .. . .
-.
- .
WO 91/06917 2 ~ 6 7 7 4 ~ Pc~r/us90/06,Jg~
DIFCEtARCiE YI~UINING
Name: Jane Page 2 ItOtiPI~A~ CO~-RS~
COMPLAINTS (contlnued...) 5~t~bl~, 15~1mprDv d ~pDnt~n ou~ly, N5.r~olvrd ~Pont-n~ou-lY, IT~lmprov d u/t~--tm~nt, Rl~re~olv~d u/tr~tment s 15 RS lt RT Oth~r CU: polyurl~............... l 1 1 1 I 1 1 1 t 1 ~
rSl r~u~el~ ~r-mp~......... l 1 1 1 t 1 t 1 _ " t 1 ~eurr,: dl~ln~--........... t 1 t 1 t I t 1 " t numi~....... , .. , .. ,.. t 1 1 1 I 1 1 1 t ' t 1 P~y~h: In-o~nl-...... .... ,.. l 1 I 1 t 1 I 1 U~u Compl~lnt~ I 1 I I I 1 I 1 1 1 t 1 t' t'i 1' t' t' ---t ...................... 11 1~ tl tl t~
ti t`i t i t' tt~ _ tI
...................... 11 11 11 11 11 11 t' t' t ' t' _ t i tt~
...................... 11 tl tl tl "
. , .
ABNOPUIAL PHYSICAL FINDINGS t~ll unun~uer d ~bnorr~l flndln~ r~ omltt~d trrJm n~rr~tlv~.) S~t~bl~ 15~1rlproved ~pont~neou~ly R5~r~olved pont-ntou ly, lt~ prov~d u/tr--tment, Rt.r~olv~d u/tr~tm~nt , ~ , RS lt Rt other Ju~l r~; ~ Jv~............... t 1C~rdlov~cul~r:
U~rt 50urds- -53............ 1 1 1 1 1 1 1 1 1 1 t 1 Liv~r, h pttr~r,-ly.......... l 1 I 1 1 1 1 1 1 1 1 1 a.ci ~nd E~tr2mltl~:
td~- ~ 3 plttlnc edenu l~o~.. l 1 1 1 1 1 1 1 1 1 1 1 li~U rlndlnc~:
........................ t~ t~ 11 t~ 1~ t ............. ,............... tl t~ t~ tl tl tl tt' tt1 t ' t' t~ l ........................ 1 1 1 1 1 1 1 ~
........................ 1~,11 11 11 tl --........................ I 1 t 1 t 1 t 1 "~~ t ' --........................ t ~ I 1 t 1 1 1 t 1 _ VITAL SIGNS t-let oU-Y ~bnorm~l hosp. cour~e V.S. Ll~t corr~cpor.dino di~churo~ V.5.) 8P P T R Ht. Wt.
Admission: l62 / 94 88 98.4 24 5' 3" 165 Hosp. Course: / .
_ _ Discharge: / _ ~ppendix 111 ~Page 2 of c;) -.
'' '~ S~ Tr~r~ Sr , W 0 91/06917 2 ~ 6 7 7 ~ 7 PC~r/U~90/06095 DIRC~AR~ PhANNING
Name: Jane Page 3 H08PITAL COUR8E ~t~o~t.) LABS t~l~tr~.~ll.~ ~nd th~lr ~Drr~p~lr~ dl~ch~rg~ v~ L~v~ bl~n~ It ~ ) CHEMISTRY [ ] Non-contributory It~lt thlr ~tlr~ Irrr r~rr~tlv~ ~
Glu Na K Cl C02 ~UN Cr Ur~c Ca Phos TP Alb Glob Adm~sslon: = = = = = = = = = = = = =
Hosp. Course: _ _ _ . _ _ _ _ Discharge: _ _ _ _ . _ Bili Alk LDH SGOT SGPT Chl Trig Amy Dig T3 T4 FTI TSH
. . I
Admission: _ _ _ _ l _ Hosp. Course: _ _ _ _ _ ¦
Dlscharae: _ _ Other5:
HEMATOLOGY [ ] Non-contributory ~t~lt thl~ tlr~ trr~ n~rr-tlv~ ~
WBC RBC Hgb Hct MCV PT PTT Plat p 1 m e b Admlssion: = = ¦ = ¦ ¦ K~
Hosp. Course: _ . l Discharge: l I ¦ K¦
IK~1000) others:
URINALY5IS 1 ~ Non-cont~ibutory tr~lt thl~ tlr~ frr~ n~rr-tlve ~
Leuk Nitr Urob Prot PH Bld SpGr Keto ~ili GlU Mlcro ~0-4~ 0-5) ~0 5) t~ n 5) ~0 5~ ~1 100 ~0~5~ ~O~S) ~O-S~
Admlssion:
Hosp. Course~
Discharge Color: other:
~ppendix 111 (Page 3 af 6 ' . ' ' ~......... ' ' ': , . ~, . ' ~ ' :, ' ' .
- 5;ilR~'TlTiiTF ~ CT
~1~ I~S~ ~ ~ F ~ ~ ~ ~,. F ~ ~,_F, F
' . ' WO91/~6927 ,~ 7~ 7 PCT/US90/06095 2~
DI8CHAPtal!: PI~NNINa Name: Jan~ Page 4 ~ObPIT~L COUR8~ (cont.) DIAGNOSTIC STUDIES t~l-touL~ bnorr~l ~tudl~ ~nd th~lr ~orr--pondlno rJl~h~r~ v~ . L-~v~ bl-n)~ IUL.
EKG [ ] Non-Contributory ~lt ~hl~ ~ctlon tro~ n~rr~tlv~ ) WNL Abnormality Admission: ~ ]
Hosp. Course: [ ] _ _ _ Discharge: [ ]
CXR [ ] Non-Contributory lo~lt thl~ tlon ~rr~ r~rr-tlv~.
WNL Abnormality Admission: [ ~
Hosp. Course: [ ]
Discharge: [ ~
OTHER STUDIES ~L.~v. bl~nL lt UOUE.~ -Exam - WNL Abnormality [ ]
[ ]
_ ~ ]
[ ~ _ CON5ULTATIONS ~Le~ve bl~nk lt UOUE ~
Name SpecialtyRecommendations .
SURGICAL PROCEDURES / 5URGERY tL~v~blnYIt UOUE ) Physician ProcedureComments/Complications pRo~NosIe [ ~ Excellent [ ] Good [ j Fair [ ] Poor [ ] Dece~sed: Date J _ Time _ : _ ~qppendix Ill (Page 4 o~ ~) . , . , . . , . . . , . . . . , . . . . .. , .. ~ .. .... , . , . .. ., . .. . .. ., . , . _ . . . .
.. ..... . . . . .. .
.: . _ ~ - ,-- , E ~i~E~T
2~677 ~1 WO (~ 6917 P~T/US90/0~095 DIBC~ARa~ PLANNINQ
Name: Jane Page 5 DI~C~AR~E INBT~UCTION~
Dlet: ~Check ~Iy 1~ h~T on re~ r dl~t) [ ~ 2gm Na ~ ] Low cholestorol [ ~ ~lgh fiber t ] Clear liquld ~ ] Hypoglycemla dlet t ] Puree dlet ~ ] Full llquld [ ] ~lnnd dlet ~ ] Low trlglycerlde [ ] Low purlne [ ] Low resldue [ ] ADA, cal. [ l Reduclng-dlet, _ cal.
other: -Activlty: tCh-ck only If .~ t-tlon~) [ ] Comp. bed rest [ ] Ambulate indoors [ ] Ambulate outdoors [ ] No bendlng [ ] No llfting [ ] No strstching [ ] No reaching other: _ -Dlscharge Medications:
Medicatlons Dosage Frequency _ DI8Po8ITION [ ] Home [ ] Home w/home health [ ] Nursing home [ ] AMA [ ] Rehabllitatlon lnst. [ ] Funeral home See: Physiciah Phone Date -- J
-_ Special Instructions to Patient:
Physlcian ~ 6 Comments:
Appendix III ~Page 5 of c~
.. , ., .. . . . , .. . . .. . .. ,, . ,, . , . .. , _ .. .. , . , . ., , .. . ,, ... . _ .. . . ..... . .. . . . .
,, . ~
TlTi!TE ~ T
~O 91/06917 ~ ~ ~ 7 7 ~ 7 P~/US90/06~95 DIBC~ARC~ ~L~NNINC
Name: Jane Page 6 _ , Date Phy~lclan'~ slgnature ..
[ ~ Copy of dlscharge ~u~mary to phy~lcian Cop~rl~ht ~c) 19a9 D~t~ed For~ u d Solt~/~r~ Inc 80cr i~ton, FL 33~7 1-300-D~TAII~D 1-1107-36a-C000 Drlnt~d 0~/Z~7~9 11 36 ~7 ~ppendix 111 ~Page 6 ~f 6) . . , ~ , . . , . -D~TlTIlTÉ ~ T
~uU~icu~ ~"~, .,. - , .
Claims (17)
1. A scheduling and reporting system (26) for hospital patients characterized by means (18 and 24) for entering location data regarding each patient and physician orders for hospital services to be performed for each patient;
means (26) for scheduling the ordered services for each patient and for reporting the schedule information to a common area (12) in the vicinity of each patient's loca-tion: means (14 and 24) for recording and reporting the results of the services administered to each patient to said common area (12) in the vicinity of each patient's location; and means (26) responsive to said recorded infor-mation for generating a discharge summary report for each patient at the conclusion of the hospitalization of such patient, said discharge summary including a summary of se-lective information recorded.
means (26) for scheduling the ordered services for each patient and for reporting the schedule information to a common area (12) in the vicinity of each patient's loca-tion: means (14 and 24) for recording and reporting the results of the services administered to each patient to said common area (12) in the vicinity of each patient's location; and means (26) responsive to said recorded infor-mation for generating a discharge summary report for each patient at the conclusion of the hospitalization of such patient, said discharge summary including a summary of se-lective information recorded.
2. The invention according to claim 1 characterized in that said system (26) further includes means (24) for en-tering medical data regarding the progress of said patient during the hospitalization.
3. The invention according to claim 2 characterized in that said medical data includes physician notes regarding the progress of each patient.
4. The invention according to claim 2 characterized in that said medical data includes nurses notes regarding the progress of each patient.
5. The invention according to claim 2 characterized in that said medical data includes nurses notes regarding the progress of each patient.
6. The invention according to claim 1 characterized in that said means (26) for reporting results provides such results in a form usable as a part of a patient's chart.
7. The invention according to claim 1, 2 or 6 charac-terized in that said means (26) for reporting results fur-ther includes printer means at each common area (12).
8. The invention according to claim 7 characterized in that each common area (12) is a nurses station.
9. The invention according to claim 1, 2 or 6 charac-terized in that said system (26) includes a central com-puter system (26) and said means for entering and means for reporting include terminals (24) of said computer system (26).
10. The invention according to claim 1, 2, or 6 charac-terized in that said system (26) further includes storage means for storing data from which a chart for each patient may be reported.
11. The invention according to claim 1, 2 or 6 charac-terized in that each common area (12) is a nurses station.
12. The invention according to claim 1, 2 or 6 charac-terized in that said means (26) for generating said dis-charge summary report includes means for abstracting the recorded results of services performed.
13. A method of scheduling patient services and record-ing patient data for a hospitalized patient characterized by the steps of recording a location for each patient; re-cording physician orders for services to be performed upon each patient; automatically scheduling the services for each patient; recording the results of the performance of said services; and providing a discharge summary record for each patient, including a summary of selective recorded results.
14. The method according to claim 13 characterized in that said discharge record includes an abstraction of said results of services performed.
15. The method according to claim 13 or 14 character-ized in that said method further includes the steps of re-cording patient data relating to the progress of each pa-tient during the hospitalization and providing records at a common area in the vicinity of the location of each for inclusion with the chart of each patient.
16. The method according to claim 13 or 14 character-ized in that said method further includes the step of re-cording physician orders includes prioritizing the services ordered; and in that said step of scheduling includes re-scheduling in response to higher priorities for use of the services.
17. The invention according to claim 13 or 14 charac-terized in that said method further includes the steps of selectively storing the information recorded to permit rec-reation of a patient chart for each patient.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US07/426,113 US5065315A (en) | 1989-10-24 | 1989-10-24 | System and method for scheduling and reporting patient related services including prioritizing services |
| US426,113 | 1989-10-24 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2067747A1 true CA2067747A1 (en) | 1991-04-25 |
Family
ID=23689350
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002067747A Abandoned CA2067747A1 (en) | 1989-10-24 | 1990-10-24 | System for centralized storage of patient related data records including medical notes and tests results and for scheduling patient related services |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US5065315A (en) |
| EP (1) | EP0497832A4 (en) |
| AU (1) | AU6622090A (en) |
| CA (1) | CA2067747A1 (en) |
| WO (1) | WO1991006917A1 (en) |
Families Citing this family (326)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5265010A (en) * | 1990-05-15 | 1993-11-23 | Hewlett-Packard Company | Method and apparatus for performing patient documentation |
| US5519607A (en) * | 1991-03-12 | 1996-05-21 | Research Enterprises, Inc. | Automated health benefit processing system |
| DE4122143C2 (en) * | 1991-07-04 | 1995-09-21 | Draegerwerk Ag | Process for the automated, computer-assisted creation and processing of documentation for nursing measures |
| NL9200793A (en) * | 1992-05-01 | 1993-12-01 | Pacing Management & Consultanc | METHOD AND SYSTEM FOR CARE-CONSIDERATIVE OPTIMIZATION OF CARE ACQUISITION AND CARE-CONSIDER IDENTIFICATION CARD FOR USE IN SUCH A METHOD OR SIMILAR SYSTEM. |
| FR2692385B1 (en) * | 1992-06-16 | 1999-12-31 | Gemplus Card Int | AUTOMATIC MEDICAL ADMINISTRATIVE FORM PRINTING SYSTEM. |
| US5325294A (en) * | 1992-06-29 | 1994-06-28 | Keene Sharon A | Medical privacy system |
| US8095340B2 (en) | 1992-11-17 | 2012-01-10 | Health Hero Network, Inc. | Home power management system |
| US7624028B1 (en) | 1992-11-17 | 2009-11-24 | Health Hero Network, Inc. | Remote health monitoring and maintenance system |
| US5956501A (en) * | 1997-01-10 | 1999-09-21 | Health Hero Network, Inc. | Disease simulation system and method |
| US5951300A (en) | 1997-03-10 | 1999-09-14 | Health Hero Network | Online system and method for providing composite entertainment and health information |
| US8626521B2 (en) | 1997-11-21 | 2014-01-07 | Robert Bosch Healthcare Systems, Inc. | Public health surveillance system |
| AU1766201A (en) | 1992-11-17 | 2001-05-30 | Health Hero Network, Inc. | Method and system for improving adherence with a diet program or other medical regimen |
| US9215979B2 (en) | 1992-11-17 | 2015-12-22 | Robert Bosch Healthcare Systems, Inc. | Multi-user remote health monitoring system |
| US20010011224A1 (en) | 1995-06-07 | 2001-08-02 | Stephen James Brown | Modular microprocessor-based health monitoring system |
| US6196970B1 (en) * | 1999-03-22 | 2001-03-06 | Stephen J. Brown | Research data collection and analysis |
| US6330426B2 (en) | 1994-05-23 | 2001-12-11 | Stephen J. Brown | System and method for remote education using a memory card |
| US5307263A (en) | 1992-11-17 | 1994-04-26 | Raya Systems, Inc. | Modular microprocessor-based health monitoring system |
| US8078431B2 (en) | 1992-11-17 | 2011-12-13 | Health Hero Network, Inc. | Home power management system |
| US6968375B1 (en) | 1997-03-28 | 2005-11-22 | Health Hero Network, Inc. | Networked system for interactive communication and remote monitoring of individuals |
| US8078407B1 (en) | 1997-03-28 | 2011-12-13 | Health Hero Network, Inc. | System and method for identifying disease-influencing genes |
| US7970620B2 (en) | 1992-11-17 | 2011-06-28 | Health Hero Network, Inc. | Multi-user remote health monitoring system with biometrics support |
| US8027809B2 (en) | 1992-11-17 | 2011-09-27 | Health Hero Network, Inc. | Home power management system |
| US5832448A (en) | 1996-10-16 | 1998-11-03 | Health Hero Network | Multiple patient monitoring system for proactive health management |
| US20030212579A1 (en) | 2002-05-08 | 2003-11-13 | Brown Stephen J. | Remote health management system |
| WO1995000914A1 (en) * | 1993-06-28 | 1995-01-05 | Scott & White Memorial Hospital And Scott, Sherwood And Brindley Foundation | Electronic medical record using text database |
| US5444192A (en) * | 1993-07-01 | 1995-08-22 | Integral Information Systems | Interactive data entry apparatus |
| US5627349A (en) * | 1993-07-01 | 1997-05-06 | Integral Information Systems | Interactive data entry apparatus |
| US6012035A (en) * | 1993-07-08 | 2000-01-04 | Integral Business Services, Inc. | System and method for supporting delivery of health care |
| US5640549A (en) * | 1993-08-04 | 1997-06-17 | Powsner; Seth M. | Method and apparatus for graphical modeling of psychiatric and medical records |
| US6014630A (en) * | 1993-08-26 | 2000-01-11 | Patient Education Services, Inc. | Customized system for providing procedure-specific patient education |
| US5748907A (en) * | 1993-10-25 | 1998-05-05 | Crane; Harold E. | Medical facility and business: automatic interactive dynamic real-time management |
| US5471382A (en) * | 1994-01-10 | 1995-11-28 | Informed Access Systems, Inc. | Medical network management system and process |
| US5642513A (en) * | 1994-01-19 | 1997-06-24 | Eastman Kodak Company | Method and apparatus for multiple autorouter rule language |
| US5822720A (en) | 1994-02-16 | 1998-10-13 | Sentius Corporation | System amd method for linking streams of multimedia data for reference material for display |
| US5486999A (en) * | 1994-04-20 | 1996-01-23 | Mebane; Andrew H. | Apparatus and method for categorizing health care utilization |
| US8015033B2 (en) | 1994-04-26 | 2011-09-06 | Health Hero Network, Inc. | Treatment regimen compliance and efficacy with feedback |
| CA2125300C (en) * | 1994-05-11 | 1999-10-12 | Douglas J. Ballantyne | Method and apparatus for the electronic distribution of medical information and patient services |
| US5557514A (en) * | 1994-06-23 | 1996-09-17 | Medicode, Inc. | Method and system for generating statistically-based medical provider utilization profiles |
| US7222079B1 (en) | 1994-06-23 | 2007-05-22 | Ingenix, Inc. | Method and system for generating statistically-based medical provider utilization profiles |
| US5633910A (en) * | 1994-09-13 | 1997-05-27 | Cohen; Kopel H. | Outpatient monitoring system |
| US6014626A (en) * | 1994-09-13 | 2000-01-11 | Cohen; Kopel H. | Patient monitoring system including speech recognition capability |
| US5842173A (en) * | 1994-10-14 | 1998-11-24 | Strum; David P. | Computer-based surgical services management system |
| US7072840B1 (en) | 1994-10-28 | 2006-07-04 | Cybear, L.L.C. | Prescription management system |
| US5737539A (en) * | 1994-10-28 | 1998-04-07 | Advanced Health Med-E-Systems Corp. | Prescription creation system |
| US7574370B2 (en) * | 1994-10-28 | 2009-08-11 | Cybear, L.L.C. | Prescription management system |
| US5845255A (en) | 1994-10-28 | 1998-12-01 | Advanced Health Med-E-Systems Corporation | Prescription management system |
| EP0800680A4 (en) * | 1994-10-28 | 1998-08-12 | Advanced Health Med E Systems | Prescription management system |
| US5758095A (en) * | 1995-02-24 | 1998-05-26 | Albaum; David | Interactive medication ordering system |
| US6434531B1 (en) * | 1995-02-28 | 2002-08-13 | Clinicomp International, Inc. | Method and system for facilitating patient care plans |
| US5946659A (en) * | 1995-02-28 | 1999-08-31 | Clinicomp International, Inc. | System and method for notification and access of patient care information being simultaneously entered |
| CA2213997A1 (en) * | 1995-02-28 | 1996-09-06 | Clinicomp International, Inc. | Clinical critical care path system and method of using same |
| US5752234A (en) * | 1995-08-18 | 1998-05-12 | Patient Solutions | Method and apparatus for managing disposable medical supplies appropriate for a single patient visit |
| WO1997022078A1 (en) * | 1995-12-12 | 1997-06-19 | Deroyal Industries, Inc. | Method for the prescription and administration of health care resources |
| US7305348B1 (en) | 1996-02-20 | 2007-12-04 | Health Hero Network, Inc. | Aggregating and pooling health related information in a communication system with feedback |
| US5974389A (en) * | 1996-03-01 | 1999-10-26 | Clark; Melanie Ann | Medical record management system and process with improved workflow features |
| US5989187A (en) * | 1996-03-29 | 1999-11-23 | Medical Priority Consultants, Inc. | Method and system for giving remote emergency medical counseling for childbirth patients |
| US6106459A (en) * | 1996-03-29 | 2000-08-22 | Clawson; Jeffrey J. | Method and system for the entry protocol of an emergency medical dispatch system |
| US5857966A (en) * | 1996-03-29 | 1999-01-12 | Clawson; Jeffrey J. | Method and system for the unconscious or fainting protocol of an emergency medical dispatch system |
| US6053864A (en) * | 1996-03-29 | 2000-04-25 | Clawson; Jeffrey J. | Method and system for giving remote emergency medical counsel to arrest patients |
| US6010451A (en) * | 1996-03-29 | 2000-01-04 | Clawson; Jeffrey J. | Method and system for giving remote emergency medical counsel to choking patients |
| US6004266A (en) * | 1996-03-29 | 1999-12-21 | Clawson; Jeffrey J. | Method and system for the heart problem protocol of an emergency medical dispatch system |
| CA2252698A1 (en) * | 1996-04-23 | 1997-10-30 | Deroyal Industries, Inc. | Method for the administration of health care employing a computer generated model |
| AU716069B2 (en) * | 1996-04-26 | 2000-02-17 | Hunter Area Pathology Service | Blood processing system |
| AUPN952196A0 (en) * | 1996-04-26 | 1996-05-23 | Hunter Area Pathology Service | Blood processing system |
| US5970463A (en) * | 1996-05-01 | 1999-10-19 | Practice Patterns Science, Inc. | Medical claims integration and data analysis system |
| US7076436B1 (en) * | 1996-07-08 | 2006-07-11 | Rlis, Inc. | Medical records, documentation, tracking and order entry system |
| US6345268B1 (en) * | 1997-06-09 | 2002-02-05 | Carlos De La Huerga | Method and system for resolving temporal descriptors of data records in a computer system |
| US6272505B1 (en) | 1998-07-07 | 2001-08-07 | Carlos De La Huerga | Document modification based hyperlink limiting method and apparatus |
| US6820093B2 (en) | 1996-07-30 | 2004-11-16 | Hyperphrase Technologies, Llc | Method for verifying record code prior to an action based on the code |
| US5903889A (en) * | 1997-06-09 | 1999-05-11 | Telaric, Inc. | System and method for translating, collecting and archiving patient records |
| US5924074A (en) | 1996-09-27 | 1999-07-13 | Azron Incorporated | Electronic medical records system |
| US7584108B2 (en) | 1996-12-23 | 2009-09-01 | Health Hero Network, Inc. | Network media access control system for encouraging patient compliance with a treatment plan |
| US6322502B1 (en) * | 1996-12-30 | 2001-11-27 | Imd Soft Ltd. | Medical information system |
| US6032119A (en) | 1997-01-16 | 2000-02-29 | Health Hero Network, Inc. | Personalized display of health information |
| US6078894A (en) * | 1997-03-28 | 2000-06-20 | Clawson; Jeffrey J. | Method and system for evaluating the performance of emergency medical dispatchers |
| US6076065A (en) * | 1997-03-28 | 2000-06-13 | Clawson; Jeffrey J. | Method and system for the pregnancy condition protocol of an emergency medical dispatch system |
| US6018713A (en) * | 1997-04-09 | 2000-01-25 | Coli; Robert D. | Integrated system and method for ordering and cumulative results reporting of medical tests |
| US6055506A (en) * | 1997-04-25 | 2000-04-25 | Unitron Medical Communications, Inc. | Outpatient care data system |
| US6108665A (en) * | 1997-07-03 | 2000-08-22 | The Psychological Corporation | System and method for optimizing behaviorial health care collection |
| US6067523A (en) * | 1997-07-03 | 2000-05-23 | The Psychological Corporation | System and method for reporting behavioral health care data |
| US6044351A (en) * | 1997-12-18 | 2000-03-28 | Jones; Annie M. W. | Minimum income probability distribution predictor for health care facilities |
| US6047259A (en) * | 1997-12-30 | 2000-04-04 | Medical Management International, Inc. | Interactive method and system for managing physical exams, diagnosis and treatment protocols in a health care practice |
| US6973434B2 (en) | 1998-01-09 | 2005-12-06 | Millermed Software, Inc. | Computer-based system for automating administrative procedures in an office |
| US6292783B1 (en) * | 1998-03-06 | 2001-09-18 | Plexar & Associates | Phone-assisted clinical document information computer system for use in home healthcare, post-acute clinical care, hospice and home infusion applications |
| DE19822022C2 (en) * | 1998-05-15 | 2002-12-19 | Siemens Ag | Medical system |
| AU750050B2 (en) * | 1998-06-03 | 2002-07-11 | Scott Laboratories, Inc. | Apparatus and method for providing a conscious patient relief from pain and anxiety associated with medical or surgical procedures |
| FR2780179B3 (en) * | 1998-06-23 | 2000-09-08 | Joseph Ifergan | PATIENT DATA COLLECTION SYSTEM IN A HOSPITAL ENVIRONMENT |
| US6311162B1 (en) * | 1998-07-25 | 2001-10-30 | Ernst F. Reichwein | Interactive symptomatic recording system and methods |
| JP3002446B1 (en) | 1998-07-27 | 2000-01-24 | 株式会社亀田医療情報研究所 | Medical plan creation support system and machine readable medium recording program |
| US6171112B1 (en) | 1998-09-18 | 2001-01-09 | Wyngate, Inc. | Methods and apparatus for authenticating informed consent |
| US6149440A (en) * | 1998-09-18 | 2000-11-21 | Wyngate, Inc. | Methods and apparatus for authenticating informed consent |
| US8521546B2 (en) | 1998-09-25 | 2013-08-27 | Health Hero Network | Dynamic modeling and scoring risk assessment |
| US7003719B1 (en) | 1999-01-25 | 2006-02-21 | West Publishing Company, Dba West Group | System, method, and software for inserting hyperlinks into documents |
| US6389454B1 (en) | 1999-05-13 | 2002-05-14 | Medical Specialty Software | Multi-facility appointment scheduling system |
| US20050108219A1 (en) * | 1999-07-07 | 2005-05-19 | Carlos De La Huerga | Tiered and content based database searching |
| WO2001016834A1 (en) * | 1999-08-27 | 2001-03-08 | Kelly Patrick J | Method and system for early detection of disease |
| US7171371B2 (en) | 1999-09-03 | 2007-01-30 | Smg Trust | Method and system for providing pre and post operative support and care |
| US6687676B1 (en) | 1999-09-21 | 2004-02-03 | Nevoca, Com, Inc. | Prescription verification system |
| US7801765B2 (en) | 1999-09-21 | 2010-09-21 | Denny Lawrence A | Prescription verification system |
| US6640212B1 (en) * | 1999-09-30 | 2003-10-28 | Rodney L. Rosse | Standardized information management system for long-term residence facilities |
| US7260603B1 (en) | 1999-11-02 | 2007-08-21 | Highway To Health, Inc. | System and method for locating providers over the internet on short notice |
| DK2146484T3 (en) * | 1999-11-02 | 2014-05-19 | Highway To Health Inc | Procedure for locating providers over the Internet at short notice |
| US20040260577A1 (en) * | 1999-11-15 | 2004-12-23 | Recare, Inc. | Electronic healthcare information and delivery management system with an integrated medical search architecture and capability |
| KR100390128B1 (en) * | 1999-12-10 | 2003-07-04 | 가부시키가이샤 가메다 이료죠호겐큐쇼 | System for aiding to make medical care schedule, and program storage device readable by the system |
| US6824052B2 (en) * | 1999-12-28 | 2004-11-30 | Christopher S. Walsh | Healthcare verification methods, apparatus and systems |
| WO2001054011A1 (en) * | 2000-01-17 | 2001-07-26 | Asahi Kasei Kabushiki Kaisha | Electronic health counseling method |
| US7542911B2 (en) * | 2000-02-28 | 2009-06-02 | International Business Machines Corporation | Method for electronically maintaining medical information between patients and physicians |
| US7480629B2 (en) * | 2000-03-29 | 2009-01-20 | Ge Medical Systems Information Technologies, Inc. | Computer process for modeling flow of patients through hospital units |
| US20010037221A1 (en) * | 2000-04-12 | 2001-11-01 | Peter Slapnicher | Optometric business method |
| US20020026328A1 (en) * | 2000-05-05 | 2002-02-28 | Westerkamp Thomas M. | Method and system for management of patient accounts |
| JP2001338062A (en) * | 2000-05-26 | 2001-12-07 | Nec Corp | System for controlling electronic medical record and method for the same |
| EP1305764A2 (en) * | 2000-05-26 | 2003-05-02 | Bayer Corporation | Medical management system |
| US7587329B2 (en) * | 2000-06-02 | 2009-09-08 | Drason Consulting Services, Llc | Method and system for optimizing employee scheduling in a patient care environment |
| US7457765B2 (en) | 2000-06-02 | 2008-11-25 | Drason Consulting Services, Llc | Method and system for scheduling employees in a patient care environment |
| US6507837B1 (en) | 2000-06-08 | 2003-01-14 | Hyperphrase Technologies, Llc | Tiered and content based database searching |
| US20010053986A1 (en) * | 2000-06-19 | 2001-12-20 | Dick Richard S. | Method and apparatus for requesting, retrieving, and normalizing medical information |
| US20020116227A1 (en) * | 2000-06-19 | 2002-08-22 | Dick Richard S. | Method and apparatus for requesting, retrieving, and obtaining de-identified medical informatiion |
| CA2413845A1 (en) * | 2000-06-20 | 2001-12-27 | Sdgi Holdings, Inc. | Electronic patient healthcare system and method |
| US20020016923A1 (en) * | 2000-07-03 | 2002-02-07 | Knaus William A. | Broadband computer-based networked systems for control and management of medical records |
| US8924236B2 (en) * | 2000-07-20 | 2014-12-30 | Marfly 1, LP | Record system |
| US20030050803A1 (en) * | 2000-07-20 | 2003-03-13 | Marchosky J. Alexander | Record system |
| US7698154B2 (en) * | 2000-07-20 | 2010-04-13 | Marfly 1, LP | Patient-controlled automated medical record, diagnosis, and treatment system and method |
| US6751630B1 (en) * | 2000-07-20 | 2004-06-15 | Ge Medical Technology Services, Inc. | Integrated multiple biomedical information sources |
| US7174303B2 (en) * | 2000-07-31 | 2007-02-06 | Uappoint, Inc | Customer driven, sponsor controlled network-based graphical scheduling system and method |
| EP1191472A1 (en) * | 2000-09-22 | 2002-03-27 | Activa Care AB | Method and system for efficient distribution of resources for care and service needs |
| US7428301B1 (en) | 2000-10-09 | 2008-09-23 | Clawson Jeffrey J | Method and system for the exit protocol of an emergency medical dispatch system |
| EP1328889A4 (en) * | 2000-10-11 | 2005-06-01 | Healthtrio Inc | System for communication of health care data |
| JP3586183B2 (en) * | 2000-10-13 | 2004-11-10 | 俊忠 亀田 | Medical plan and record support system and machine readable medium recording program |
| US6988088B1 (en) * | 2000-10-17 | 2006-01-17 | Recare, Inc. | Systems and methods for adaptive medical decision support |
| US20020049615A1 (en) * | 2000-10-25 | 2002-04-25 | Huber Janet B. | Automated disease management system |
| US8712791B2 (en) * | 2000-11-22 | 2014-04-29 | Catalis, Inc. | Systems and methods for documenting medical findings of a physical examination |
| US20090125322A9 (en) * | 2000-11-22 | 2009-05-14 | Recare, Inc. | Integrated virtual consultant |
| US8301462B2 (en) * | 2000-11-22 | 2012-10-30 | Catalis, Inc. | Systems and methods for disease management algorithm integration |
| US20050107672A1 (en) * | 2000-11-22 | 2005-05-19 | Recare, Inc. | System and method for external input of disease management algorithm |
| AU2002225739A1 (en) * | 2000-11-22 | 2002-06-03 | Recare, Inc. | Systems and methods for integrating disease management into a physician workflow |
| US20020063691A1 (en) * | 2000-11-30 | 2002-05-30 | Rich Rogers | LCD and active web icon download |
| JP2002236745A (en) * | 2001-02-13 | 2002-08-23 | Alpha Data:Kk | Information service system in facility such as hospital and home for elderly |
| US20020116220A1 (en) * | 2001-02-20 | 2002-08-22 | Glazier Alan Neil | Method and system for interactively researching and scheduling a medical procedure over a computer network |
| US6987998B2 (en) * | 2001-02-28 | 2006-01-17 | Cardiac Pacemakers, Inc. | Cardiac rhythm management patient report |
| JP2005509312A (en) | 2001-03-30 | 2005-04-07 | ヒル−ロム サービシーズ，インコーポレイティド | Hospital bed and network system |
| JP2002312473A (en) * | 2001-04-11 | 2002-10-25 | Matsushita Electric Ind Co Ltd | Health examination system |
| US20020177757A1 (en) * | 2001-05-22 | 2002-11-28 | Siemens Medical Systems, Inc. | Systems and methods to facilitate an exchange of information associated with medical care provided to a patient |
| US7493264B1 (en) | 2001-06-11 | 2009-02-17 | Medco Health Solutions, Inc, | Method of care assessment and health management |
| US20030036939A1 (en) * | 2001-07-20 | 2003-02-20 | Flores Abelardo A. | Method and system configure to manage a maintenance process |
| US8909595B2 (en) | 2001-08-01 | 2014-12-09 | T-System, Inc. | Method for entering, recording, distributing and reporting data |
| US7130861B2 (en) | 2001-08-16 | 2006-10-31 | Sentius International Corporation | Automated creation and delivery of database content |
| US7689441B1 (en) * | 2001-08-20 | 2010-03-30 | Siemens Medical Solutions Health Services Corporation | Integrated order and scheduling in a healthcare administration system |
| JP4709443B2 (en) * | 2001-08-29 | 2011-06-22 | オリンパス株式会社 | Endoscopic image filing system |
| US7756723B2 (en) * | 2001-09-07 | 2010-07-13 | Eclipsys Corporation | System and method for managing patient bed assignments and bed occupancy in a health care facility |
| US20030083904A1 (en) * | 2001-09-13 | 2003-05-01 | John Voytas | Method and system for the transitional care of congestive heart failure patients |
| US8417533B2 (en) | 2001-09-25 | 2013-04-09 | Jeffrey J. Clawson | Method and system for the fire response dispatch protocol of an emergency dispatch system |
| US20030061070A1 (en) * | 2001-09-25 | 2003-03-27 | Kelly Gina E. | Interactive medical training system |
| US7436937B2 (en) | 2001-09-26 | 2008-10-14 | Clawson Jeffrey J | Method and system for the police response dispatch protocol of an emergency dispatch system |
| CN1602495A (en) * | 2001-10-11 | 2005-03-30 | 系统基础有限责任公司 | Data processing system for patient data |
| US20030078810A1 (en) * | 2001-10-22 | 2003-04-24 | Cole Doulgas J. | Resource monitoring and user interface system for processing location related information in a healthcare enterprise |
| US7890349B2 (en) * | 2001-10-22 | 2011-02-15 | Siemens Medical Solutions Usa, Inc. | Resource monitoring system for processing location related information in a healthcare enterprise |
| US7333966B2 (en) | 2001-12-21 | 2008-02-19 | Thomson Global Resources | Systems, methods, and software for hyperlinking names |
| DE10201576A1 (en) * | 2002-01-17 | 2003-07-31 | C & S Comp Und Software Gmbh | Procedure for assigning social benefits to a client |
| US20030144885A1 (en) * | 2002-01-29 | 2003-07-31 | Exscribe, Inc. | Medical examination and transcription method, and associated apparatus |
| US6783367B1 (en) * | 2002-02-19 | 2004-08-31 | Cisco Technology, Inc. | Method and system for providing a global product services electronic laboratory |
| US8050938B1 (en) | 2002-04-19 | 2011-11-01 | Greenway Medical Technologies, Inc. | Integrated medical software system with enhanced portability |
| US8738396B2 (en) | 2002-04-19 | 2014-05-27 | Greenway Medical Technologies, Inc. | Integrated medical software system with embedded transcription functionality |
| US7716072B1 (en) | 2002-04-19 | 2010-05-11 | Greenway Medical Technologies, Inc. | Integrated medical software system |
| US8606593B1 (en) | 2009-02-25 | 2013-12-10 | Greenway Medical Technologies. Inc. | System and method for analyzing, collecting and tracking patient data across a vast patient population |
| US8494868B2 (en) * | 2002-05-07 | 2013-07-23 | Priority Dispatch Corporation | Method and system for a seamless interface between an emergency medical dispatch system and a nurse triage system |
| EP1361535A1 (en) * | 2002-05-08 | 2003-11-12 | Siemens Aktiengesellschaft | Method and system for therapy planning |
| JP2006511851A (en) * | 2002-05-15 | 2006-04-06 | ユー．エス． ガバメント アズ リプレゼンテッド バイ ザ セクレタリー オブ ジ アーミー | Medical information processing system and method |
| US20050131738A1 (en) * | 2002-05-15 | 2005-06-16 | Morris Tommy J. | System and method for handling medical information |
| AU2003229090A1 (en) * | 2002-05-31 | 2003-12-19 | Acs State And Local Solutions, Inc. | Systems and methods for collecting information at an emergency vehicle |
| US20030010345A1 (en) * | 2002-08-02 | 2003-01-16 | Arthur Koblasz | Patient monitoring devices and methods |
| US20040059199A1 (en) * | 2002-09-04 | 2004-03-25 | Thomas Pamela Sue | Wound assessment and monitoring apparatus and method |
| AU2003275460A1 (en) * | 2002-10-03 | 2004-04-23 | Scott Laboratories, Inc. | Systems and methods for providing trend analysis in a sedation and analgesia system |
| CN101828904A (en) | 2002-10-03 | 2010-09-15 | 斯科特实验室公司 | Be used to provide the system and method for sensor fusion |
| WO2004038981A2 (en) * | 2002-10-21 | 2004-05-06 | Medvance Solutions Inc. | Method and system for medical communications |
| US11361853B2 (en) | 2002-10-29 | 2022-06-14 | Practice Velocity, LLC | Method and system for automated medical records processing with telemedicine |
| US9842188B2 (en) | 2002-10-29 | 2017-12-12 | Practice Velocity, LLC | Method and system for automated medical records processing with cloud computing |
| US8606594B2 (en) | 2002-10-29 | 2013-12-10 | Practice Velocity, LLC | Method and system for automated medical records processing |
| US10714213B2 (en) | 2002-10-29 | 2020-07-14 | Practice Velocity, LLC | Method and system for automated medical records processing with patient tracking |
| US7624027B1 (en) | 2002-10-29 | 2009-11-24 | Practice Velocity, LLC | Method and system for automated medical records processing |
| US20040172306A1 (en) * | 2002-12-02 | 2004-09-02 | Recare, Inc. | Medical data entry interface |
| US20040172296A1 (en) * | 2002-12-03 | 2004-09-02 | Recare, Inc. | Data structures for context based rule application |
| CA2453287A1 (en) * | 2002-12-12 | 2004-06-12 | Medisolve Inc. | System and method for intake of a patient in a hospital emergency room |
| US8620678B2 (en) | 2003-01-31 | 2013-12-31 | Imd Soft Ltd. | Medical information query system |
| US7848935B2 (en) | 2003-01-31 | 2010-12-07 | I.M.D. Soft Ltd. | Medical information event manager |
| US20040220835A1 (en) * | 2003-02-05 | 2004-11-04 | Meteor, Llc | Medical information system and method |
| US7263501B2 (en) | 2003-03-11 | 2007-08-28 | I-Stat Corporation | Point-of-care inventory management system and method |
| US7260480B1 (en) | 2003-04-07 | 2007-08-21 | Health Hero Network, Inc. | Method and system for integrating feedback loops in medical knowledge development and healthcare management |
| DE10319085B4 (en) * | 2003-04-28 | 2005-09-01 | Siemens Ag | Method for monitoring an examination and / or treatment procedure |
| US7399276B1 (en) | 2003-05-08 | 2008-07-15 | Health Hero Network, Inc. | Remote health monitoring system |
| US20050114181A1 (en) * | 2003-05-12 | 2005-05-26 | University Of Rochester | Radiology order entry and reporting system |
| DE10325915A1 (en) * | 2003-06-07 | 2005-01-13 | C & S Computer Und Software Gmbh | Computer-based method for automatic determination of the status of a social services client in which a responses to stored questions are matched to a client profile |
| WO2004114196A2 (en) * | 2003-06-13 | 2004-12-29 | Ibex Healthdata Systems | Health unit assessment tool |
| US10152453B1 (en) | 2003-06-30 | 2018-12-11 | At&T Intellectual Property I, L.P. | System and method for managing medical prescriptions and inventory |
| US10580519B2 (en) * | 2003-06-30 | 2020-03-03 | At&T Intellectual Property I, L.P. | System and method of automatically displaying patient information |
| US20050027569A1 (en) * | 2003-07-31 | 2005-02-03 | Sohrab Gollogly | Systems and methods for documentation of encounters and communications regarding same |
| US20050065816A1 (en) * | 2003-09-22 | 2005-03-24 | Limberg Michael Borg | Healthcare management information system |
| US20050114178A1 (en) * | 2003-11-26 | 2005-05-26 | Anand Krishnamurthy | Method for processing a workflow for automated patient scheduling in a hospital information system |
| AR047362A1 (en) | 2003-12-31 | 2006-01-18 | Thomson Global Resources Ag | SYSTEMS, METHODS, INTERFASES AND SOFTWARE FOR AUTOMATED COLLECTION AND INTEGRATION OF DATA OF ENTITIES IN DATABASES AND PROFESSIONAL DIRECTORIES ONLINE. |
| US8340981B1 (en) | 2004-03-02 | 2012-12-25 | Cave Consulting Group, Inc. | Method, system, and computer program product for physician efficiency measurement and patient health risk stratification utilizing variable windows for episode creation |
| US7739126B1 (en) | 2004-03-02 | 2010-06-15 | Cave Consulting Group | Method, system, and computer program product for physician efficiency measurement and patient health risk stratification |
| US20050273362A1 (en) * | 2004-06-02 | 2005-12-08 | Catalis, Inc. | Method and system for generating medical narrative |
| US20050273363A1 (en) * | 2004-06-02 | 2005-12-08 | Catalis, Inc. | System and method for management of medical and encounter data |
| DE102005016852A1 (en) * | 2004-06-30 | 2006-02-09 | Siemens Ag | Time management system for medical applications, especially in the clinical environment |
| US20060029273A1 (en) * | 2004-08-03 | 2006-02-09 | Catalis, Inc. | Physician communication system |
| US20060031097A1 (en) * | 2004-08-09 | 2006-02-09 | Catalis, Inc. | Practice management system |
| EP1834271A2 (en) * | 2004-12-21 | 2007-09-19 | Q-Trac, LLC | System and method for managing restorative care |
| US7443303B2 (en) | 2005-01-10 | 2008-10-28 | Hill-Rom Services, Inc. | System and method for managing workflow |
| US8140370B2 (en) | 2005-01-20 | 2012-03-20 | Epic Systems Corporation | System and method for reducing the steps involved in searching for available appointment times and scheduling appointments in a health care environment |
| US7957507B2 (en) | 2005-02-28 | 2011-06-07 | Cadman Patrick F | Method and apparatus for modulating a radiation beam |
| US8232535B2 (en) * | 2005-05-10 | 2012-07-31 | Tomotherapy Incorporated | System and method of treating a patient with radiation therapy |
| US8321283B2 (en) | 2005-05-27 | 2012-11-27 | Per-Se Technologies | Systems and methods for alerting pharmacies of formulary alternatives |
| US20060277071A1 (en) * | 2005-06-03 | 2006-12-07 | Shufeldt John J | Patient receiving method |
| US20070021977A1 (en) * | 2005-07-19 | 2007-01-25 | Witt Biomedical Corporation | Automated system for capturing and archiving information to verify medical necessity of performing medical procedure |
| EP2532386A3 (en) | 2005-07-22 | 2013-02-20 | TomoTherapy, Inc. | System for delivering radiation therapy to a moving region of interest |
| US8442287B2 (en) * | 2005-07-22 | 2013-05-14 | Tomotherapy Incorporated | Method and system for evaluating quality assurance criteria in delivery of a treatment plan |
| KR20080039920A (en) | 2005-07-22 | 2008-05-07 | 토모테라피 인코포레이티드 | System and method of evaluating dose delivered by a radiation therapy system |
| KR20080044252A (en) | 2005-07-22 | 2008-05-20 | 토모테라피 인코포레이티드 | Method and system for processing data relating to a radiation therapy treatment plan |
| EP1907059A4 (en) | 2005-07-22 | 2009-10-21 | Tomotherapy Inc | Method of and system for predicting dose delivery |
| JP2009514559A (en) | 2005-07-22 | 2009-04-09 | トモセラピー・インコーポレーテッド | System and method for generating contour structure using dose volume histogram |
| ATE507879T1 (en) | 2005-07-22 | 2011-05-15 | Tomotherapy Inc | SYSTEM FOR ADMINISTERING RADIATION THERAPY TO A MOVING TARGET AREA |
| EP1907981A4 (en) | 2005-07-22 | 2009-10-21 | Tomotherapy Inc | Method and system for evaluating delivered dose |
| KR20080039925A (en) | 2005-07-22 | 2008-05-07 | 토모테라피 인코포레이티드 | Method and system for adapting a radiation therapy treatment plan based on a biological model |
| CA2616299A1 (en) | 2005-07-22 | 2007-02-01 | Tomotherapy Incorporated | Method of placing constraints on a deformation map and system for implementing same |
| KR20080049716A (en) | 2005-07-22 | 2008-06-04 | 토모테라피 인코포레이티드 | Method and system for evaluating quality assurance criteria in delivery of a treament plan |
| CA2616293A1 (en) | 2005-07-23 | 2007-02-01 | Tomotherapy Incorporated | Radiation therapy imaging and delivery utilizing coordinated motion of gantry and couch |
| US20090041200A1 (en) * | 2005-07-23 | 2009-02-12 | Tomotherapy Incorporated | Radiation therapy imaging and delivery utilizing coordinated motion of jaws, gantry, and couch |
| CN101505652A (en) * | 2005-10-14 | 2009-08-12 | 断层放疗公司 | Method and interface for adaptive radiation therapy |
| US8706515B2 (en) | 2005-10-20 | 2014-04-22 | Mckesson Information Solutions Llc | Methods, systems, and apparatus for providing a notification of a message in a health care environment |
| US8725526B2 (en) * | 2005-10-20 | 2014-05-13 | Mckesson Information Solutions Llc | Methods, systems, and apparatus for providing real time query support and graphical views of patient care information |
| US20070162303A1 (en) | 2005-12-08 | 2007-07-12 | Ndchealth Corporation | Systems and Methods for Shifting Prescription Market Share by Presenting Pricing Differentials for Therapeutic Alternatives |
| US7711579B2 (en) * | 2005-12-15 | 2010-05-04 | Cerner Innovation, Inc. | System and method for managing discharge workload in healthcare environment |
| US20070143143A1 (en) * | 2005-12-16 | 2007-06-21 | Siemens Medical Solutions Health Services Corporation | Patient Discharge Data Processing System |
| US20070150308A1 (en) * | 2005-12-23 | 2007-06-28 | Caterpillar Inc. | Healthcare management system |
| US20070150309A1 (en) * | 2005-12-23 | 2007-06-28 | Michael Taylor | Health and wellness guidance system |
| US7840424B2 (en) | 2006-02-10 | 2010-11-23 | Ndchealth Corporation | Systems and methods for retaining or shifting prescription market share |
| US20070271117A1 (en) * | 2006-05-22 | 2007-11-22 | Klein Matias A | Electronic patient care system |
| US20070294109A1 (en) * | 2006-06-20 | 2007-12-20 | Costello John B | Method and system for creation of an integrated medical record via a communications computer network |
| US8190464B2 (en) * | 2006-07-10 | 2012-05-29 | Brevium, Inc. | Method and apparatus for identifying and contacting customers who are due for a visit but have not scheduled an appointment |
| US20080046290A1 (en) * | 2006-08-21 | 2008-02-21 | Cerner Innovation, Inc. | System and method for compiling and displaying discharge instructions for a patient |
| US20080046289A1 (en) * | 2006-08-21 | 2008-02-21 | Cerner Innovation, Inc. | System and method for displaying discharge instructions for a patient |
| US20080114618A1 (en) * | 2006-11-03 | 2008-05-15 | Kevin Pysnik | Patient information management system |
| US20080197984A1 (en) * | 2007-02-15 | 2008-08-21 | David Michael Peters | Method and system for reducing a patron's waiting time at a walk-in facility |
| US20090281825A1 (en) * | 2008-05-09 | 2009-11-12 | Larsen Steven J | Automated patient flow management system |
| US7895057B2 (en) * | 2007-05-04 | 2011-02-22 | Stashower Mitchell E | Method of providing post-partum treatment for enhancing comfort, physical and psychological well-being |
| US7645234B2 (en) | 2007-06-13 | 2010-01-12 | Clawson Jeffrey J | Diagnostic and intervention tools for emergency medical dispatch |
| US8066638B2 (en) | 2007-06-13 | 2011-11-29 | Clawson Jeffrey J | Diagnostic and intervention tools for emergency medical dispatch |
| US20090049447A1 (en) * | 2007-08-14 | 2009-02-19 | Michael Parker | Methods and systems for care readiness |
| US20090070143A1 (en) * | 2007-09-10 | 2009-03-12 | Sultan Haider | Method and system for differential diagnosis neuro solution |
| US20090099921A1 (en) * | 2007-09-17 | 2009-04-16 | Matias Klein | System and method for advertising and deliverig media in conjunction with an electronic medical records management, imaging and sharing system |
| WO2009055775A2 (en) * | 2007-10-25 | 2009-04-30 | Tomotherapy Incorporated | Method for adapting fractionation of a radiation therapy dose |
| US20090171695A1 (en) * | 2007-12-31 | 2009-07-02 | Intel Corporation | System and method for interactive management of patient care |
| US20090171694A1 (en) * | 2007-12-31 | 2009-07-02 | Ross Iii Ernest Osgood | System for managing laboratory test results for patients taking an endothelin receptor antagonist |
| US20090254365A1 (en) * | 2008-02-25 | 2009-10-08 | Gravina Craig S | Care management and transportation workflow |
| CA2716598A1 (en) * | 2008-03-04 | 2009-09-11 | Tomotherapy Incorporated | Method and system for improved image segmentation |
| US8635083B1 (en) | 2008-04-02 | 2014-01-21 | Mckesson Financial Holdings | Systems and methods for facilitating the establishment of pharmaceutical rebate agreements |
| US8799010B2 (en) * | 2008-05-07 | 2014-08-05 | Unitedhealth Group Incorporated | Telehealth scheduling and communications network |
| CN101808697A (en) * | 2008-06-16 | 2010-08-18 | 雅玛多-普罗泰克株式会社 | Fire-extinguishing spray nozzle and fire-extinguishing equipment |
| US8521557B1 (en) | 2008-06-16 | 2013-08-27 | Mckesson Financial Holdings Limited | System and methods for processing rejected healthcare claim transactions for over-the-counter products |
| US8626525B2 (en) | 2008-06-23 | 2014-01-07 | Mckesson Financial Holdings | Systems and methods for real-time monitoring and analysis of prescription claim rejections |
| US8538777B1 (en) | 2008-06-30 | 2013-09-17 | Mckesson Financial Holdings Limited | Systems and methods for providing patient medication history |
| US8301464B1 (en) | 2008-07-18 | 2012-10-30 | Cave Consulting Group, Inc. | Method and system for producing statistical analysis of medical care information |
| US11244416B2 (en) | 2008-07-18 | 2022-02-08 | Cave Consulting Group, Inc. | System, method, and graphical user interface for identifying medical care providers outside a process-of-care standard |
| US8363784B2 (en) * | 2008-08-28 | 2013-01-29 | Tomotherapy Incorporated | System and method of calculating dose uncertainty |
| US8803910B2 (en) * | 2008-08-28 | 2014-08-12 | Tomotherapy Incorporated | System and method of contouring a target area |
| US8600777B2 (en) | 2008-08-28 | 2013-12-03 | I.M.D. Soft Ltd. | Monitoring patient conditions |
| EP2343684A4 (en) * | 2008-10-23 | 2012-06-06 | Olympus Medical Systems Corp | Inspection managing device |
| US8046242B1 (en) | 2009-01-22 | 2011-10-25 | Mckesson Financial Holdings Limited | Systems and methods for verifying prescription dosages |
| EP2403600A4 (en) * | 2009-03-03 | 2012-08-29 | Tomotherapy Inc | System and method of optimizing a heterogeneous radiation dose to be delivered to a patient |
| US8971501B2 (en) * | 2009-04-13 | 2015-03-03 | Priority Dispatch Corporation | Methods and systems to identify code hierarchy bias in medical priority dispatch systems |
| US8355483B2 (en) | 2009-09-11 | 2013-01-15 | Clawson Jeffrey J | Stroke diagnostic and intervention tool for emergency dispatch |
| US8335298B2 (en) | 2009-09-14 | 2012-12-18 | Clawson Jeffrey J | Pandemic diagnostic and intervention tool for emergency dispatch |
| US9061141B2 (en) * | 2009-09-29 | 2015-06-23 | Tomotherapy Incorporated | Patient support device with low attenuation properties |
| US8489415B1 (en) | 2009-09-30 | 2013-07-16 | Mckesson Financial Holdings Limited | Systems and methods for the coordination of benefits in healthcare claim transactions |
| WO2011053802A2 (en) * | 2009-10-30 | 2011-05-05 | Tomotherapy Incorporated | Non-voxel-based broad-beam (nvbb) algorithm for intensity modulated radiation therapy dose calculation and plan optimization |
| US8788296B1 (en) | 2010-01-29 | 2014-07-22 | Mckesson Financial Holdings | Systems and methods for providing notifications of availability of generic drugs or products |
| US8386276B1 (en) | 2010-02-11 | 2013-02-26 | Mckesson Financial Holdings Limited | Systems and methods for determining prescribing physician activity levels |
| US8321243B1 (en) | 2010-02-15 | 2012-11-27 | Mckesson Financial Holdings Limited | Systems and methods for the intelligent coordination of benefits in healthcare transactions |
| US8294570B2 (en) | 2010-02-24 | 2012-10-23 | Clawson Jeffrey J | Burn diagnostic and intervention tool for emergency dispatch |
| US8548824B1 (en) | 2010-03-26 | 2013-10-01 | Mckesson Financial Holdings Limited | Systems and methods for notifying of duplicate product prescriptions |
| US8688468B1 (en) | 2010-03-30 | 2014-04-01 | Mckesson Financial Holdings | Systems and methods for verifying dosages associated with healthcare transactions |
| US8650040B2 (en) | 2010-05-14 | 2014-02-11 | Brevium, Inc. | Method and apparatus for protecting relationships with referring providers within a system that identifies patients overdue for an appointment |
| US20120016688A1 (en) * | 2010-07-15 | 2012-01-19 | Brevium, Inc. | Method and apparatus for routing a patient to a health care provider and location |
| WO2012018617A1 (en) | 2010-08-03 | 2012-02-09 | Modernizing Medicine, Inc. | System and method for the recording of patient notes |
| US8582866B2 (en) | 2011-02-10 | 2013-11-12 | Edge 3 Technologies, Inc. | Method and apparatus for disparity computation in stereo images |
| US20120059671A1 (en) * | 2010-09-08 | 2012-03-08 | William Park | System for real time recording and reporting of emergency medical assessment data |
| CA2819020C (en) | 2011-01-19 | 2018-07-17 | Jeffrey J. Clawson | Meningitis diagnostic and intervention tool for emergency dispatch |
| US8396191B2 (en) | 2011-02-11 | 2013-03-12 | Jeffrey J. Clawson | Anti-social protocol for emergency dispatch |
| US8670526B2 (en) | 2011-02-11 | 2014-03-11 | Jeffrey J. Clawson | Hate crime diagnostic and intervention tool for emergency dispatch |
| DE102012104353A1 (en) | 2011-05-20 | 2012-11-22 | inHaus GmbH | Method for documenting, recording and monitoring of to be provided care or nursing services to client in e.g. nursing home, involves transmitting specific data to staff on terminal so that staff for each client is able to call |
| WO2012177611A2 (en) * | 2011-06-19 | 2012-12-27 | Mmodal Ip Llc | Using alternative sources of evidence in computer-assisted billing coding |
| US9821129B2 (en) | 2011-11-02 | 2017-11-21 | Vyaire Medical Capital Llc | Ventilation management system |
| US9352110B2 (en) | 2012-06-29 | 2016-05-31 | Carefusion 207, Inc. | Ventilator suction management |
| US9072849B2 (en) | 2012-06-29 | 2015-07-07 | Carefusion 207, Inc. | Modifying ventilator operation based on patient orientation |
| US20130110529A1 (en) * | 2011-11-02 | 2013-05-02 | Tom Steinhauer | Ventilator avoidance report |
| US9687618B2 (en) | 2011-11-02 | 2017-06-27 | Carefusion 207, Inc. | Ventilation harm index |
| US9737676B2 (en) | 2011-11-02 | 2017-08-22 | Vyaire Medical Capital Llc | Ventilation system |
| US9177109B2 (en) | 2011-11-02 | 2015-11-03 | Carefusion 207, Inc. | Healthcare facility ventilation management |
| US9058741B2 (en) | 2012-06-29 | 2015-06-16 | Carefusion 207, Inc. | Remotely accessing a ventilator |
| US9327090B2 (en) | 2012-06-29 | 2016-05-03 | Carefusion 303, Inc. | Respiratory knowledge portal |
| US10156956B2 (en) | 2012-08-13 | 2018-12-18 | Mmodal Ip Llc | Maintaining a discrete data representation that corresponds to information contained in free-form text |
| US10181360B1 (en) | 2012-09-04 | 2019-01-15 | D.R. Systems, Inc. | Report links |
| US8712020B2 (en) | 2012-09-06 | 2014-04-29 | Jeffrey J. Clawson | Pandemic protocol for emergency dispatch |
| US8873719B2 (en) | 2013-01-31 | 2014-10-28 | Jeffrey J. Clawson | Active assailant protocol for emergency dispatch |
| AU2014212257B2 (en) | 2013-01-31 | 2017-06-29 | Jeffrey J. Clawson | System and method for text messaging for emergency response |
| US9443633B2 (en) | 2013-02-26 | 2016-09-13 | Accuray Incorporated | Electromagnetically actuated multi-leaf collimator |
| US10417380B1 (en) | 2013-12-31 | 2019-09-17 | Mckesson Corporation | Systems and methods for determining and communicating a prescription benefit coverage denial to a prescriber |
| US10489552B2 (en) | 2014-02-14 | 2019-11-26 | Mckesson Corporation | Systems and methods for determining and communicating patient incentive information to a prescriber |
| US10297344B1 (en) | 2014-03-31 | 2019-05-21 | Mckesson Corporation | Systems and methods for establishing an individual's longitudinal medication history |
| US10157262B1 (en) | 2015-03-10 | 2018-12-18 | Mckesson Corporation | Systems and methods for determining patient financial responsibility for multiple prescription products |
| US10950329B2 (en) | 2015-03-13 | 2021-03-16 | Mmodal Ip Llc | Hybrid human and computer-assisted coding workflow |
| US9516166B1 (en) | 2015-05-28 | 2016-12-06 | Jeffrey J. Clawson | Chemical suicide protocol for emergency response |
| US10657614B2 (en) | 2015-12-23 | 2020-05-19 | Jeffrey J. Clawson | Locator diagnostic system for emergency dispatch |
| US11514137B1 (en) | 2016-03-30 | 2022-11-29 | Mckesson Corporation | Alternative therapy identification system |
| US9877171B2 (en) | 2016-04-08 | 2018-01-23 | Jeffrey J. Clawson | Picture/video messaging protocol for emergency response |
| WO2018136417A1 (en) | 2017-01-17 | 2018-07-26 | Mmodal Ip Llc | Methods and systems for manifestation and transmission of follow-up notifications |
| US10999224B1 (en) | 2017-02-01 | 2021-05-04 | Mckesson Corporation | Method and apparatus for parsing an electronic message and constructing multiple differently prioritized messages therefrom |
| US11282596B2 (en) | 2017-11-22 | 2022-03-22 | 3M Innovative Properties Company | Automated code feedback system |
| BR112020021396A2 (en) | 2018-04-19 | 2021-01-26 | Jeffrey Clawson | system and method for express shipping protocol |
| US10862832B1 (en) | 2018-07-24 | 2020-12-08 | Mckesson Corporation | Computing system and method for automatically reversing an action indicated by an electronic message |
| US11636548B1 (en) | 2019-06-26 | 2023-04-25 | Mckesson Corporation | Method, apparatus, and computer program product for providing estimated prescription costs |
| US11562437B1 (en) | 2019-06-26 | 2023-01-24 | Mckesson Corporation | Method, apparatus, and computer program product for providing estimated prescription costs |
| US11610240B1 (en) | 2020-02-17 | 2023-03-21 | Mckesson Corporation | Method, apparatus, and computer program product for partitioning prescription transaction costs in an electronic prescription transaction |
| CN111652401B (en) * | 2020-06-12 | 2023-05-30 | 昆明医科大学第一附属医院 | Patient-centered clinical examination reservation system and method |
| US11587657B2 (en) | 2020-09-04 | 2023-02-21 | Mckesson Corporation | Method, apparatus, and computer program product for performing an alternative evaluation procedure in response to an electronic message |
| US11937160B2 (en) | 2021-04-23 | 2024-03-19 | Priority Dispatch Corporation | System and method for emergency dispatch |
| US11910471B2 (en) | 2021-04-23 | 2024-02-20 | Priority Dispatch Corp. | System and method for emergency dispatch |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3872448A (en) * | 1972-12-11 | 1975-03-18 | Community Health Computing Inc | Hospital data processing system |
| US4835372A (en) * | 1985-07-19 | 1989-05-30 | Clincom Incorporated | Patient care system |
| US4857713A (en) * | 1986-02-14 | 1989-08-15 | Brown Jack D | Hospital error avoidance system |
| US4916441A (en) * | 1988-09-19 | 1990-04-10 | Clinicom Incorporated | Portable handheld terminal |
-
1989
- 1989-10-24 US US07/426,113 patent/US5065315A/en not_active Expired - Fee Related
-
1990
- 1990-10-24 AU AU66220/90A patent/AU6622090A/en not_active Abandoned
- 1990-10-24 WO PCT/US1990/006095 patent/WO1991006917A1/en not_active Application Discontinuation
- 1990-10-24 EP EP19900915917 patent/EP0497832A4/en not_active Withdrawn
- 1990-10-24 CA CA002067747A patent/CA2067747A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| EP0497832A1 (en) | 1992-08-12 |
| AU6622090A (en) | 1991-05-31 |
| EP0497832A4 (en) | 1992-12-23 |
| WO1991006917A1 (en) | 1991-05-16 |
| US5065315A (en) | 1991-11-12 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| FZDE | Discontinued |