Abstract: A universal application integrator system enables the automated integration of data from patient care devices into electronic health records (EHRs). In addition, the system acts as a context manager between these patient care devices, EHR applications, and ancillary specific patient care applications. The system is the central controller for direct integration with patient care devices. This allows for click-once implementation and automated driver uploads for patient care devices. Third party application integration allows for device and patient context information to be shared among applications in a standardized patient care fashion.

Abstract: Technologies and techniques for providing navigation within a workspace on a processing device for electronic healthcare record systems are disclosed. Systems, apparatus, and methods disclosed provide generation of a workspace to be displayed for the processing device, which receives data relating to the workspace and at least one toolbar to be displayed with the workspace. A toolbar manager is used is process the received data related to the workspace and the at least one toolbar in order to generate at least one toolbar. The toolbar is configured according to a particular domain and includes one or more areas selectable for expanding the toolbar within the workspace to display information relevant to the particular domain.

Abstract: A server EHR executing on a server computing device is in communication with a client EHR executing on a first client computing device, and receives a prescription authorization from the client EHR, the prescription authorization based on input received from an authorized clinician user of the client EHR during performance of a clinical subtask of a prescription ordering task. The server EHR assigns a non-clinical subtask of the prescription ordering task to a non-clinician user operating a client application executing on a second client computing device. The non-clinician user provides input to the client application that pertains to completion of the non-clinical subtask. The client application transmits prescription ordering data to the server EHR, whereupon the server EHR outputs a prescription order to a second server computing device associated with a pharmacy indicated in the prescription ordering data.

Abstract: A method for increasing sargability of encrypted records to allow for searching of a first column of a first data table for encrypted values containing a search string without having to decrypt all encrypted values involves, for each respective data record in the first data table, accessing an encrypted data value from the first column, decrypting the accessed encrypted data value, generating from the decrypted data value a respective plurality of substrings of various lengths, encrypting each substring of the respective plurality of substrings as an encrypted substring token, and storing each encrypted substring token in association with a reference value for lookup of a corresponding record in the first data table. Subsequently, the first column of the first data table can be searched for encrypted values containing a first search string by encrypting the first search string and searching for encrypted substring tokens matching the encrypted first search string.

Abstract: Embodiments include a customizable encounter document whose contents are populated based on a template for the current patient, a template for all the user's patients, or a combination of templates. The contents include data modules retrieved from various databases and are arranged according to the user's work flow. The contents are presented in one view, a scrollable pane, to assist the user when making medical decisions. The user can make changes to the contents on the scrollable pane in real time that may affect one or more of the templates. Once the customizable encounter document is signed, the contents are captured, de-identified, and saved, along with a link of the captured contents with the user, and/or the patient's EHR.

Abstract: A computing system for redirecting electronic prescription refills is disclosed herein. A server computer device executing an electronic health records application constructs an electronic prescription for a patient and causes the electronic prescription to be routed to a first pharmacy device of a first pharmacy. The electronic prescription includes at least one refill. Subsequently, the server computing device receives an identifier for the electronic prescription and an identifier for a second pharmacy from a second server computing device executing a patient portal application, wherein the identifier for the second pharmacy is specified by the patient. The server computing device identifies the electronic prescription, determines a number of refills remaining on the electronic prescription, and constructs a second electronic prescription including the number of refills.

Abstract: A method for facilitating integration of patient electronic healthcare record information from a community aggregator with electronic healthcare record information native to an electronic healthcare record (EHR) application includes, for each of a plurality of accessed community data items, comparing the community data item to native data items, and based on the comparison, identifying the community data item as a duplicate, a potential duplicate, or not a duplicate, and for each community data item which was not identified as a duplicate, comparing the community data item to entries in one or more native clinical dictionaries, and, based on the comparison, identifying the community data item as an exact match to a clinical dictionary entry, a potential match to one or more clinical dictionary entries, or not matched to any clinical dictionary entry.

Abstract: An improved graphical user interface (GUI) is disclosed herein. A computing device displays the GUI on a display. The GUI comprises a data element. The computing device receives a first indication that the data element has been selected within the GUI by a selection article. As the data element remains selected, the computing device receives a second indication that the selection article has been moved in a direction. As the data element remains selected, the computing device displays contextual data for the data element on the display. The contextual data displayed may be based upon the direction in which the selection article was moved. Responsive to receiving a third indication that the data element fails to remain selected by the selection article, the computing device removes the contextual data from the GUI.

Abstract: An electronic health records application (EHR) receives an indication that a patient in a healthcare facility has been diagnosed with an infectious disease at a datetime. The EHR determines first locations in the healthcare facility in which the patient has been present. The EHR identifies portions of a heating, ventilation, and air conditioning system (HVAC) system of the healthcare facility based upon the first locations. The portions of the HVAC system connect the first locations to second locations in the healthcare facility. The EHR identifies a person that has been present in at least one of the first locations or the second locations. The EHR then causes a notification to be transmitted to a computing device operated by the person notifying the person of potential exposure to the infectious disease.

Abstract: A method involves presenting an interface which provides the ability to associate photographic images with an anatomical image for use in clinical documentation. A method involves presenting an interface which displays an anatomical image and lists both common conditions for selection by a user and common treatments for the presented or selected conditions. A method involves presenting an interface which displays an anatomical image providing drill down functionality.

Abstract: Described herein are various technologies pertaining to a patient portal interface application for a hub application that is displayed concurrently on a display with a graphical user interface (GUI) for a client electronic health record application (EHR). The hub application facilitates access to supplement applications, wherein at least one of the supplement applications is a patient portal interface application. The patient portal interface application communicates with a patient portal server to facilitate presentment of patient portal data to a user of the client EHR. The patient portal interface application provides a current context of the EHR to the patient portal server, and receives contextually-based patient portal data from the patient portal server. The contextual patient portal data is then displayed by way of a GUI of the patient portal interface application.

Abstract: A method includes receiving from a health care practitioner input corresponding to creation of a first health care order which includes one or more parameters associated with a health care goal for the patient, one or more parameters associated with one or more rules for communicating notifications regarding the first health care order to the first health care practitioner via the electronic health records application, and instructions for the patient for complying with the first health care order. The method further includes displaying to the patient a patient portal comprising a goals interface which displays information associated with the first health care order for the patient created by the first health care practitioner, and allowing the patient to input readings for the order. The method further includes communicating one or more notifications back to the electronic health records application based on the readings.

Abstract: A method includes receiving structured clinical data in transactional HL7 messages, aggregating the data in a staging area, and merging only the most updated data into a destination database in ordered validated, calculated, and manipulated sets.

Abstract: A method includes converting a user's utterance to text; encapsulating the converted text in a rheme object; searching, for each of a plurality of topics, for keywords in the converted text; determining a relevancy metric for each of the plurality of topics based on such searching; selecting one or more topics based on determined relevancy metrics; comparing some or all of the converted text to names in one or more patient lists or databases; identifying a unique patient whose name is contained in the converted; attaching an indication of the identified patient to the rheme object; effecting an action based on the selected one or more topics and the attached patient indication; and saving the topic in a conversation history with a reference to the identified patient.

Abstract: A client EHR executing on a client computing device is described herein, wherein the client EHR is configured to present a GUI on a display of the client computing device. The GUI comprises a first field, a second field, and a third field, wherein the first field is configured to receive an identifier for a category of clinical data, the second field is configured to receive clinical data of the identified category of clinical data and the third field is configured to present the identified category of clinical data from the electronic health record of a patient. The client computing device then receives input comprising clinical data of the category identified, which is then integrated into the patient's electronic health record maintained by the EHR. After receiving an input comprising clinical data, the GUI automatically advances to the next subcategory of the identified category for which clinical data is needed.

Abstract: Described herein are various technologies pertaining to authenticating, via a two-factor authentication method, the identity of a user requesting access to a medical application such as an electronic health record (EHR). The medical application, executing on a server computing device, authenticates the user based upon log in credentials provided to a client computing device, and indicates to the client computing device that the user has been authenticated. The client computing device transmits a message to a helper application (executing on a second server computing device), where the message indicates that the user has logged into the medical application. The helper application can then request confirmation from the user (by transmitting a request to a mobile computing device of the user) that the user has logged into the medical application.

Abstract: Described herein are various technologies pertaining to generating and modifying a file for an entity, wherein the file includes a file record, and further wherein the file record includes binary data and a schema that is usable to hydrate a record based upon the binary data. The file is modified by appending file records to one another, where file records optionally correspond to different record creation systems. Described herein are also various technologies pertaining to locating a record in the file.

Abstract: Technologies and techniques for providing domain-specific text scaling for a page having a plurality of domains. A processing apparatus configured to generate the page and an interface associated with at least one of the plurality of domains. A profile module is configured to store user identification information. A scaling module is included, wherein the processing apparatus is configured to receive an input via the interface to modify the text scaling via the scaling module for the associated domain, without modifying the text scaling for at least one of the other of plurality of domains. Contexts for domains may also be determined and subsequently used to load pre-stored values for domain-specific text scaling.

Abstract: A supplement application for ordering genetic tests is disclosed herein. The supplement application receives an identifier for a medication for a patient and an identifier for the patient from an electronic health records application. The supplement application retrieves an identifier for a variant form of a gene based on the identifier for the medication. The variant form of the gene is known to have an interaction with the medication. When the supplement application determines that the patient has failed to undergo a genetic test for the variant form of the gene, the supplement application retrieves an identifier for a genetic laboratory that offers the genetic test. The supplement application then constructs an order for the genetic test using the identifier for the patient, the identifier for the variant form of the gene, and the identifier for the genetic laboratory and transmits the order to a genetic laboratory computing device.

Abstract: An improved graphical user interface (GUI) for displaying patient health records is described herein. A computing device transmits a query to a server computing device executing an electronic health records application (EHR). The EHR retrieves a computer-readable file for a patient comprising a plurality of file records, the plurality of file records including a file record reflective of a patient encounter with a healthcare worker for a healthcare issue. The EHR transmits data which causes the computing device to present a GUI including a first portion comprising an identity of the healthcare issue and a second portion comprising a treatment plan for the healthcare issue, patient symptoms, and observations made by the healthcare worker during the patient encounter. The first portion is oriented above the second portion such that the healthcare issue can be identified without scrolling through the GUI or refreshing the GUI.