Data entry system for an endoscopic examination
A method and system for capturing patient related data in an endoscopic system comprising an imaging node adapted to capture and display endoscopic images during the course of an endoscopic examination. The patient data capture system and method includes a display device that provides an interface to enable a user to enter data relating to a patient examined during the examination, including patient vital sign information at various phases of care relating to the endoscopic examination and, further including individual graphic controls for enabling entry of values relating to the patient's vitals information. The entered patients vitals information is associated with a timestamp. The patient vitals information and associated timestamps are stored in a database record associated with the patient. Further data capable of being entered into the system includes medications administered, Aldrete scores and intraprocedural assessments.
This application claims the benefit of U.S. Provisional patent application Ser. No. 60/471,349 filed May 16, 2003 and incorporated by reference as if fully set forth herein. This application further relates to commonly-owned, co-pending U.S. patent application Ser. Nos. ______, ______ and ______ (Atty. Dockets 17282, 17284 and 17523) incorporated by reference herein.
BACKGROUND OF THE INVENTION1. Field of the Invention
The present invention relates generally to entry and recordation of medical information, including the recordation of a patient's vital and medication information, particularly, in the context of a medical procedure such as an endoscopic examination.
2. Discussion of the Prior Art
There currently exists a clinical information management system known as Endoworks (hereinafter “EW system” manufactured by Olympus Corporation) that provides functionality for automating the endoscopy lab by managing patient examination data at different phases of patient care, including the capture of images, data and written Procedure Notes, and further, the generation and storage of medical records and procedure reports.
Particularly, the EW system, designed for the practice of endoscopy, is a comprehensive, real-time, interactive clinical information management system with integrated reporting features, that manages and organizes clinical information, endoscopic images and related patient data, at various levels of detail, for creating efficiencies and facilitating functions performed by users of endoscopic equipment, e.g., physicians, nurses, clinicians, etc.
Integral to the performance of an endoscopy procedure via the EW system is the real-time capture of endoscopic images and entry of examination data (e.g., patient ID, practitioner information, endoscope ID type). Part of the examination data captured includes what are known as “vitals,” i.e., that patient data relating to pulse rate, respiration, blood pressure (systolic), etc. and “medications” for a patient including, for example, medications administered during the different phases of care. These data are entered and stored with the patient record via a graphical user interface (GUI) provided with the EW system.
It would be highly desirable to provide an intuitive, novel interface enabling users to capture a patient's vital signs and medications administered at specific times for an endoscopy examination.
SUMMARY OF THE INVENTIONAccordingly, it is an object of the present invention to provide a novel system and method for capturing, recording and displaying medical information such as a patient's vitals and medication administered during various phases of a given medical procedure such as an endoscopic procedure.
Further to this object is the ability of the system to enable entry and recordation of Aldrete Scores, and intraprocedural assessments for the patient being examined.
According to one aspect of the invention, there is provided a novel user interface, that enables a user to configure a vitals and medications graph view, and particularly the ability to create new time entries by entering a start date and time, and further specify a time increment and number of entries.
According to another aspect of the invention is the option that enables a user to view a graph of vitals and medications administered, and further, via the graphical view, the ability to add a column with current time (if the column is not already present) for all the four sections (Vitals, Medications, Aldrete, and Intraprocedural Assessments) during pre-procedure, procedure and post-procedure phases of the endoscopic examination. In this manner, a user is provided with the ability to associate Vitals, Medications, Aldretes, and Intraprocedural Assessments with a timestamp that is unique for the exam during pre-procedure, procedure and post-procedure phases of the examination.
Thus, according to a preferred aspect of the invention, there is provided a system and method for capturing patient related data in an endoscopic system comprising an imaging node adapted to capture endoscopic images during the course of an endoscopic examination. The patient data capture system comprises a display means for providing an interface to enable user to enter data relating to a patient examined during the endoscopic examination, the data including patient vital sign information of the patient at various phases of care relating to the endoscopic examination and, the interface including individual graphic controls for enabling entry of values relating to the patients vitals information; a means for associating entry of patients' vitals information with a timestamp; and, a means for storing the patient vitals information and associated timestamps in a database record associated with the patient.
Advantageously, the capturing, recording and displaying medical information is implemented in a comprehensive, browser-based, clinical information management system designed for the practice of endoscopy that further includes the ability to capture, process and record endoscopic images during a procedure and further includes an Image Management function enabling a user to annotate, label, import, export, and enhance the quality of images, including the ability to manage, record, and export live video clips and generate reports that include the stored images and captured patient information.
BRIEF DESCRIPTION OF THE DRAWINGSThe objects, features and advantages of the present invention will become apparent to one skilled in the art, in view of the following detailed description taken in combination with the attached drawings, in which:
Overview of the System
As shown in
The system may function as a stand-alone system including memory for storing patient data and image information. The system may also include a server 140 and database element 145 that may be connected via a gateway application to various “external” systems such as a hospital information system where the gateway facilitates the transfer of healthcare information between the system and other applications. Patient information stored in the system may be downloaded to external systems (e.g., a legacy system) via a gateway interface. The workstation 110 may communicate with the server 140 via the Internet 170 or other network, such as a LAN or intranet. The workstation 110 may also communicate with a fax server 160, for instance, for faxing reports via a fax modem 162. Generally, software instructions, including firmware and microcode, may be stored in any type of program storage device or devices, also referred to as computer-readable media. The software is executed by a processor in a known manner to achieve the functionality described herein.
In a particular aspect, the system includes an Image Management function enabling a user to annotate, label, import, export, and enhance the quality of images, including the ability to manage, record, and export live video clips. Further to this is an “auto-masking” feature that automatically selects an appropriate video mask based on a particular endoscope device being utilized by the health care practitioner.
In another particular aspect, the system includes a medical terminology “Knowledge Base” (KB) comprising keywords relating to the procedure, e.g., such as gastrointestinal, endoscopic and bronchoscopic terminology keywords. The keywords are captured via a graphical user interface (GUI) before, during, and/or after a procedure. The keywords are made available for labeling images captured during an examination to be used in reports, auto-populating appropriate sections of a report such as a Procedure Note, described further below, based on patient history, and building Procedure Note templates or models to auto-populate sections of information. The system also facilitates the use of custom terms that apply to a specific department or location. Thus, for example, during an exam, a user may select KB terms for a procedure via a common user interface, which is employed wherever the user needs to locate or extract keywords. This also provides a consistent way to select and use terminology.
Clinical Flow
The registration and scheduling clinical flow 200 of
The Pre-Procedure clinical flow 300 of
The Procedure clinical flow 400 of
The Post-Procedure clinical flow 500 of
User Interface
The invention is next described in connection with a user interface that allow the user to select different features under different tabs.
I. Home tab 600 (
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- 1) Scheduled Exams—used to view a list of scheduled exams and create a new visit and exam.
- 2) Create a New Visit—allows the user to schedule a new visit for a patient.
- 3) Pending Items—used to view all of the pending tasks. The user can also select one or more pending items and close them.
- 4) Pathology Status—used to view the status of outstanding pathology requests or search the database for an existing record. The user can also edit or delete existing pathology records. When a pathology record is deleted, all data of the specimens associated with that record are deleted.
- 5) Unsigned Reports—an attending physician can use the Unsigned Reports screen to view and sign unsigned Procedure Notes.
- 6) Sign Reports—A system administrator can use the Sign Reports screen to view unsigned Procedure Notes for a specific physician and mark them as signed.
- 7) Carbon Copies—When the user distributes a document to a medical provider, clinical staff, or contact via email, a notification is sent to the recipients that a document is available for them in the system. Recipients can then log on to the system and view a list of documents on the Carbon Copies screen.
- 8) Intensive Care Unit (ICU) Synchronization—when the user performs an exam in ICU mode, the user's imaging station is not connected to the network server. When the user finishes the exam, the user must upload images and data from the workstation to the server repository. When the workstation is re-connected to the network, a series of simple commands will upload the data and images captured during the exam. After the data is uploaded, the user uses the ICU Synchronization option to synchronize images and data.
- 9) Recall Letters—used to recall a patient for another examination. The user can use this option to add an item to the Recall Letter Queue to remind a patient of a follow-up examination.
- 10) System Log—Allows the system administrator to view errors and messages generated by the application.
II. Patient File tab 700 (
III. Registration tab 800 (
IV. Pre-Procedure tab 900 (
V. The Procedure Tab 1000 (
VI. The Post Procedure Tab 1100 (
VII. The Analysis Tab 1200 (
VIII. The Admin Tab 1300 (
The novel graphical user interface used to enter a patient's vital and administered medication information during an endoscopic exam is now described with respect to
As shown in a right side portion 50 of the interface 10 of
Referring back to
To record a patient's vital information it is first required that a column is available to record the vitals values in the Vitals section of the Vitals And Meds tab. If not, the user will be prompted to add a column or add multiple columns. The value may then be entered to any or all of the vitals (except O2) using the slider, the spinners, or text box. With respect to the entry of O2 vitals information 16f, referring back to
Referring to
The user then will select the desired medication. The screen closes and the Drug (Brand) Name field is populated with the selected medication 22. The user may then enter the strength for the medication. Further selections enable a user to Select a Route for the medication from the Route dropdown list 36 and select a Unit for the medication from the dropdown list 37. Once this information is added, a user may then enter a dosage for the medication to the Dose field 38. As shown in
The specified values are copied into the selected column. Each of these steps may be repeated to add other medications, and the data are recorded when save is selected.
With respect to the entry and recordation of Aldrete scores, via the interface 40 of
With respect to the entry and recordation of Intraprocedural Assessments, via the exemplary interface window 60 depicted in
With respect to the entry and recordation of Unplanned Events, via the exemplary interface 70 depicted in
It should be understood that for any Vitals, Meds, Aldrete and Assessments entered, a user may enter the timestamp and edit the date and time values. This would change timestamp in all the sections—Vitals, Meds, Aldrete and Assessment. The Task Details Notes values are additionally time stamped with the Unplanned Event Date and Time and the Unplanned Event Notes.
While there has been shown and described what is considered to be preferred embodiments of the invention, it will, of course, be understood that various modifications and changes in form or detail could readily be made without departing from the spirit of the invention. It is therefore intended that the invention be not limited to the exact forms described and illustrated, but should be constructed to cover all modifications that may fall within the scope of the appended claims.
Claims
1. A system for capturing patient related data in an endoscopic system comprising an imaging node adapted to capture endoscopic images during the course of an endoscopic examination, said patient data capture system comprising:
- a display means for providing an interface to enable user to enter data relating to a patient examined during said endoscopic examination, said data including patient vital sign information of said patient at various phases of care relating to said endoscopic examination and, said interface including individual graphic controls for enabling entry of values relating to said patients vitals information;
- a means for associating entry of patients' vitals information with a timestamp;
- a means for storing said patient vitals information and associated timestamps in a database record associated with said patient.
2. The system for capturing patient related data as claimed in claim 1, wherein said interface provides a grid of rows associated with a patient data to be captured and columns associated with different time intervals, said system providing means for enabling display of multiple columns for association with said timestamps.
3. The system for capturing patient related data as claimed in claim 1, wherein an individual graphic control comprises a slider mechanism adapted to be manipulated by a user controlled pointer device for entering said vitals information, wherein a position of the slider represents the value of the patient's vital sign.
4. The system for capturing patient related data as claimed in claim 1, wherein an individual graphic control comprises a spinner mechanism comprising a first selectable display element for increasing the value in an associated text box and a second selectable display element for decreasing that value.
5. The system for capturing patient related data as claimed in claim 2, wherein said data relating to a patient examined during said endoscopic examination includes medication administered to said patient, said associating means further associating a timestamp with the medication administered.
6. The system for capturing patient related data as claimed in claim 5, further comprising search means for enabling query of a particular type of medication to be administered.
7. The system for capturing patient related data as claimed in claim 5, wherein said interface comprises means enabling entry of the strength for the medication.
8. The system for capturing patient related data as claimed in claim 5, wherein said interface comprises means enabling user entry of the dosage of the medication administered.
9. The system for capturing patient related data as claimed in claim 5, wherein said interface comprises means enabling user entry of a route taken for the medication and a unit for the medication.
10. The system for capturing patient related data as claimed in claim 2, wherein said data relating to a patient examined during said endoscopic examination includes a patient's Aldrete score, said associating means further associating a timestamp with the recordation of the Aldrete score values.
11. The system for capturing patient related data as claimed in claim 10, further including means selectable by said user for providing a description of each Aldrete and associated score values.
12. The system for capturing patient related data as claimed in claim 2, wherein said data relating to a patient examined during said endoscopic examination includes any intraprocedural assessment, said associating means further associating a timestamp with the recordation of the assessment.
13. The system for capturing patient related data as claimed in claim 1, wherein said data relating to a patient examined during said endoscopic examination includes data relating to a date, time, and details of an unplanned event.
14. A method for capturing patient related data in an endoscopic system comprising an imaging node adapted to capture endoscopic images during the course of an endoscopic examination, said method comprising steps of:
- a) displaying an interface to enable user to enter data relating to a patient examined during said endoscopic examination, said data including patient vital sign information of said patient at various phases of care relating to said endoscopic examination;
- b) manipulating individual graphic controls provided via said interface for enabling entry of values relating to said patients vitals information;
- c) associating entry of patients' vitals information with a timestamp; and,
- d) storing said patient vitals information and associated timestamps in a database record associated with said patient.
15. The method for capturing patient related data as claimed in claim 14, wherein the step of displaying individual graphic controls comprises displaying a slider mechanism for one or more patient's vital signs, said slider mechanism adapted to be manipulated by a user controlled pointer device for entering said vitals information, wherein a position of the slider represents the value of the patient's vital sign.
16. The method for capturing patient related data as claimed in claim 14, wherein an individual graphic control comprises a spinner mechanism comprising a first selectable display element for increasing the value in an associated text box and a second selectable display element for decreasing that value.
17. The method for capturing patient related data as claimed in claim 14, wherein said data relating to a patient examined during said endoscopic examination includes medication administered to said patient, said associating step c) includes associating a timestamp with the medication administered.
18. The method for capturing patient related data as claimed in claim 17, further comprising the step of: enabling query of a particular type of medication to be administered via said interface.
19. The method for capturing patient related data as claimed in claim 17, further comprising the step of enabling entry of the strength for the medication and a dosage administered.
20. The method for capturing patient related data as claimed in claim 17, further comprising the step of enabling entry of a route for the medication and a unit for the medication.
21. The method for capturing patient related data as claimed in claim 14, wherein said data relating to a patient examined during said endoscopic examination includes a patient's Aldrete score, said associating step c) includes associating a timestamp with the recordation of the Aldrete score values.
22. The method for capturing patient related data as claimed in claim 14, wherein said data relating to a patient examined during said endoscopic examination includes any intraprocedural assessment, said associating step c) includes associating a timestamp with the recordation of the assessment.
23. The method for capturing patient related data as claimed in claim 14, wherein said interface provides a grid of rows associated with a patient data to be captured and columns associated with different time intervals, said method further including the step of enabling display of multiple columns for association with said timestamps.
24. A program storage device readable by a machine, tangibly embodying a program of instructions executable by the machine to perform method steps for capturing patient related data in an endoscopic system comprising an imaging node adapted to capture endoscopic images during the course of an endoscopic examination, said method steps comprising:
- a) displaying an interface to enable user to enter data relating to a patient examined during said endoscopic examination, said data including patient vital sign information of said patient at various phases of care relating to said endoscopic examination;
- b) manipulating individual graphic controls provided via said interface for enabling entry of values relating to said patients vitals information;
- c) associating entry of patients' vitals information with a timestamp; and,
- d) storing said patient vitals information and associated timestamps in a database record associated with said patient.
25. The program storage device readable by a machine as claimed in claim 24, wherein the step of displaying individual graphic controls comprises displaying a slider mechanism for one or more patient's vital signs, said slider mechanism adapted to be manipulated by a user controlled pointer device for entering said vitals information, wherein a position of the slider represents the value of the patient's vital sign.
26. The program storage device readable by a machine as claimed in claim 24, wherein said data relating to a patient examined during said endoscopic examination includes medication administered to said patient, said associating step c) includes associating a timestamp with the medication administered.
27. The program storage device readable by a machine as claimed in claim 24, wherein said data relating to a patient examined during said endoscopic examination includes a patient's Aldrete score, said associating step c) includes associating a timestamp with the recordation of the Aldrete score values.
28. The program storage device readable by a machine as claimed in claim 24, wherein said data relating to a patient examined during said endoscopic examination includes any intraprocedural assessment, said associating step c) includes associating a timestamp with the recordation of the assessment.
29. The program storage device readable by a machine as claimed in claim 24, wherein said interface provides a grid of rows associated with a patient data to be captured and columns associated with different time intervals, said method further including the step of enabling display of multiple columns for association with said timestamps.
Type: Application
Filed: May 14, 2004
Publication Date: Apr 7, 2005
Inventors: Marc Shapiro (Dix Hills, NY), Andrew Odlivak (Oakdale, NY), Philip Pearson (Sea Cliff, NY), Deepak Agarwal (Hicksville, NY), Michael Cohen (Flushing, NY), Aaron Divinsky (Sayville, NY), Peter Cotton (Mt. Pleasant, SC)
Application Number: 10/846,254