US 2012/0239435 A1 · AUTOMATED ANNOTATION OF CLINICAL DATA

Abstract

When annotating a patient's medical or clinical record, an automated annotation system compares aggregated patient data (e.g., historical vital sign data, lab results, patient admission/discharge/transfer information, etc.) and matches events and/or patterns therein to procedure profiles to determine whether a given procedure is required, in progress, or completed. If the probability of procedure necessity or occurrence is above a predetermined threshold, then system inserts an annotation into the clinical record to mitigate a need for a clinician to manually enter the annotation. Alarm parameters are adjusted to reflect a physiological response to the determined procedure, to reduce false alarm triggers. Additionally or alternatively, triggered advisories may be suppressed from the user interface for a time period during which conditions specified in the procedure profile exist, or for a specific period of time following the procedure. In another embodiment, triggered advisories that occur under the specific conditions identified in a procedure profile may be flagged in the patient's medical record with a notification that the suspected procedure is being performed.

Claims20

Dependent claims

A system (8) that facilitates automated annotation of clinical data, including:

a charting database (12) that includes historical patient vital sign information;
an admission-discharge-transfer (ADT) database (16) that stores patient information related to patient admission, discharge and transfer to and from healthcare facilities;
a laboratory database (18) that stores patient laboratory test result information;
and
a procedure profiles system (10) with a processor (36) that executes computer-executable instructions stored in a computer-readable medium (34), the instructions including:
aggregating patient data from one or more of the charting database (12), the ADT database (16), and the laboratory database (18);
matching patterns of events in the aggregated patient data that are defined in one or more procedure profiles;
determining a probability that a clinical procedure is required, is in progress, or has been completed, as a function of the matched events;
annotating the patient's clinical record to indicate that the procedure is required or has been performed if the probability is above a predetermined threshold;
and
storing the annotated patient clinical record to a computer-readable medium (36).

8 more elements

Dependencies are inferred from the claim text.

Automated annotation of clinical data

Life of this patent

Automated annotation of clinical data

Life of this patent

Abstract

Claims20