CA2526073A1

CA2526073A1 - Data entry system for an endoscopic examination

Info

Publication number: CA2526073A1
Application number: CA002526073A
Authority: CA
Inventors: Marc Shapiro; Andrew Odlivak; Philip Pearson; Deepak Agarwal; Michael Cohen; Aaron Divinsky; Peter B. Cotton
Original assignee: Individual
Current assignee: Individual
Priority date: 2003-05-16
Filing date: 2004-05-14
Publication date: 2004-12-02
Also published as: US20050075544A1; US20050073578A1; WO2004104754A3; EP1627357A2; EP1629350A4; JP2007516498A; JP2007516011A; WO2004103151A3; EP1627356A2; US20050114283A1; WO2004104742A2; EP1627357A4; US20050075535A1; WO2004104921A2; CA2526149A1; CA2526135A1; CA2526078A1; EP1625751A4; EP1625751A2; WO2004104742A3

Abstract

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 pe ient. Further data capable of being entered into the system includes medications administered, Aldrete scores and intraprocedural assessments.

Description

DATA ENTRY SYSTEM FOR
AN ENDOSCOPIC EXAMINATION
io BACKGROUND OF TAE INVENTION
' ~ 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.
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 2 5 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 3 0 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.

SUBSTITUTE SHEET (RULE 26) 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 laiown 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.
SZfIVIMA.RY OF TAE INVENTION
Accordingly, 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 2 0 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 2 5 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 akeady present) for all the four sections {Vitals, Medications, Aldrete, and Tntraprocedural Assessments) 3 0 during pre-procedure, procedure and post-procedure phases of the endoscopic examination. In this manner, a user ~s 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 SUBSTITUTE SHEET (RULE 26) 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 far 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 2 0 information.
BRIEF DESCRIPTION OF THE DRAWINGS
The objects, features and advantages of the present invention will become 2 5 apparent to one skilled in the art, in view of the following detailed description taken in combinarion with the attached drawings, in which:
Figure 1 illustrates an overview of an endoscopic examination system according to the invention;
Figure 2 illustrates a Registration and Scheduling clinical flow interface 3 0 according to the invention;
Figure 3 illustrates a Pre-Procedure clinical flow interface according to the . . invention;
3~
SUBSTITUTE SHEET (RULE 26) Figure 4 illustrates a Procedure clinical flow interface according to the invention;
Figure 5 illustrates a Post-Procedure clinical flow interface according to the invention;
, Figure 6 illustrates a Home tab of a user interface interface according to the invention;
Figure 7 illustrates a Patient File tab of a user interface interface according to the invention;
Figure 8 illustrates a Registration tab of a user interface interface according to the invention;
Figure 9 illustrates a Pre Procedure tab of a user interface interface according to the invention;
Figure 10 illustrates a Procedure tab of a user interface interface according to the invention;
Figure 1 I illustrates a Post-Procedure tab of a user interface interface according to the invention;
Figure 12 illustrates an Analysis tab of a user interface interface according to the invention;
Figure 13 illustrates an Admire tab of a user interface interface according to 2 0 the invention;
Figure 14 illustrates the Vitals and Meds interface screen according to the invention;
Figure 15 illustrates the addition of polumns relating to different time intervals via the Vitals And Meds screen of Figure 14 according to the invention;
2 5 Figure 16 illustrates the an exemplary search screen that enables a user to enter search criteria and initiate search functionality for medications (both Drug Name and Brand Name) according to the invention;
Figure 17 illustrates the Aldrete scores interface screen according to the invention;
30 Figure 18 illustrates the Intraprocedural Assessments interface screen according to the invention; and, Figure 19 illustrates the Unplanned Events interface screen according to the invention.
. .
SUBSTITUTE SHEET (RULE 26) DETAILED DESCRIPTION OF TAE PREFERRED EMBODIMENT
Overview of the system As shown in Figure 1, the EW system includes an endoscopic workstation 110, a printer device 112 (e.g., a Mavigraph printer), an RGB monitor 114 and processor 116. The user provides inputs to the workstation 110 via a keyboard, mouse interface, or the like. The workstation may be coupled with a web browser interface that provides the necessary information to perform exams, and facilitates for users of endoscopic equipment, e.g., physicians, nurses or clinicians, the efficient capture, management, organization and presentation of endoscopic images and patient and examination data. The workflow processes associated with this aspect of the system are flexible enough to support small endoscopic practices in addition to endoscopic departments within large healthcare , institutions.
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 2 0 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-2 5 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 3 0 "auto-masking" feature that automatically selects an appropriate video mask based on a particular endoscope device being utilized by the health care practitioner.
. . ..
SUBSTITUTE SHEET (RULE 26) 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 Figures 2-5 illustrate clinical flow diagrams that describe the most common activities associated with the system and their relationship in time in the context of one possible application of the invention. Clinical flow is based on patient flow, which relates to how a patient is processed before, during, and after an endoscopic procedure. The overall flow across all lifecycle stages starts with an-exam request and ends with the generation of a Procedure Note, the release of the patient, and the generation of a set of 2 0 related reports. User roles are represented as horizontal bands.
The registration and, scheduling clinical flow 200 of Figure 2 includes a collection of all the information necessary to set up a visit. Tt is initiated through an exam request made by either the patient, a surrogate for the patient, or a refernng physician. The nurse and physician share the activity of preparing prep instructions and medical advice for 2 5 the patient.
The Pre-Procedure clinical flow 300 of Figure 3 starts with the arnval of the patient at the endoscopy facility and addresses all administrative and medical activiiies necessary to prepare the patient for the exam.
The Procedure clinical flow 400 of Figure 4 depicts the actual examination 3 0 that takes place during the Procedure lifecycle stage. The system is used to capture images, record vital signs, and administer medications during this stage.
SUBSTITUTE SHEET (RULE 26) . . The Post-Procedure clinical flow 500 of Figure 5 depicts the activities that take place after the completion of an exam. These activities include a nurse continuing to monitor the patient's recovery, a nurse completing discharge instructions, releasing the patient, and preparing billing code reports, and a physician reviewing and editing the analysis of an exam by generating a Procedure Note. A physician signs the Procedure Note when it is complete. Afterward, management reports, patient recall requests, and referral letters can be created and distributed.
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 (Figure 6). The Home tab is the default home page, and is pre-defined for each role. However, the user can modify the page to suit the user's needs.
The following are the most common tasks that can be performed in the Home tab.
Access to these tasks is based on the user's role. For example, if the user logs into the application as a scheduler, then the user would not see the Sign Reports menu option, since that option is reserved for the physician role.
1) Scheduled Exams - used to view a list of scheduled exams and create a new visit and exam.
2 0 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 2 5 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.
.. 3 0 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.

SUBSTITUTE SHEET (RULE 26) 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.
. ~ 15 10) System Log Allows the system administrator to view errors and messages generated by the application.
II. Patient File tab 700 (Figure 7) - allows a user to capture information specific to the individual patient. This tab is used to record a patient's demographic information; a patient's medical alerts, GI/pulmonary, medication, family, and social . 2 0 history information, and view a summary of the patient information.
III. Registration tab 800 (Figure 8). This tab is used to: (a) create and modify visit and/or exam information; (b) view past, current, or future schedules; (c) assign resources for an examination including procedure rooms and equipment;
and (d) distribute registration documents.
2 5 t IV. Pre-Procedure tab 900 (Figure 9). This tab is used to: (a) record care plan information for a specific visit; (b) record medical alert information;
(c) record GI, pulmonary, family, and social history information, (d) manage physical examination, . . patient assessment, and physician check information, (e) manage prep status information . for the patient; (fj manage consent information for a visit; (g) capture vital signs and, 3 0 medications administered before the examination; (h) display a summary of selected Pre-Procedure information arid capture nurse handoff information; and (i) distribute Pre-Procedure documents.
SUBSTITUTE SHEET (RULE 26) V. The Procedure Tab 1000 (Figure 10). This tab is used to: (a) capture images during an endoscopic procedure; (b) record live video clips; (c) record scope time used during an examination; (d) view images and Procedure Notes from a previous exam;
(e) print images for an exam on a Iaser jet or a Mavigraph printer; (f) record nurse administration information; (g) record accessories and equipment used during an examination; (h) generate pathology requests; (i) distribute procedure documents; and, (j}
according to the present invention, capture vital signs and medications administered during the examination.
VI. The Post Procedure Tab 1100 (Figure 11) - After an examination is completed, this tab is used to perform post-procedural tasks. These tasks include synchronizing images in the ICU mode; monitoring a patient's vital sign and'medication information, managing captured images, and writing Procedure Notes. Images from a current procedure, e.g., image 1 and image 2, and from a prior procedure, e.g., image 3, image 4, and image 5; can be displayed together for comparison. This tab is used to: (a) record patient recovery information; (b) manage images, captured during an exam; (c) label, annotate, enhance, and print images; (d) import and export images to and from the current examination; (e) manage video clips recorded during an examination;
(f) write and sign Procedure Notes; (g) capture patient recall information; (h) assess performance of a trainee participating in an examination; (i) capture patient survey information; (j) distribute 2 0 Post-Procedure documents; and (k} perform ICU synchronization.
VII. The Analysis Tab 1200 (Figure 12) - used to generate redefined template-based management reports to satisfy end-user administrative reporting requirements related to patient, procedure and facility management, efficiency analysis, and resource utilization. This tab is used to generate: (a) Continuous Quality Improvement 2 5 (CQI) reports; (b) efficiency reports; (c) equipment analysis reports; (d) procedure analysis reports; and (e) administration reports.
VIII. The Admire Tab 1300 (Figure 13) -'' used to perform administrator tasks and ensure the efficiency and security of the system. The system can be customized based on the needs and requirements of the facility, physician, and clinical staff. This tab 30 is used to: (a) maintain system data (such as Patient ID type and department information);
(b) maintain application resource date (such as clinical staff and contact information); (c) perform system configuration (such as configure lVlavigraph printer and video settings); (d) customize how the application will flow and generate information {for example, changing SUBSTITUTE SHEET (RULE 26) the order and location of menus within the application and editing or creating templates/models that are used to create Procedure Notes); (e) customize user-defined fields (such as other patient information and other visit information); (f) control access to or within the application (such as user and role maintenance); and (g) maintain equipment used during the procedure.
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 Figure 10. Via the procedure the Procedure Tab 100,0 (Figure 10), a user may selecf an exam, and then, via the left hand menu list 1001, select the "Vitals and Meds"
choice 1002 which initiates generation of the Vitals and Meds interface screen 10 such as shown in Figure 14. As shown in Figure 14, the Vitals And Meds screen interface 10 includes two tabs: a Vitals And Meds tab 12 and Assessments tab 14. The Vitals And Meds tab 12 includes two sections: Vitals section I S which include, for example, rows for entry of patient vital signs (vitals) information for a patient such as pulse rate 16a, respiration 16b, systolic 16c, diastolic 16d, 02 saturation 16e, quantity and method of Oz 16f, and temperature 16g, for example; and, Medications 20~ for a patient including information 22 about medications administered during the different phases of care: As will be explained~in greater detail herein, the Assessment tab 14 includes sections for entering patient data such as: Aldrete Scores which are scores for activity, respiration, 2 0 circulation, consciousness, O~ saturation, dressing, pain, ambulation, fasting - feeding, and i urine output; and, Intraprocedural Assessments which include intraprocedural observations for the patient before and during an exam. This information comprises of LOC, skin/circulation, rhythm strip, emotional status, pain, and notes. . , As shown in a right side portion 50 of the interface 10 of Figure 14 are 2 5 generated columns 52 populated with values of the patient's vitals 16a,...,16g and medications data 26 at the time of each reading. That is, each column is created and associated with an instant of time 54 (hereinafter "timestamp") as entered by a user and indicated via the interface. It should be understood that if any information was recorded during a pre-procedure phase of the examination, this information will be displayed in the 3 0 screen. For each time new patient vital data is entered, the endoscopic workstation generates for display a column 52 in the right side portion of the interface 10. To add a column via the Vitals And Meds screen, a user may click an icon 57 to initiate functionality forlcausing the addition of a column associated with a current time. A
SUBSTITUTE SHEET (RULE 26) column 52 is thus added to the vital and meds display with the current time. A
patient's vitals and coeds information may be captured at different time-intervals.
However, by default, a user may only see one column in the Vitals And Meds screen portion 50 of Figure 14. Preferably, the user may add more columns fox different time intervals as shown in the vitals and weds interface screen 10 of Figure 15. To add multiple columns via the Vitals And Meds screen, a user may click an icon 58 to initiate functionality for causing the addition of multiple columns 52,a,...,52c, etc. Particularly, an add multiple columns window 59 is displayed as shown in Figure 15 which provides entry fields 56a-56d enabling a user to specify the addition of a number of columns for an associated date . 10 and time and time interval. For instance, via interface 59, a user is able to click a Date icon 51 a to enter the date or, type it in manually in field 56a. By default, the current date is populated. The user may further click a Time icon S lb to enter the time or type it in manually. By default, the current time is populated. Further, the user is enabled to enter the time intervals and a number of columns to the respective Interval and Columns fields .~ 15 56c, 56d. Thus, for instance, a user may specify for the periodic capture of vitals and medications data and associate timestamps at the specified periods, before during and after' a procedure.
Referring back to'Figure 14, according to the present invention, there are three (3) ways to enter each vitals information: 1) a Slider mechanism whereby a user may 2 0 set a value by clicking and dragging a control sliding element 17 either left (to decrease) or right (to increase). The position of the slider represents the value of the vital sign; 2) a Spinner mechanism 18 comprising two arrows, one for increasing the value in the , associated text box and one for decreasing that value; and 3) a Text box 19, whereby a user may choose to enter the data using the keyboard, a value up to 10 times the associated 2 5 slider value, for example, may be recorded. If the value entered exceeds 10 times the maximum slider value, the system automatically sets the value to the maximum allowable number.
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 30 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 Oz) using the slider, the spinners, or text box. With respect to the entry of Oa vitals information 16f, referring back to Figure 14, the user may select an OZ application method from ttie method dropdown list 31, a quantity .. . ~ 11 . ~ ~ . ~ ~ , .
SUBSTITUTE SHEET (RULE 26) _ ~ from the Quantity text box 32, and units from the Unit dropdown list 33.
An Update Values icon may then be 'selected at the top of the added column where the values are to be recorded and the timestamp associated. The specified values are copied into the selected column. Each of these steps may be repeated to add another value, and the data are recorded when save is selected.
Referring to Figure 15, with respect to the entry of Medications information, the Medications section 20 of the screen interface is used to record information about medications administered during the phases of care. The patient's ' weight information 23 in both kilograms (kg) and pounds and ounces (1b and oz) are displayed in an area below the Medications legend. To record the patient's meds information 22, it is imperative that a column 52a is available to record the meds values in the Meds section of the Vitals And Meds tab. The user may first select by clicking a New . . Row button 25 to display the New Medication screen 20. The user may then enter search . criteria to the Drug (Brand) Name field 22, for example, search for a medication from an encyclopedia of medications. To perform a search, a user may select a search icon which causes display of a search screen 44, as shown in Figure 16, that enables a user to enter search criteria including alphanumeric characters in the Name field 41 and initiate search ' ' ~ functionality which responds by returning a list 43 of all medications (both Drug Name and Brand Name) matching_the search criteria are displayed. It is understood that, via the .' 2 0 interface of Figure 16, a user is enabled to insert a new medication including a Drug/Brand , ' name, strength for the selected drug/brand, route and unit Any medication name, strength, route and unit that exceeds the display width will be available for viewing via the mouse over tool tip, or similar cursor or pointer display device.
The user then will select the desired medication. The screen closes and the 2 5 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 Figure 15, the system additionally 3 0 displays a total dose 39 with unit for each medication which is the sum of dose for each timestamp for each medication. An ~.Fpdate Values icon 55 may then be'selected at the top ' of the column where the specified values are to be recorded and the timestamp associated.
. . . ~ , ~ 12 ,. . .. . . . . . :.
SUBSTITUTE SHEET (RULE 26) 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 Figure 17, a user may select radio buttons 42 associated a score for each Aldrete, ~ including entry of a score for activity 46a, respiration 46b, circulation 46c, consciousness 46d, 02 saturation 46e, dressing 46f, pain 46g, ambulation 46h, fasting -feeding 46i, and urine output 46j. Although each Aldrete has the same range of possible values, the meaning associated with the values differs. For example, a score of 1 for respiration is different than a scare of 1 for pain. For a description of each Aldrete and its associated values, an icon 45 located on the Assessments tab may be selected to explain a particular Aldrete Score. Particularly, a window is displayed (not shown) that explains all Aldrete values for the current facility. To record a patient's aldrete score, the user first selects an Assessments tab, and ensures that a column 52 is available to record Aldrete Scores values in the Aldrete Scores section. As described herein, a user may add a single or multiple column at a time. Then, after selecting the appropriate radio button corresponding to the desired Aldrete, a user may click Update Values icon 55 at the top of the column where the values.are recorded. The specified values will populate the selected column.
It should be understood that a total Aldrete Score 57 for each timestamp is calculated and displayed.
With respect to the entry, and recordation of Intraprocedural Assessments, 2 0 via the exemplary interface window 60 depicted in Figure 18, a user may document intraprocedural information for the patient before and during the exam. This information includes an LOC (Level of Consciousness), skin/circulation, rhythm strip, emotional status, pain, notes, and two user-definable values. To retard any patient's intraprocedural assessments record, the user first selects the Assessments tab, and ensures that a column is 2 5 available to record Intraprocedural Assessment values in the intraprocedural assessment section. Then, the user may select the appropriate values from each of the corresponding dropdown lists 63 for each assessment. Then after selecting the appropriate values corresponding to the desired interprocedural assessment, a user may click Update Values icon SS at the top of the column 52 where the values are recorded. The specified values 3 0 will populate the selected column. These steps may be repeated to add another intraprocedural assessment record.
With respect to the entry and recordation of Unplanned Events, via the exemplary interface 70 depicted in Figure 19, a user may record an unplanned event. By 13 ~ , SUBSTITUTE SHEET (RULE 26) . , clicking on an Unplanned Events button 72 shown in Figure 19, a New Unplanned Event window 75 is displayed, enabling the user to Enter date, time, and details of the event.
. Further with respect to the recordation of an unplanned event, a "Notify Attending"
checkbox 76 may be selected that initiates functionality to inform the attending about the unplanned event. It is understood that each Unplanned Event is captured with a timestamp, for example, which may be entered by selecting the clock icon 77.
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 . 15 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.
14 . . .
SUBSTITUTE SHEET (RULE 26)

Claims

CLAIMS:

Having thus described our invention, what I claim as new, and desire to secure by Letters Patent is:

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.