Integrated diagnostic test requisition and clinical decision support

Abstract

Methods and systems for providing integrated diagnostic test requisition and clinical decision support are disclosed. A request for diagnostic test information for a patient is received from an electronic medical records (EMR) system. Diagnostic tests appropriate for the patient are determined based on the request, and fields of a user interface for requesting the tests are populated based on test definitions corresponding to each test. Test requisitions are generated and transmitted to a test provider in a test-provider format, and results are received from the test provider and standardized. Courses of action appropriate for the patient are determined and proposed based on the standardized results and biomarker definitions related to the patient's condition.

What is claimed is: 
     
         1 . A method of providing clinical decision support, comprising:
 receiving, by one or more processors from an electronic medical records (EMR) system, a request for diagnostic test information associated with a patient, the request including patient data;   determining, by the one or more processors, one or more diagnostic tests based on the request, wherein each diagnostic test is associated with a test definition of a plurality of test definitions;   populating, by the one or more processors, one or more fields of a plurality of graphical user interface (GUI) fields based on the request and the patient data;   converting, by the one or more processors, data associated with each of the one or more diagnostic tests into a test data requisition format associated with a test provider;   generating, by the one or more processors, one or more test requisitions based on the request;   transmitting, by the one or more processors, the one or more test requisitions;   receiving, by the one or more processors, one or more results corresponding to each of the one or more test requisitions,   generating, by the one or more processors, one or more standardized results based on the received one or more results, wherein the generating of the standardized results includes converting data associated with each result of received one or more results into a uniform data format; and   determining, by the one or more processors, based on the one or more standardized results and data associated with a plurality of biomarker definitions and related medical conditions, one or more courses of action.   
     
     
         2 . The method of  claim 1 , wherein the transmitting of the one or more test requisitions includes transmitting the one or more test requisitions to a diagnostic test provider and the receiving of the one or more results includes receiving the one or more results from the diagnostic test provider. 
     
     
         3 . The method of  claim 1 , further comprising:
 determining whether a user is authorized to initialize a diagnostic test order, wherein a test requisition of the one or more test requisitions is based on the diagnostic test order.   
     
     
         4 . The method of  claim 1 , further comprising:
 determining whether a user is authorized to request transmission of the one or more test requisitions, wherein the transmitting of the one or more test requisitions is based on the determining whether the user is authorized.   
     
     
         5 . The method of  claim 1 , further comprising:
 transmitting, to the EMR system, the standardized results.   
     
     
         6 . The method of  claim 1 , further comprising:
 populating, based on the request and each test definition associated with the one or more diagnostic tests, a set of one or more patient information fields of the plurality of GUI fields.   
     
     
         7 . The method of  claim 1 , further comprising:
 populating, based on the request, a set of one or more candidate diagnostic test fields of the plurality of GUI fields.   
     
     
         8 . The method of  claim 1 , further comprising:
 populating, based on each test definition associated with the one or more diagnostic tests, a set of one or more test requisition fields of the plurality of GUI fields.   
     
     
         9 . The method of  claim 1 , further comprising:
 populating, based on the one or more standardized results and each test definition associated with the one or more diagnostic tests, a set of one or more test result fields of the plurality of GUI fields.   
     
     
         10 . The method of  claim 1 , further comprising:
 populating, based at least on the one or more courses of action, and a set of one or more recommended course of action fields of the plurality of GUI fields.   
     
     
         11 . The method of  claim 1 , wherein the plurality of GUI fields is presented in a GUI of the EMR system. 
     
     
         12 . The method of  claim 1 , wherein the determining of the one or more diagnostic tests comprises:
 determining, based on the patient data, one or more biomarkers, wherein the one or more diagnostic tests are designed to detect the one or more biomarkers.   
     
     
         13 . The method of  claim 1 , wherein the patient data includes one or more of demographic information, insurance coverage information, symptoms, medical history, behavioral characteristics, diagnostic test orders, or diagnostic test results. 
     
     
         14 . A system for providing clinical decision support, comprising:
 a test information data store for storing diagnostic test definition data including a plurality of test definitions;   a clinical decision support data store for storing data associated with a plurality of biomarker definitions and related medical conditions;   a computing device communicatively connected to the test information data store and the clinical decision support data store comprising,
 a request engine configured to:
 receive, from an electronic medical records (EMR) system a request for diagnostic test information associated with a patient, the request including patient data; 
 transmit one or more test requisitions; and 
 receive one or more results corresponding to each of the one or more test requisitions, 
 
 a clinical decision support engine configured to:
 determine one or more diagnostic tests based on the request, wherein each diagnostic test is associated with a test definition of the plurality of test definitions; and 
 determine, based on one or more standardized results and the data associated with the plurality of biomarker definitions and related medical conditions, one or more courses of action, 
 
 a data standardization engine configured to:
 convert data associated with each of the one or more diagnostic tests into a test data requisition format associated with a test provider; and 
 generate the one or more standardized results based on the received one or more results, wherein the generating of the standardized results includes converting data associated with each result of the received one or more results into a uniform data format, and 
 
 a test interface engine configured to:
 populate one or more fields of a plurality of graphical user interface (GUI) fields; and 
 generate the one or more test requisitions based on the request. 
 
   
     
     
         15 . The system of  claim 1 , wherein the transmitting of the one or more test requisitions includes transmitting the one or more test requisitions to a diagnostic test provider and the receiving of the one or more results includes receiving the one or more results from the diagnostic test provider. 
     
     
         16 . The system of  claim 1 , wherein the test interface engine is further configured to determine whether a user is authorized to initialize a diagnostic test order, wherein a test requisition of the one or more test requisitions is based on the diagnostic test order. 
     
     
         17 . The system of  claim 1 , wherein the determining of the one or more diagnostic tests comprises:
 determining, based on the patient data, one or more biomarkers, wherein the one or more diagnostic tests are designed to detect the one or more biomarkers.   
     
     
         18 . A non-transitory machine-readable medium having stored thereon machine-readable instructions executable to cause a machine to perform operations for providing clinical decision support, the operations comprising:
 receiving, by one or more processors from an electronic medical records (EMR) system, a request for diagnostic test information associated with a patient, the request including patient data;   determining, by the one or more processors, one or more diagnostic tests based on the request, wherein each diagnostic test is associated with a test definition of a plurality of test definitions;   populating, by the one or more processors, one or more fields of a plurality of graphical user interface (GUI) fields based on the request and the patient data;   converting, by the one or more processors, data associated with each of the one or more diagnostic tests into a test data requisition format associated with a test provider;   generating, by the one or more processors, one or more test requisitions based on the request;   transmitting, by the one or more processors, the one or more test requisitions;   receiving, by the one or more processors, one or more results corresponding to each of the one or more test requisitions,   generating, by the one or more processors, one or more standardized results based on the received one or more results, wherein the generating of the standardized results includes converting data associated with each result of received one or more results into a uniform data format; and   determining, by the one or more processors, based on the one or more standardized results and data associated with a plurality of biomarker definitions and related medical conditions, one or more courses of action.   
     
     
         19 . The non-transitory machine-readable medium of  claim 18 , wherein the operations further comprise:
 determining whether a user is authorized to initialize a diagnostic test order, wherein a test requisition of the one or more test requisitions is based on the diagnostic test order.   
     
     
         20 . The non-transitory machine-readable medium of  claim 18 , wherein the patient data includes one or more of demographic information, insurance coverage information, symptoms, medical history, behavioral characteristics, diagnostic test orders, or diagnostic test results.