Microsoft Health Common User Interface

New Post: Can anyone point me to a study/paper that proves that having a common interface improves physicians’ decisions or improve health care safety?

titindotnet — Sat, 11 Oct 2008 17:05:28 GMT

I am looking for help.

I am studying Health Informatics. For my graduation research I am looking into ways to improve computer interface for primary care physicians. Having a common interface just makes sense. But, you know academics need a “study” that proves it.

Commented Issue: PatientBanner view all Address and Contact click

mikefenna — Fri, 10 Oct 2008 08:18:44 GMT

Hi I am using the latest release of PatientBanner (ASP.NET) in my current project. When I click on the view all address or the contact link, the data disappear in the address template box, but all the contact home number and mobile number are still there.

I tried to re-assign the address value to the PatientBanner inisde the link click event still did not make the address appear, but if I assign an address value which is different to the orignal value, the address appear again in the template box with the new address value.

Can you inform me a way that I could have my address value stay in the address template box after I have clicked view all address and contact click please.
Comments: ** Comment from web user: mikefenna **

Thanks for reporting this Kevin - I will have our dev and test teams look into this.

Closed Feature: WPF controls

mikefenna — Fri, 10 Oct 2008 08:16:35 GMT

I realize this is probably not one of your priorities, but I'd love to have WPF versions of these controls. Thanks.

Commented Feature: WPF controls

mikefenna — Fri, 10 Oct 2008 08:16:21 GMT

I realize this is probably not one of your priorities, but I'd love to have WPF versions of these controls. Thanks.
Comments: ** Comment from web user: mikefenna **

You will now see that, since the latest release, there are WPF versions of several controls, so I'm going to close this issue.

New Post: Porting to RC0?

mikefenna — Mon, 06 Oct 2008 10:19:16 GMT

Hi Rob

Thanks for your interest in MSCUI. I'm assuming you are talking about Silverlight 2 Release Candidate 0? We are in the process of updating all of our Silverlight controls to Release Candidate 0 but will not be releasing them until the final Release To Web version of Silverlight 2 is released.

Thanks

Mike

New Post: Porting to RC0?

robburke — Mon, 29 Sep 2008 17:23:37 GMT

Is any initiative underway to convert MSCUI.net to RC0? I started the process and realized it's gonna take a little time to sweep through everything! :)

This is really an amazing framework and a superb demo at once, and having moved myself to RC0, it'd be great to have this goodness there too.

cheers
Rob

Commented Issue: PatientBanner view all Address and Contact click

KelvinLok — Wed, 24 Sep 2008 14:15:19 GMT

Another interesting think I have discover is when I host the web site in our server and browse using IE 6, i can see the address in the template box after clicked on the view all address link, but when I bowse using IE 7 and clicked on the view all address link, the address data disappear in the template box, but if you collapse the template box and open it again, the address data re-appear again.

Created Issue: PatientBanner view all Address and Contact click

KelvinLok — Wed, 24 Sep 2008 09:27:41 GMT

New Post: MSCUI R1.5 is now live

mikefenna — Thu, 11 Sep 2008 12:51:13 GMT

Release 1.5 of the MSCUI toolkit is now available on the Releases tab.

Please let us have any feedback, comments or questions related to this.

For full details on the wider release, including details on the MSCUI delivery roadmap, design guidance and demonstrators, please see the mscui.net homepage

Updated Release: 1.5.0.000 (Sep 11, 2008)

Thu, 11 Sep 2008 09:00:17 GMT

This is the 1.5 release of the Microsoft® Health Common User Interface Toolkit. The scope and requirements of this release are based on materials produced from extensive consultation with patient safety experts, clinicians, user interface designers and application developers. includes new controls in Windows® Presentation Foundation (WPF) and Microsoft® Silverlight™ as listed below.

Controls Delivered in this Release

AddressLabel (WPF and Microsoft® Silverlight™)
ContactLabel (WPF and Microsoft® Silverlight™)
GenderLabel (WPF and Microsoft® Silverlight™)
IdentifierLabel (WPF and Microsoft® Silverlight™)
NameLabel (WPF and Microsoft® Silverlight™)
PatientBanner (WPF and Microsoft® Silverlight™)

Files

MSCUI.msi
Release of the CUI Toolkit including full source code for all controls, sample web site, sample WinForms application, test framework and help files.

MSCUI-NoSource.msi
Release of the CUI Toolkit containing compiled binaries and help files only.

MSCui.Toolkit.zip
Release of the CUI Toolkit in zip format including full source code for all controls, sample web site, sample WinForms application and test framework.

Released: 1.5.0.000 (Sep 11, 2008)

Thu, 11 Sep 2008 09:00:17 GMT

AddressLabel (WPF and Microsoft® Silverlight™)
ContactLabel (WPF and Microsoft® Silverlight™)
GenderLabel (WPF and Microsoft® Silverlight™)
IdentifierLabel (WPF and Microsoft® Silverlight™)
NameLabel (WPF and Microsoft® Silverlight™)
PatientBanner (WPF and Microsoft® Silverlight™)

New Post: Chemotherapy Management

andscott — Fri, 05 Sep 2008 16:18:58 GMT

Sarah, I am very keen to help, just let me know.

New Post: Chemotherapy Management

sarahparker — Fri, 05 Sep 2008 11:21:22 GMT

That's a mighty chunk of food for thought that will take some time to digest. I sincerely hope there is scope for it to go further than that and we can use your input as part of an exercise that allows us to look at what happens when guidance is scaled up to include a specialist area such as this. In the ideal world we would have the ongoing support of an oncology clinician and software vendor in order to produce work of a high enough standard for guidance.

Guidance for prescribing is a rapidly evolving area and is currently being informed by emerging standards for prescribing in the UK. Again, for the moment, this falls short of standards for oncology for all the reasons you are only too well aware of. For example, although we are well aware of the practice of prescribing 'drug sets' and following protocols, we haven't focused our research in this area. Having said that, you are right, now is the time to effect a change.

As you say, a special view is almost certainly needed for chemotherapy. Nonetheless, if the needs of cancer care have implications for generic guidance, that's something we should look at now. With a little help from you, we could work your examples above into notional views that are guidance-compliant. The exercise would help us to understand what's missing and what would need to change for these views to work for an oncology clinician. That, in turn, might have implications for existing and emerging guidance.

Many thanks for the information above and especially for the colon cancer patient scenario. We will use it to supplement our existing requirements and scenarios.

New Post: Chemotherapy Management

andscott — Thu, 04 Sep 2008 18:24:35 GMT

Food for thought:

To illustrate some of my points, take the following example in the context of the UI for prescribing you are showing right now:

I am an oncologist who has just seen a new referral of a post surgery colon cancer patient who will need adjuvant chemotherapy. They will receive standard adjuvant therpay of the 'FOLFOX' protocol which will ge given every 14 day for a total of 12 cycles. (this regimen is very common indeed). To prescribe this treatment for one cycle the prescriber needs to order the following

Ondansetron 8mg/dose PO X1 Day 1 and Day 2 - example anti emetic given with the protocol
Dexamethasone 20mg/dose PO X1 Day 1 and Day 2 - as above

Oxaliplatin 85mg/m2 using real body weight IV X1 Day 1 ; given over 2 hours minutes in 5% dextrose 500ml
Folinic acid 200mg/m2 using real body weight IV X1 Day 1 and Day 2; Given concurrently with oxalipatin in 250ml 5% detrose
Fluoururacil 400mg/m2 using real body weight IV X1 Day 1 and Day 2 IV push
Fluoruracil 2400mg/m2 using real body weight as a Continuous infusion Day 1 given over 46 hours

This needs to be managed as a 'drug set' or complete protocol and shoudl not require the user to enter each drug manually
The EHR should calculate the patient's BSA and provide alerts for abnormal BSA's to guide the prescriber
Doses of all drugs should be calculated by the EHR and dose limits checked; alerts provided
The prescriptions shoudl include all required infusion information and instructions
The prescritpion should calculate calender dates for administration based on the chosen start date for the protocol\
The oncologist shoudl be able to manage the care pathway/treatment plan for the regimen

New Post: Chemotherapy Management

andscott — Thu, 04 Sep 2008 15:45:23 GMT

Just getting back from vacation. I understand in the scope of this project that these considerations seems a long way down the line but what I would say to you is that has been precisely the problem I have seen that EMR vendors here in the US have encountered by leaving these considerations too late. Many of the well developed EMR's ( Meditech; Cerner, EPIC, GE) all still fail to deliver on the needs of oncologists. I have been working in this arena for the last 9 years and since I began both Meditech and Cernenr have been trying to delvier oncology modules without success; GE abandoned their efforts realizing the complexity and time invloved and now use our solution integrated with their application; EPIC have a module that continues not to meet the need. What I see in these cases is that sites move to adopt an EMR and quickly the oncologists discover that prescribing in the way they need to is not safely or adequately managed and consequently they all end up going back to paper and having their orders transcribed into the EMR. This is normally when my company gets involved to provide a solution for the oncologist....

I love the work you present on the medication charts however I would definitely question in its current form what use this would be to an oncologist prescribing chemotherapy. There is nothing in the UI that I see thus far that would facilitate the dose calculations or managing of the remgimen in general that an oncologist would want to see if the electronic health reocrd was going to be his resource. I was an oncology nurse in the UK for many years and our department managed chemotherpay usimg a supplemental meidcation sheet which was thought to be safer as it called out chemotherpay specifically and could be managed independently of the main med chart. My thought is that chemotherapy should still be segregated in some way from the main med chart for this reason but also so the treatment protocol could be managed using the health record (by this I mean scheduling treamtnet cycles etc).

I see BMI in the record but nothing on BSA or evidence of ideal body weight or the ability to calculate and adjusted ideal body weight; all values needed by the oncologist to calculate chemotherapy doses (for which there are a nubmer of different forumlae that coudl be used...). The need to calculate doses using per m2; per kg or AUC is a key safety need as is the ability to calculate creatinine clearance.

Anyway the main point I think I am trying to make is to really consider these needs sooner rather than later as otherwise I think you will run into the scenario of the EMR vendors I have seen here and realise you have a big whole that it will be very difficult to fill...

New Post: MedicationsListView UPDATE

mikefenna — Wed, 27 Aug 2008 12:00:18 GMT

Hello and thanks for your interest in MSCUI.

I will ask one of our developers to look into this, but could you please provide some more detail and preferably a code sample of what you are trying to do.

Thanks

Mike

New Post: MedicationsListView UPDATE

Lisber — Tue, 26 Aug 2008 14:04:43 GMT

Hello,

Once i set The Grid DataContext and call the LoadUpControl() method, how can i update the GRID ??

For example i have a button, in its event handler i set the Grid's DataContext, then notihing happens on the UI.

Then i call:

Reload
or
UpdateLayout

and nothing happens!. How can i update my grid ?

thaks

New Post: where is the patient data stored?

mgrayson — Mon, 18 Aug 2008 16:35:54 GMT

Hi femiq,

Thanks for your feedback, and your interest in the demonstrator. To answer you questions...

The data displayed in the demonstrator is held in XML files, mainly for portability reasons. It would be very simple to move to a SQL database, however, as Silverlight provides great support for handling data from a range of sources.

The drag and drop system uses interfaces, an drag drop manager and a custom UI layer that sits on top of everything else. The nearest example I can think of at the moment is one posted here... http://pavanpodila.spaces.live.com/blog/cns!9C9E888164859398!199.entry, however, this is for WPF. I hope to post an example of drag and drop in Silverlight at some point in the future. When I do, I will post back here.

Thanks,
Martin

New Post: Patient Banner Extra Fields

janeway — Mon, 18 Aug 2008 16:34:15 GMT

Thanks,
JoelHT I would def. like to know about how to create these customizations.

Thanks,

New Post: where is the patient data stored?

femig — Sun, 17 Aug 2008 17:20:07 GMT

This is a great demonstration of silverlight..i got 2 questions though..
1) where is the patient data stored? sql server?
2) can anyone point to examples online where i can do drag and drop in silverlight, the way it works when you drag a patient to a doctors schedule in the administration demo..
Thanks