Computing system for full textual search of a patient record

1. A server computing device, comprising:

a processor; and

memory storing instructions that, when executed by the processor, cause the processor to perform acts comprising:

locating a patient health record for a patient stored in a table of a relational database based upon an identifier for the patient;

generating a virtual patient object (VPO) for the patient based upon the patient health record, wherein the VPO for the patient comprises identifiers for clinical domains and fields assigned to the clinical domains, wherein the fields are populated with data from the patient health record that corresponds to the clinical domains;

generating computer-readable documents based upon the VPO, the documents comprising text corresponding to the data from the VPO;

causing a term-document index to be generated based upon the documents, wherein the term-document index maps terms in the text of the documents to identifiers for the documents in which the terms are found;

responsive to receiving a textual query from a client computing device that is in network communication with the server computing device, executing a textual search over the term-document index based upon the textual query, wherein the textual search produces search results that comprise an identifier for a document in the documents that includes a term specified in the textual query;

identifying a portion of the VPO for the patient based upon the search results for the textual search, wherein the portion of the VPO for the patient includes the term specified in the textual query; and

transmitting the portion of the VPO to the client computing device, wherein the client computing device presents the portion of the VPO on a display.

2. The server computing device of claim 1 , the acts further comprising:

prior to locating the patient health record for the patient, receiving the identifier for the patient from the client computing device.

3. The server computing device of claim 1 , the acts further comprising:

subsequent to generating the documents, generating a document-VPO index based upon the documents and the VPO, wherein the document-VPO index maps the terms in the text of the documents to portions of the VPO corresponding to the terms, wherein identifying the portion of the VPO for the patient is further based upon the document-VPO index.

4. The server computing device of claim 1 , wherein generating the documents based upon the VPO comprises extracting the data from the VPO and formatting the data as the text in the documents.

5. The server computing device of claim 1 , wherein the relational database is stored in a data store accessible by the server computing device, wherein the VPO is stored in the memory.

6. The server computing device of claim 1 , wherein the instructions comprise an electronic health records application.

7. The server computing device of claim 1 , wherein the clinical domains comprise at least one of:

encounters;

problems;

past medical history;

diagnoses;

allergies;

medications;

measurements;

labs;

pathology;

immunizations;

imaging;

procedures; or

documents of the patient.

8. The server computing device of claim 1 , wherein the term is highlighted in the portion of the VPO presented on the display.

9. The server computing device of claim 1 , wherein the VPO for the patient is an Extensible Markup Language (XML) file.

10. The server computing device of claim 1 , wherein an identifier for a clinical domain in the VPO to which the term pertains is highlighted in the portion of the VPO presented on the display.

11. A method executed by a processor of a server computing device while the processor executes a server electronic health records application (server EHR), comprising:

locating a patient health record for a patient stored in a table of a relational database;

generating a virtual patient object (VPO) for the patient based upon the patient health record, wherein the VPO for the patient comprises identifiers for clinical domains and fields assigned to the clinical domains, wherein the fields are populated with data from the patient health record that corresponds to the clinical domains;

generating computer-readable documents based upon the VPO, the documents comprising text corresponding to the data from the VPO;

generating a term-document index based upon the documents, wherein the term-document index maps terms in the text of the documents to identifiers for the documents in which the terms are found;

responsive to receiving a textual query from a client electronic health records application (client EHR) executing on a client computing device that is in network communication with the server computing device, executing a textual search over the term-document index based upon the textual query, wherein the textual search produces search results that comprise an identifier for a document in the documents that includes a term specified in the textual query;

identifying a portion of the VPO for the patient based upon the search results for the textual search, wherein the portion of the VPO for the patient includes the term specified in the textual query; and

transmitting the portion of the VPO to the client EHR, wherein the client EHR presents the portion of the VPO on a display.

12. The method of claim 11 , wherein locating the patient health record, generating the VPO, generating the documents, and generating the term-document index occur asynchronously to receiving the textual query from the client EHR.

13. The method of claim 11 , wherein each document in the documents is assigned to a different clinical domain in the clinical domains.

14. The method of claim 11 , wherein the client EHR receives the textual query as input from a healthcare worker operating the client computing device, wherein the client EHR transmits the textual query to the server EHR responsive to receiving an indication from the healthcare worker.

15. The method of claim 11 , wherein locating the patient health record for the patient comprises executing a Structured Query Language (SQL) query comprising the identifier for the patient.

16. The method of claim 11 , wherein the term-document index is further generated based upon the VPO, wherein the term-document index comprises pointers to portions of the VPO that include data corresponding to the terms in the text of the documents, wherein identifying the portion of the VPO is based upon a pointer in the pointers that points to the portion of the VPO.

17. A computer-readable storage medium comprising instructions that, when executed by a processor, cause the processor to perform acts comprising:

generating a virtual patient object (VPO) for a patient based upon a patient health record stored in a table of a relational database, wherein the VPO for the patient comprises identifiers for clinical domains and fields assigned to the clinical domains, wherein the fields are populated with data from the patient health record that corresponds to the clinical domains;

generating computer-readable documents based upon the VPO, the documents comprising text corresponding to the data from the VPO;

generating a document-VPO index based upon the documents and the VPO, wherein the document-VPO index maps terms in the text of the documents to portions of the VPO corresponding to the terms;

causing a term-document index to be generated based upon the documents, wherein the term-document index maps the terms in the text of the documents to identifiers for the documents in which the terms are found;

responsive to receiving a textual query from a client computing device that is in network communication with the server computing device, executing a textual search over the term-document index based upon the textual query, wherein the textual search produces search results that comprise an identifier for a document in the documents that includes a term specified in the textual query;

identifying a portion of the VPO for the patient based upon the search results for the textual search and the document-VPO index, wherein the portion of the VPO for the patient includes the term specified in the textual query; and

transmitting the portion of the VPO to the client computing device, wherein the client computing device presents the portion of the VPO on a display.

18. The computer-readable storage medium of claim 17 , wherein the client computing device executes an application in a web browser, wherein the server computing device receives the textual query from the application as part of a Hypertext Transfer Protocol (HTTP) request generated by the application.

19. The computer-readable storage medium of claim 17 , wherein the documents are text files.

20. The computer-readable storage medium of claim 17 , wherein the patient health record comprises data maintained by a server electronic health records application (server EHR) and data from a plurality of electronic data sources external to the server EHR.