System and method for integrating data with guidelines to generate displays containing the guidelines and data

• US 10,290,070 B2
• Filed: 09/25/2008
• Issued: 05/14/2019
• Est. Priority Date: 11/01/2000
• Status: Expired due to Fees

• Current Assignee: Embecta Corporation
• Original Assignee: Becton, Dickinson & Co
• Inventors: Gordon, Tim H., Davidson, Janet, Dunne, Nancy A., Mazze, Roger, Robinson, Rachel, Simonson, Gregg, Upham, Paul A., Weaver, Todd
• Primary Examiner(s): Najarian, Lena
• Application Number:
  US12/232,907
• Publication Number:
  US 20090099872A1
• Time in Patent Office: 3,883 Days
• Field of Search: 705 2, 705 3, 600300
• CPC Class Codes: G06F 16/972 Access to data in other repository systems, e.g. legacy data or dynamic Web page generation
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

A system and method for automatically integrating data with guidelines to generate displays containing the guidelines and data. The automated system and method can integrate patient data with treatment guidelines to assist a healthcare provider, such as a physician or the like, in providing treatment to the patient. The system and method employ a data storage component, adapted to store guideline data representing guidelines for assessing a condition of an entity, guidelines for taking action on the entity, or both, and to store feature data representing at least one feature of the entity. The system and method further employ an output device, adapted to output at least one diagram representing the guideline data, with the diagram including at least one component representing a relationship of at least a portion of the feature data to at least a portion of the guideline data.

Claims

1. A method for integrating guidelines with data in a medical condition management system, comprising:

storing general guideline data in a database representing at least one of guidelines for assessing a condition of a patient and guidelines for taking action on said patient;

obtaining patient specific data with a medical instrument configured to measure any one of blood pressure, pulse rate, cholesterol level, and HbAlc level;

automatically inputting said patient specific data from said medical instrument into a patient terminal;

storing patient specific data received from the patient terminal in said database representing at least one physical aspect of said patient measured by said medical instrument;

outputting at least one branching graphical pathway diagram on a display of said medical condition management system representing said guideline data, said branching graphical pathway diagram comprising a plurality of diagnosis boxes comprising data elements corresponding to data ranges, the diagnosis boxes connected by decision pathways corresponding to the data ranges, one such data range being highlighted to reflect measured patient data being within the data range,

automatically determining at least one decision for at least one decision pathway based on the stored patient specific data, and

automatically enhancing the diagnosis boxes of said branching graphical pathway diagram on said display to represent said general guideline data enhanced with said patient specific data integrated into the determined decision pathway to represent a relationship of at least a portion of said patient specific data to at least a portion of said general guideline data.

2. A method as claimed in claim 1, wherein:

said outputting includes displaying said graphical pathway diagram on said display.

3. A method as claimed in claim 1, wherein:

said patient data represents at least one physical condition of said patient, and said guideline data represents medical information.

4. A method as claimed in claim 3, wherein:

said physical condition includes a form of diabetes, and said medical information pertains to diabetes.

5. A method as claimed in claim 1, further comprising:

generating an output which is separate from said graphical pathway diagram and includes information determined from said relationship of at least a portion of said patient data to at least a portion of said guideline data.

6. A method as claimed in claim 5, wherein:

said output includes one of a display and a printable document.

7. A method as claimed in claim 1, wherein:

said outputting includes selectably generating a plurality of said graphical pathway diagrams, each of which representing different said guideline data.

8. A method as claimed in claim 1, wherein:

said outputting includes highlighting at least a portion of said graphical pathway diagram based on said patient data.

9. A method as claimed in claim 1, wherein:

said graphical pathway diagram includes at least one component which causes an output device to output information pertaining to said at least one component of said graphical pathway diagram.

10. A method as claimed in claim 1, further comprising:

inputting one of said guideline data and said patient data for storage by said storing.

31. The method of claim 1, wherein said patient specific data comprises a blood glucose value measured in said patient.

32. The method of claim 1, wherein said medical instrument is selected from the group consisting of a sphygmomanometer and a blood glucose measuring device.

11. A system for integrating guidelines with data, comprising:

a medical instrument configured to obtain patient specific data from a patient, the data comprising any one of blood pressure, pulse rate, cholesterol level, and HbAlc level, and to transmit the patient specific data to a patient terminal;

a database configured to store general guideline data representing at least one of guidelines for assessing a condition of a patient and guidelines for taking action on said patient, and to store patient specific data received automatically from the patient terminal representing at least one physical aspect of said patient measured by said medical instrument; and

an output display configured to automatically output at least one branching graphical pathway diagram representing said guideline data, said branching graphical pathway diagram comprising a plurality of diagnosis boxes comprising data elements corresponding to data ranges, the diagnosis boxes connected by decision pathways corresponding to the data ranges, one such data range being highlighted to reflect measured patient data being within the data range, the diagnosis boxes of said branching graphical pathway diagram representing said general guideline data enhanced with said patient specific data integrated into the decision pathway to represent at least one decision for at least one decision pathway based on the stored patient specific data as it relates to at least a portion of said general guideline data.

12. A system as claimed in claim 11, wherein:

said output display includes a display, configured to display said graphical pathway diagram.

13. A system as claimed in claim 11, wherein:

said patient data represents at least one physical condition of said patient, and said guideline data represents medical information.

14. A system as claimed in claim 13, wherein:

said physical condition includes a form of diabetes, and said medical information pertains to diabetes.

15. A system as claimed in claim 11, wherein:

said output display is further configured to generate an output which is separate from said graphical pathway diagram and includes information determined from said relationship of at least a portion of said patient data to at least a portion of said guideline data.

16. A system as claimed in claim 15, wherein:

said output includes one of a display and a printable document.

17. A system as claimed in claim 11, wherein:

said output display is further configured to selectably generate a plurality of said graphical pathway diagrams, each of which representing different said guideline data.

18. A system as claimed in claim 11, wherein:

said output display is further configured to highlight at least a portion of said graphical pathway diagram based on said patient data.

19. A system as claimed in claim 11, wherein:

said graphical pathway diagram includes at least one component which causes said output display to output information pertaining to said at least one component of said graphical pathway diagram.

20. A system as claimed in claim 11, further comprising:

at least one database input, adapted to input one of said guideline data and said patient data into said database.

33. The system of claim 11, wherein said medical instrument is selected from the group consisting of a sphygmomanometer and a blood glucose measuring device.

21. A non-transitory computer-readable medium storing instructions that when executed by a computer, cause the computer to perform operations comprising:

store general guideline data representing at least one of guidelines for assessing a condition of a patient and guidelines for taking action on said patient;

obtain patient specific data from a medical instrument configured to measure any one of blood pressure, pulse rate, cholesterol level, and HbAlc level, and to automatically store said patient specific data representing at least one physical aspect of said patient measured by said medical instrument;

automatically output at least one branching graphical pathway diagram representing said guideline data, said branching graphical pathway diagram comprising a plurality of diagnosis boxes comprising data elements corresponding to data ranges, the diagnosis boxes connected by decision pathways corresponding to the data ranges, one such data range being highlighted to reflect measured patient data being within the data range, and

automatically determine at least one decision for at least one decision pathway based on the stored patient specific data, and to enhance the diagnosis boxes of said branching graphical pathway diagram to represent said general guideline data enhanced with said patient specific data integrated into the determined decision pathway to represent a relationship of at least a portion of said patient specific data to at least a portion of said general guideline data.

22. A non-transitory computer-readable medium as claimed in claim 21, wherein the instructions further cause the computer to output said graphical pathway diagram by displaying said graphical pathway diagram on a display.

23. A non-transitory computer-readable medium as claimed in claim 21, wherein:

said patient data represents at least one physical condition of said patient, and said guideline data represents medical information.

24. A non-transitory computer-readable medium as claimed in claim 23, wherein:

said physical condition includes a form of diabetes, and said medical information pertains to diabetes.

25. A non-transitory computer-readable medium as claimed in claim 21, further comprising:

instructions that cause the computer to generate an output which is separate from said graphical pathway diagram and includes information determined from said relationship of at least a portion of said patient data to at least a portion of said guideline data.

26. A non-transitory computer-readable medium as claimed in claim 25, wherein:

said output includes one of a display and a printable document.

27. A non-transitory computer-readable medium as claimed in claim 21, wherein:

the instructions further cause the computer to selectably generate a plurality of said graphical pathway diagrams, each of which representing different said guideline data.

28. A non-transitory computer-readable medium as claimed in claim 21, wherein:

the instructions further cause the computer to highlight at least a portion of said graphical pathway diagram based on said patient data.

29. A non-transitory computer-readable medium as claimed in claim 21, wherein:

said graphical pathway diagram includes at least one component which causes an output device to output information pertaining to said at least one component of said graphical pathway diagram.

30. A non-transitory computer-readable medium as claimed in claim 21, further comprising:

instructions that cause the computer to input one of said guideline data and said patient data for storage.

34. The non-transitory computer-readable medium as claimed in claim 21, wherein said medical instrument is selected from the group consisting of a sphygmomanometer and a blood glucose measuring device.