Evidence-based healthcare information management protocols

• US 10,679,309 B2
• Filed: 12/05/2012
• Issued: 06/09/2020
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: The Invention Science Fund II, L.L.C. (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Hyde, Roderick A., Jung, Edward K.Y., Kare, Jordin T., Leuthardt, Eric C., Levien, Royce A., Lord, Richard T., Lord, Robert W., Malamud, Mark A., Rinaldo, Jr., John D., Rivet, Dennis J., Tegreene, Clarence T., Wood, Jr., Lowell L.
• Primary Examiner(s): Khattar, Rajesh
• Application Number:
  US13/705,413
• Publication Number:
  US 20130173304A1
• Time in Patent Office: 2,743 Days
• 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 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

Structures and protocols are presented for signaling a status or decision (processing or transmitting a medical record or other resource, e.g.) conditionally. Such signaling may be partly based on one or more symptoms, regimen attributes, performance indicia (compliance indications, e.g.), privacy considerations (patient consent, e.g.), contextual considerations (being in or admitted by a care facility, e.g.), sensor data, or other such determinants. In some contexts this may trigger an incentive being manifested (as a dispensation of an item, e.g.), an intercommunication (telephone call, e.g.) beginning, a device being configured (enabled or customized, e.g.), data distillations being presented or tracked, or other such results.

Claims

1. A system, comprising:

circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone;

circuitry for associating the at least one personal communication device with a particular patient identifier based at least partly on the circuitry for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier;

circuitry for selecting a playable prompt, the selected playable prompt including at least one of audio, image, or video content, based at least partly on the circuitry for associating the at least one personal communication device with the particular patient identifier;

circuitry for causing the selected playable prompt to be output in a manner perceivable by a particular patient associated with the particular patient identifier;

circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output;

circuitry for detecting medically relevant data related to the particular patient from the at least one indication of the at least one of speech or appearance of the particular patient;

circuitry for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data; and

circuitry for implementing a failsafe preventing medical equipment from operating until an indication is received from electronic detection that the at least one personal communication device associated with the at least one device identifier associated with the particular patient identifier is in a vicinity of the medical equipment and until the display of the at least one detectable structure is recognized by a detection device operably coupled with the medical equipment.

2. The system of claim 1, wherein the circuitry for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data received from the particular patient comprises:

circuitry for causing the at least one personal communication device to display a barcode configured to indicate the at least some of the obtained medical intake data.

3. The system of claim 1, further comprising:

circuitry for updating a locally-resident subscriber registry based at least partly on the at least one input indicative of the at least one personal communication device entering the service zone.

5. The system of claim 1, wherein the circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone comprises:

circuitry for detecting that a smartphone associated with the at least one device identifier has established a wireless connection with a stationary device associated with the service zone; and

wherein the circuitry for associating the at least one personal communication device with a particular patient identifier based at least partly on the circuitry for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier includes at least;

circuitry for identifying the particular patient identifier based at least partly on the at least one device identifier.

6. The system of claim 1, further comprising:

circuitry for obtaining an explicit indication whether a record of treating the particular patient for a medical condition with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

7. The system of claim 1, further comprising:

circuitry for initiating a telephone call between the particular patient and another entity as an automatic response to the particular patient not being compliant with a health regimen based at least partly on the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient.

8. The system of claim 1, further comprising:

circuitry for signaling a decision whether to transfer a resource to the particular patient based at least partly on an indication that the particular patient is not compliant with a health regimen and based at least partly on an indication that the particular patient has accepted a telephone call relating to a particular timed administration of a particular treatment specified by the health regimen.

9. The system of claim 1, wherein the circuitry for associating the at least one personal communication device with a particular patient identifier based at least partly on the circuitry for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier comprises:

circuitry for causing a locally-resident subscriber registry to be updated with an indication that the particular patient has entered a service zone based at least partly on an inference that the at least one personal communication device is possessed by the particular patient and based at least partly on an identification of the particular patient using the at particular patient identifier.

10. The system of claim 1, wherein the circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone comprises:

circuitry for detecting that the at least one personal communication device is within a particular vicinity of a medical device associated with the service zone.

11. The system of claim 1, further comprising:

circuitry for providing an audible notification as a substantially real-time notification to a device at a care facility, the device at the care facility configured to alert upon detection of medically relevant data.

12. The system of claim 1, wherein the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output comprises:

circuitry for causing one or more of at least one microphone or at least one image sensor of the at least one personal device to capture one or more of at least some audio or at least some video data as the medical intake data; and

circuitry for detecting the at least one indication of at least one of speech or appearance of the particular patient from within the one or more of at least some audio data or at least some video data.

13. The system of claim 1, further comprising:

circuitry for transmitting a substantially real-time notification to at least one other entity as an automatic response to an interface on or near the particular patient detecting a particular event relating to the particular patient.

14. The system of claim 1, wherein the circuitry for implementing a failsafe preventing medical equipment from operating until an indication is received from electronic detection that the at least one personal communication device associated with the at least one device identifier associated with the particular patient identifier is in a vicinity of the medical equipment and until the display of the at least one detectable structure is recognized by a detection device operably coupled with the medical equipment comprises:

circuitry for enabling the medical equipment to function only after receiving an indication of a barcode having been scanned, the barcode configured to indicate at least some of the obtained medical intake data.

15. The system of claim 1, further comprising:

circuitry for transmitting a message causing an audible notification to be output as a substantially real-time notification.

16. The system of claim 1, wherein the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output comprises:

circuitry for receiving at least one spoken word input from the particular patient via the at least one personal communication device.

17. The system of claim 1, wherein the circuitry for causing the selected playable prompt to be output in a manner perceivable by a particular patient associated with the particular patient identifier comprises:

circuitry for playing at least one of an audio, image or video prompt that was automatically selected based at least partly on the circuitry for associating the at least one personal communication device with the particular patient identifier, the playable prompt configured to a particular condition associated with the particular patient associated with the particular patient identifier.

18. The system of claim 1, wherein the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output comprises:

circuitry for capturing at least one of a spoken word input from the particular patient, an image input representing the particular patient, a video input representing the particular patient, or a touch input from the particular patient as the obtained medical intake data.

19. The system of claim 1, wherein the circuitry for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data comprises:

circuitry for causing the at least one personal communication device to display a barcode configured to indicate the at least some of the obtained medical intake data.

20. The system of claim 1, wherein the circuitry for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data comprises:

circuitry for encoding the at least some of the obtained medical intake data in at least one transponder of the at least one personal communication device.

21. The system of claim 1, wherein the circuitry for implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the particular patient is received and until an indication is received from electronic detection that the at least one personal communication device associated with the at least one device identifier associated with the particular patient identifier is in a vicinity of the medical equipment comprises:

circuitry for enabling the medical equipment to function only after a detection module proximate to the medical equipment detects a presence of the at least one personal communication device associated with the at least one device identifier associated with the particular patient identifier.

23. The system of claim 1, wherein the circuitry for associating the at least one personal communication device with a particular patient identifier based at least partly on the circuitry for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier comprises:

circuitry for associating the at least one device identifier with at least one medical record, the at least one medical record associated with at least one identity of at least one particular patient.

24. The system of claim 1, wherein the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output comprises:

circuitry for identifying at least one medical condition previously associated with the at least one particular patient; and

circuitry for detecting at least one symptom associated with the identified at least one medical condition based at least partly on the at least one of speech or appearance of the particular patient.

25. The system of claim 24, wherein the circuitry for detecting at least one symptom associated with the identified at least one medical condition based at least partly on the at least one of speech or appearance of the particular patient comprises:

circuitry for detecting biometric data associated with the at least one symptom.

26. The system of claim 1, wherein the circuitry for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data comprises:

circuitry configured for generating a barcode based at least partly on the at least some of the obtained medical intake data; and

circuitry configured for transmitting the generated barcode to the at least one personal communication device, the transmitted barcode configured for display on the at least one personal communication device.

27. The system of claim 1, wherein the circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone comprises:

circuitry configured for detecting that the at least one personal communication device is within an effective range of at least one wireless transceiver associated with the service zone.

28. The system of claim 1, wherein the circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone comprises:

circuitry configured for detecting that at least one of a personal smartphone or a tablet computer as the at least one personal communication device has entered the service zone.

29. The system of claim 1, wherein the circuitry for associating the at least one personal communication device with a particular patient identifier based at least partly on the circuitry for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier comprises:

circuitry for associating the particular patient identifier with the at least one personal communication device based at least partly on at least one application running on the at least one personal communication device.

30. The system of claim 1, wherein the circuitry for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data comprises:

circuitry for transmitting the at least one detectable structure to the at least one personal communication device in a device-readable format.

31. The system of claim 1, wherein the circuitry for causing the selected playable prompt to be output in a manner perceivable by a particular patient associated with the particular patient identifier comprises:

circuitry for transmitting the selected playable prompt to the at least one personal communication device in a device-playable format.

32. The system of claim 1, wherein the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output comprises:

circuitry for presenting a user interface on the personal communication device, the user interface configured to receive user input responsive to a request for the medical intake data conveyed by the selected playable prompt.

33. The system of claim 1, wherein the circuitry for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output comprises:

circuitry for receiving a patient consent conveyed by an utterance of the particular patient included in the at least one indication of at least one of speech or appearance of the particular patient.

34. The system of claim 33, wherein the circuitry for receiving a patient consent conveyed by an utterance of the particular patient included in the at least one indication of at least one of speech or appearance of the particular patient comprises:

circuitry for receiving a patient consent for at least one of performance of a medical procedure or release of a medical record conveyed by the utterance of the particular patient included in the at least one indication of at least one of speech or appearance of the particular patient.

35. The system of claim 1, wherein the circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone comprises:

circuitry for receiving at least some GPS data from the at least one personal communication device associated with at least one device identifier, the at least some GPS data one input indicative of a proximity of the at least one personal communication device to the service zone.

36. The system of claim 1, further comprising:

circuitry for causing the at least one personal communication device to display an indication of an availability of an artificial incentive for receipt by the particular patient upon a manifestation of an improvement in a condition associated with the individual indicated by the detected medically relevant data.

37. The system of claim 1, wherein the circuitry for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone comprises:

circuitry for receiving at least one input from at least one device wearable by a patient hospitalized for a particular condition, the at least one input indicative of the at least one device wearable by the patient hospitalized for the particular condition entering a service zone;

circuitry for receiving at least one input from at least one device wearable by a caregiver, the at least one input indicative of the at least one device wearable by the caregiver entering the service zone; and

circuitry for initiating a timestamp as an automatic response to the both the at least one device wearable by the patient hospitalized for the particular condition and the at least one device wearable by the caregiver being in a single common location.

38. The system of claim 1, wherein the associating the at least one personal communication device with a particular patient identifier based at least partly on the circuitry for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier comprises:

circuitry for triggering a search of a particular records archive by providing the at least one device identifier as a selective search criterion, one that results in the particular patient identifier being returned by the search of the particular records archive.

4. An article of manufacture, comprising:

at least one non-transitory computer-readable medium including at least;

one or more instructions for receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone;

one or more instructions for associating the at least one personal communication device with a particular patient identifier based at least partly on the one or more instructions for receiving the at least one input from the at least one personal communication device associated with the at least one device identifier;

one or more instructions for selecting a playable prompt, the selected playable prompt including at least one of audio, image, or video content, based at least partly on the one or more instructions for associating the at least one personal communication device with the particular patient identifier;

one or more instructions for causing the selected playable prompt to be output in a manner perceivable by a particular patient associated with the particular patient identifier;

one or more instructions for obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output;

one or more instructions for detecting medically relevant data related to the particular patient from the at least one indication of the at least one of speech or appearance of the particular patient;

one or more instructions for causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data and

one or more instructions for implementing a failsafe preventing medical equipment from operating until an indication is received from electronic detection that the at least one personal communication device associated with the at least one device identifier associated with the particular patient identifier is in a vicinity of the medical equipment and until the display of the at least one detectable structure is recognized by a detection device operably coupled with the medical equipment.

22. A method, comprising:

receiving at least one input from at least one personal communication device associated with at least one device identifier, the at least one input indicative of the at least one personal communication device entering a service zone;

associating the at least one personal communication device with a particular patient identifier based at least partly on the receiving the at least one input from the at least one personal communication device associated with the at least one device identifier;

selecting a playable prompt, the selected playable prompt including at least one of audio, image, or video content, based at least partly on the associating the at least one personal communication device with the particular patient identifier;

causing the selected playable prompt to be output in a manner perceivable by a particular patient associated with the particular patient identifier;

obtaining medical intake data including at least one indication of at least one of speech or appearance of the particular patient subsequent to the causing the selected playable prompt to be output;

detecting medically relevant data related to the particular patient from the at least one indication of the at least one of speech or appearance of the particular patient;

causing the at least one personal communication device to display at least one detectable structure, the at least one detectable structure including at least one encoding associated with at least some of the obtained medical intake data; and

implementing a failsafe preventing medical equipment from operating until an indication is received from electronic detection that the at least one personal communication device associated with the at least one device identifier associated with the particular patient identifier is in a vicinity of the medical equipment and until the display of the at least one detectable structure is recognized by a detection device operably coupled with the medical equipment,

wherein the receiving, associating, selecting, causing, obtaining, detecting, and implementing are at least partly implemented using at least one processing device.