Computerized medical diagnostic and treatment advice system including network access

• US 20010029322A1
• Filed: 03/05/2001
• Published: 10/11/2001
• Est. Priority Date: 07/12/1996
• Status: Active Grant

• Current Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Original Assignee: Edwin C. Iliff
• Inventors: Iliff, Edwin C.
• Granted Patent: US 6,482,156 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
• CPC Class Codes: Y10S 128/904 Telephone telemetry
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

A system and method for providing computerized, knowledge-based medical diagnostic and treatment advice. The medical advice is provided to the general public over networks, such as a telephone network or a computer network. The invention also includes a stand-alone embodiment that may utilize occasional connectivity to a central computer by use of a network, such as the Internet. Two new authoring languages, interactive voice response and speech recognition are used to enable expert and general practitioner knowledge to be encoded for access by the public. “Meta” functions for time-density analysis of a number of factors regarding the number of medical complaints per unit of time are an integral part of the system. A re-enter feature monitors the user'"'"'s changing condition over time. A symptom severity analysis helps to respond to the changing conditions. System sensitivity factors may be changed at a global level or other levels to adjust the system advice as necessary.

Claims

1. A medical diagnostic and treatment advice system for providing information to a patient, comprising:

(a) a computing environment;

(b) an input device, connected to the computing environment, to receive information from the patient;

(c) an output device, connected to the computing environment, to provide information to the patient; and

(d) at least one medical algorithm selectively executed based on at least a portion of the received information, wherein the medical algorithm scores at least a portion of the received information and diagnoses a medical condition associated with the executed medical algorithm if the score reaches or passes a threshold, wherein the diagnosed medical condition is communicated via the output device.

2. The medical advice system defined in

claim 1

, wherein the medical condition comprises a disease.

3. The medical advice system defined in

claim 1

, wherein the selectively executed medical algorithm is selected from among a group of algorithms, the algorithms specific to medical conditions including headache, convulsion and seizure, chest pain, heatstroke, altered level of consciousness, tremor, dizziness, irregular heartbeat, fainting, shortness of breath, chest injury, depression, head injury, cough, croup, high blood pressure, hyperventilation, numbness, wheezing, inhalation injury and strokes.

4. The medical advice system defined in

claim 1

, wherein the medical algorithm for headache includes the following medical conditions:

migraine, meningitis, brain tumor and subarachnoid hemorrhage.

5. The medical advice system defined in

claim 1

, wherein the selectively executed medical algorithm is based on received information classified as and selected from among a group consisting of anatomic system, cause, alphabetic grouping, catalog number and international classification of disease (ICD).

6. The medical advice system defined in

claim 5

, wherein the anatomic system is selected from among a group consisting of cardiovascular, respiratory, nervous, digestive, ear/nose/throat, ophthalmology, gynecology/obstetrics, urology, blood/hematology, skin, musculo-skeletal and endocrine.

7. The medical advice system defined in

claim 5

, wherein the cause is selected from among a group consisting of trauma, infection, allergy/immune, poisoning, environmental, vascular, mental, genetic, endocrine/metabolic/nutritional and tumor.

8. The medical advice system defined in

claim 1

, wherein the input device comprises a pointing/writing device.

9. The medical advice system defined in

claim 1

, wherein the output device comprises a printer.

10. The medical advice system defined in

claim 1

, wherein the output device comprises a facsimile device.

11. The medical advice system defined in

claim 1

, wherein the input device comprises a keyboard.

12. The medical advice system defined in

claim 1

, wherein the input device comprises a dual tone multiple frequency (DTMF) signal processing system.

13. The medical advice system defined in

claim 1

, wherein the input device comprises an automatic speech recognition system.

14. The medical advice system defined in

claim 1

, wherein the output device comprises a visual display.

15. The medical advice system defined in

claim 1

, wherein the output device comprises a speech playback system.

16. The medical advice system defined in

claim 1

, wherein the computing environment comprises a computer.

17. The medical advice system defined in

claim 1

, wherein the computing environment comprises a plurality of computers in a client/server relationship.

18. The medical advice system defined in

claim 17

, wherein telephonic signals are sent by the server and received by the client.

19. The medical advice system defined in

claim 17

, wherein the client comprises a user access processor.

20. The medical advice system defined in

claim 1

, wherein the computing environment includes a computer network.

21. The medical advice system defined in

claim 1

, additionally comprising a medical history for the patient stored in the computer environment, wherein the medical algorithm uses the medical history to diagnose the medical condition.

22. The medical advice system defined in

claim 21

, wherein the computing environment includes a client computer and a server computer, and the medical history is stored on the server computer.

23. The medical advice system defined in

claim 21

, wherein the computing environment includes a client computer and a server computer, and the medical history is stored on the client computer.

24. The method defined in

claim 1

, wherein each medical algorithm comprises a diagnostic script executed by a script engine.

25. The method defined in

claim 1

, wherein a plurality of diagnosed medical conditions are accumulated into a differential diagnosis list.

26. The method defined in

claim 25

, wherein the differential diagnosis list is ordered based on degree of certainty.

27. The method defined in

claim 1

, wherein the threshold is modifiable by one or more sensitivity factors.

28. An automated medical diagnostic system, comprising:

a communications network;

a server connected to the communications network;

a client computer connected to the communications network; and

at least one medical algorithm selectively executed, on the server or client computer, based on at least a portion of the received information, wherein the medical algorithm scores at least a portion of the received information and diagnoses a medical condition associated with the executed medical algorithm if the score reaches or passes a threshold, wherein the diagnosed medical condition is communicated via an output device connected to the client computer.

29. The medical diagnostic system defined in

claim 28

, wherein the communications network comprises the Internet.

30. The medical diagnostic system defined in

claim 28

, wherein the communications network comprises a telephone network, wherein telephonic signals are sent by the server and received by the client computer.

31. The medical diagnostic system defined in

claim 28

, wherein the client computer comprises a user access processor.

32. The medical diagnostic system defined in

claim 31

, wherein the user access processor utilizes a browser.

33. The medical diagnostic system defined in

claim 31

, wherein the user access processor utilizes a script engine.

34. The medical diagnostic system defined in

claim 28

, additionally comprising a patient medical history accessed by the medical algorithm.

35. The medical diagnostic system defined in

claim 28

, additionally comprising a treatment table accessed according to the diagnosed medical condition.

36. The method defined in

claim 28

, wherein each medical algorithm is associated with one or more medical conditions.

37. The method defined in

claim 28

, wherein the diagnosed medical condition is communicated to a patient.

38. The method defined in

claim 28

, wherein the diagnosed medical condition is communicated to a physician.

39. The method defined in

claim 38

, wherein the score associated with the diagnosed medical condition is communicated to the physician.

40. A computerized method of providing information to any one of a plurality of patients for use in a medical diagnostic or treatment advice system on a computer network, the method comprising:

selectively executing at least one medical algorithm;

accessing a patient medical history during an evaluation process, wherein each patient is associated with at least one file containing medical information unique to the medical condition of the patient, and wherein the patient medical history is persistently stored in the at least one file;

determining medical advice particular to a medical condition associated with the medical algorithm through communication on the computer network with a selected one of the patients and with information stored in the patient medical history; and

providing the medical advice to the selected patient.

41. The method defined in

claim 40

, additionally comprising generating a diagnosis during the selective execution of the medical algorithm.

42. The method defined in

claim 41

, additionally comprising:

storing a treatment table on the computer network;

accessing the treatment table based on the diagnosis to select a treatment; and

communicating the selected treatment to the patient.

43. The method defined in

claim 40

, additionally comprising protecting the medical history of the patient against unauthorized access.

44. The method defined in

claim 40

, wherein the file unique to the patient stores medical information specific to the patient.

45. The method defined in

claim 40

, wherein the patient medical history is stored at a central location on the computer network.

46. The method defined in

claim 40

, wherein at least a portion of the patient medical history resides at a client computer connected to the computer network.

47. The method defined in

claim 40

, wherein the patient medical history comprises a plurality of files.

48. A computerized method of providing information to a patient for use in a medical diagnostic or treatment advice system having a user access processor on a computer network, the method comprising:

receiving at the user access processor of the patient or an assistant to the patient, information indicative of at least one medical algorithm;

transmitting information indicative of the patient from the user access processor, the information being of use in conjunction with persistently stored patient information; and

receiving medical advice particular to a medical condition associated with the medical algorithm.

49. The method defined in

claim 48

, wherein the user access processor utilizes a browser.

50. The method defined in

claim 48

, wherein the user access processor utilizes a script engine.

51. The method defined in

claim 48

, wherein the persistently stored patient information comprises a patient medical history.

52. The method defined in

claim 48

, wherein the computer network comprises the Internet.

53. The method defined in

claim 48

, wherein the computer network comprises an intranet.