System and method for providing patient status diagnosis for use in automated patient care

• US 20020099301A1
• Filed: 03/18/2002
• Published: 07/25/2002
• Est. Priority Date: 06/03/1999
• Status: Active Grant

• Current Assignee: Gust H. Bardy
• Original Assignee: Gust H. Bardy
• Inventors: Bardy, Gust H.
• Granted Patent: US 6,705,991 B2
• Time in Patent Office: Days
• US Class Current: 600/509
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: Y10S 128/903 Radio telemetry
• CPC Class Codes: Y10S 128/923 by comparison of patient data to other data

Abstract

A system and method for providing patient status diagnosis for use in automated patient care is described. Physiological measures relating to individual patient information recorded on a substantially continuous basis for an individual patient are stored as a patient care record into a database. One or more of the physiological measures in the patient care record are retrieved from the database. The retrieved physiological measures are analyzed relative to one or more other physiological measures to determine a patient status indicator. Feedback based on the analysis of the one or more physiological measures is sent to the individual patient.

Claims

1. A system for providing patient status diagnosis for use in automated patient care, comprising:

a database storing physiological measures relating to individual patient information recorded on a substantially continuous basis for an individual patient as a patient care record;

an analysis module retrieving one or more of the physiological measures in the patient care record from the database and analyzing the retrieved physiological measures relative to one or more other physiological measures to determine a patient status indicator; and

a feedback module sending feedback based on the analysis of the one or more physiological measures to the individual patient.

2. A system according to claim 1, further comprising:

a database module logically grouping a plurality of the physiological measures, each relating to a same type of individual patient information, into a plurality of peer measures sets; and

a comparison module comparing, during analysis, one or more physiological measures selected from one such peer measures set to one or more physiological measures selected from another such peer measures set.

3. A system according to claim 1, further comprising:

a database module logically grouping a plurality of the physiological measures, each relating to a different type of individual patient information, into a plurality of sibling measures sets; and

a comparison module comparing, during analysis, one or more physiological measures selected from one such sibling measures set to one or more physiological measures selected from another such sibling measures set.

4. A system according to claim 1, further comprising:

a database module logically grouping a plurality of the physiological measures, each relating to a same type of individual patient information, into a plurality of peer measures sets and logically grouping a plurality of the physiological measures, each relating to a different type of individual patient information, into a plurality of sibling measures sets; and

a comparison module comparing, during analysis, one or more physiological measures selected from one such peer measures set to one or more physiological measures selected from one such sibling measures set.

5. A system according to claim 1, further comprising:

a database module selecting a plurality of collected physiological measures, each relating to individual patient information collected by a medical device adapted to be implanted in the individual patient; and

a comparison module comparing, during analysis, one or more such collected physiological measures to one or more other such collected physiological measures.

6. A system according to claim 1, further comprising:

a derivation module deriving a plurality of derived physiological measures from the physiological measures; and

a comparison module comparing, during analysis, one or more such derived physiological measures to one or more other such derived physiological measures.

7. A system according to claim 1, further comprising:

a database module selecting a plurality of the physiological measures, each relating to collected individual patient information;

a derivation module deriving a plurality of derived physiological measures from the physiological measures; and

a comparison module comparing, during analysis, one or more such collected physiological measures to one or more other such derived physiological measures.

8. A system according to claim 1, further comprising:

a database module retrieving the plurality of physiological measures from one of a patient care record for an individual patient, a peer group, and an overall patient population.

9. A system according to claim 1, further comprising:

the feedback module providing tiered feedback from the patient status indicator, comprising;

at a first level of feedback, communicating an interpretation of the patient status indicator;

at a second level of feedback, communicating a notification of potential medical concern based on the patient status indicator;

at a third level of feedback, communicating a notification of potential medical concern based on the patient status indicator to medical personnel; and

at a fourth level of feedback, communicating a set of reprogramming instructions based on the patient status indicator to a medical device adapted to be implanted in the individual patient.

19. A computer-readable storage medium for a device holding code for performing the method according to claim 1.

22. A computer-readable storage medium for a device holding code for performing the method according to claim 1.

10. A method for providing patient status diagnosis for use in automated patient care, comprising:

storing physiological measures relating to individual patient information recorded on a substantially continuous basis for an individual patient as a patient care record into a database;

retrieving one or more of the physiological measures in the patient care record from the database;

analyzing the retrieved physiological measures relative to one or more other physiological measures to determine a patient status indicator; and

sending feedback based on the analysis of the one or more physiological measures to the individual patient.

11. A method according to claim 10, further comprising:

logically grouping a plurality of the physiological measures, each relating to a same type of individual patient information, into a plurality of peer measures sets; and

comparing, during analysis, one or more physiological measures selected from one such peer measures set to one or more physiological measures selected from another such peer measures set.

12. A method according to claim 10, further comprising:

logically grouping a plurality of the physiological measures, each relating to a different type of individual patient information, into a plurality of sibling measures sets; and

comparing, during analysis, one or more physiological measures selected from one such sibling measures set to one or more physiological measures selected from another such sibling measures set.

13. A method according to claim 10, further comprising:

logically grouping a plurality of the physiological measures, each relating to a same type of individual patient information, into a plurality of peer measures sets;

logically grouping a plurality of the physiological measures, each relating to a different type of individual patient information, into a plurality of sibling measures sets; and

comparing, during analysis, one or more physiological measures selected from one such peer measures set to one or more physiological measures selected from one such sibling measures set.

14. A method according to claim 10, further comprising:

selecting a plurality of collected physiological measures, each relating to individual patient information collected by a medical device adapted to be implanted in the individual patient; and

comparing, during analysis, one or more such collected physiological measures to one or more other such collected physiological measures.

15. A method according to claim 10, further comprising:

deriving a plurality of derived physiological measures from the physiological measures; and

comparing, during analysis, one or more such derived physiological measures to one or more other such derived physiological measures.

16. A method according to claim 10, further comprising:

selecting a plurality of the physiological measures, each relating to collected individual patient information;

deriving a plurality of derived physiological measures from the physiological measures; and

comparing, during analysis, one or more such collected physiological measures to one or more other such derived physiological measures.

17. A method according to claim 10, further comprising:

retrieving the plurality of physiological measures from one of a patient care record for an individual patient, a peer group, and an overall patient population.

18. A method according to claim 10, further comprising:

providing tiered feedback from the patient status indicator, comprising;

at a first level of feedback, communicating an interpretation of the patient status indicator;

at a second level of feedback, communicating a notification of potential medical concern based on the patient status indicator;

at a third level of feedback, communicating a notification of potential medical concern based on the patient status indicator to medical personnel; and

at a fourth level of feedback, communicating a set of reprogramming instructions based on the patient status indicator to a medical device adapted to be implanted in the individual patient.

20. A system for providing remote cardiac patient status diagnosis for use in automated patient care, comprising:

a database maintaining patient care records comprising cardiovascular measurements each relating to patient information recorded by a cardiac monitoring device for an individual patient on a substantially regular basis;

an analysis module analyzing one or more cardiovascular measurements in the patient care record for the individual patient relative to one or more other cardiovascular measurements stored in patient care records in the database; and

a feedback module sending patient status diagnosis feedback based on the analysis of the one or more collected cardiovascular measurements to the individual patient.

21. A method for providing remote cardiac patient status diagnosis for use in automated patient care, comprising:

maintaining in a database patient care records comprising cardiovascular measurements each relating to patient information recorded by a cardiac monitoring device for an individual patient on a substantially regular basis;

analyzing one or more cardiovascular measurements in the patient care record for the individual patient relative to one or more other cardiovascular measurements stored in patient care records in the database; and

sending patient status diagnosis feedback based on the analysis of the one or more collected cardiovascular measurements to the individual patient.