System for supporting clinical decision making through the modeling of acquired patient medical information

• US 20030101076A1
• Filed: 09/19/2002
• Published: 05/29/2003
• Est. Priority Date: 10/02/2001
• Status: Abandoned Application

• Current Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Original Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Inventors: Zaleski, John R.
• Application Number:
  US10/247,711
• Publication Number:
  US 20030101076A1
• Time in Patent Office: Days
• US Class Current: 705/2
• 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 40/67 for remote operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

The present invention is directed therefore to a system for supporting clinical decision-making based on acquired patient data. The system preferably includes a data repository for storing accumulated medical information associated with a plurality of medical conditions and at least a portion of the acquired patient data; a data analyzer programmed to identify a pattern in the acquired patient data; and a user interface for transmitting the pattern to a user. This may be achieved using a computer program incorporating a data server programmed to receive the acquired patient data and accumulated medical information; a data analyzer programmed to identify a pattern in the acquired patient data based upon at least a portion of the acquired patient data and the accumulated medical information; and a user server programmed to transmit the identified pattern to a user. In operation, the present invention receives the accumulated medical information and acquired patient data; analyzes at least a portion of the acquired patient data and accumulated medical information to predict a pattern therein by generating a mathematical model; and transmits the identified pattern to a user.

Claims

1. A system for supporting clinical decision-making based on acquired patient data, comprising:

a data repository for storing accumulated medical information associated with a plurality of medical conditions and at least a portion of said acquired patient data;

a data analyzer for identifying a pattern in said acquired patient data based upon at least a portion of said acquired patient data and said accumulated medical information; and

a user interface for transmitting said identified pattern to a user.

2. The system of claim 1, wherein said pattern is stored in said data repository and said data analyzer is programmed to use said stored pattern in identifying another pattern.

3. The system of claim 1, further comprising a peripheral data interface for receiving patient clinical information, said clinical information forming part of said acquired patient data.

4. The system of claim 3, wherein said peripheral data interface receives said clinical information from one or more selected from the group consisting of an anesthesiologist workstation, a laboratory workstation, and medical machinery.

5. The system of claim 1, wherein said data analyzer is further programmed to select a portion of a signal incorporating said acquired patient data in response to a user command;

wherein said data analyzer uses said selected signal portion in predicting said pattern.

6. The system of claim 5, wherein said selected signal portion exhibits an anomaly in said acquired patient data.

7. The system of claim 1, wherein said acquired patient data comprises one or more selected from the group consisting of (a) Electro-Cardiogram (ECG) signal data, (b) patient core temperature data, (c) hemodynamic data, (d) respiratory parameter data and (e) medical condition data.

8. The system of claim 7, wherein said respiratory parameter data comprises at least one of, (i) respiratory rate, (ii) respiratory tidal volume, (iii) inspired oxygen fraction and (iv) positive end expiratory pressure.

9. The system of claim 1, wherein said data repository is collated according to patient type characteristics including at least one of (a) patient gender, (b) patient mass, (c) patient body surface area and (d) patient age.

10. The system of claim 1, wherein said data analyzer is programmed to predict said pattern by generating a mathematical model using at least a portion of said acquired medical data and said accumulated medical information.

11. The system of claim 10, wherein said mathematical model comprises a best-fit representation of said pattern.

12. The system of claim 11, wherein said best-fit representation is achieved using least squares regression.

13. The system of claim 1, wherein said data analyzer is programmed to predict said pattern using a probabilistic neural network incorporating at least a portion of said acquired medical data and said accumulated medical information.

14. A computer program for supporting clinical decision-making based on acquired patient data comprising:

a data extractor programmed to receive said acquired patient data and accumulated medical information associated with a plurality of medical conditions; and

a data predictor programmed to identify a pattern in said acquired patient data based upon at least a portion of said acquired patient data and said accumulated medical information and to transmit said identified pattern to a user.

15. The computer program of claim 14, wherein said data extractor is programmed to store said pattern in a data repository and said data predictor is programmed to use said stored pattern in identifying another pattern.

17. The computer program of claim 14, wherein said data predictor is programmed to select a portion of a signal incorporating said acquired patient data in response to a user command;

wherein said data predictor uses said selected signal portion in identifying said pattern.

18. The computer program of claim 17, wherein said data predictor is programmed to predict said pattern by generating a mathematical model using at least a portion of said acquired medical data and said accumulated medical information.

19. The computer program of claim 17, wherein said mathematical model comprises a best-fit representation of said pattern using least squares regression.

20. The computer program of claim 18, wherein said data predictor is programmed to predict said pattern using a probabilistic neural network incorporating at least a portion of said acquired medical data and said accumulated medical information.

21. The computer program of claim 14, further comprising a user profiler programmed to receive and store user information for later extraction and personalization.

23. The method of claim 21, wherein said acquired patient data includes patient clinical information.

27. The method of claim 23, wherein said patient clinical information comprises one or more selected from the group consisting of (a) Electro-Cardiogram (ECG) signal data, (b) patient core temperature data, (c) hemodynamic data, (d) respiratory parameter data and (e) medical condition data.

28. The method of claim 27, wherein said respiratory parameter data comprises at least one of, (i) respiratory rate, (ii) respiratory tidal volume, (iii) inspired oxygen fraction and (iv) positive end expiratory pressure.

22. A method of using a computer system to support clinical decision-making based on acquired patient data comprising the steps of:

receiving accumulated medical information associated with a plurality of medical conditions and at least a portion of said acquired patient data onto a computer system;

analyzing at least a portion of said acquired patient data and said accumulated medical information using said computer system to predict a pattern therein by generating a mathematical model; and

transmitting said identified pattern to a user using said computer system.

24. The method of claim 22, wherein said clinical information is received from one or more selected from the group consisting of an anesthesiologist workstation, a laboratory workstation, and medical machinery.

25. The method of claim 22, further comprising the steps of selecting a portion of a signal incorporating said acquired patient data in response to a user command;

and using said selected signal portion in predicting said pattern.

26. The method of claim 25, wherein said selected signal portion exhibits an anomaly in said acquired patient data.

29. The method of claim 22, further comprising the step of collating said acquired patient data according to patient type characteristics including at least one of (a) patient gender, (b) patient mass, (c) patient body surface area and (d) patient age.

30. The method of claim 22, wherein said mathematical model comprises a best-fit representation of said pattern in a particular medical parameter for a particular patient type.

31. The method of claim 30, wherein said best-fit representation is achieved using least squares regression.

32. The method of claim 22, wherein said pattern is predicted using a probabilistic neural network incorporating at least a portion of said acquired medical data and said accumulated medical information.