Proces for diagnosic system and method applying artificial intelligence techniques to a patient medical record and that combines customer relationship management (CRM) and enterprise resource planning (ERP) software in a revolutionary way to provide a unique-and uniquely powerful and easy-to-use-tool to manage veterinary or human medical clinics and hospitals

• US 20050108052A1
• Filed: 10/22/2004
• Published: 05/19/2005
• Est. Priority Date: 11/03/2003
• Status: Abandoned Application

• Current Assignee: Nortey Jean Omaboe
• Original Assignee: Nortey Jean Omaboe
• Inventors: Omaboe, Nortey Jean
• Application Number:
  US10/970,445
• Publication Number:
  US 20050108052A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• 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 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

This medical (human and veterinary) CRM and ERP software affects every step of patient interaction: marketing, sales or service-related. It allows management of the workload by distributing the chores among staff members and automates medical and business processes through workflow rules. It enables users to view and update tasks, medical cases, appointments, sales, phone calls, faxes, emails, letters and automatic input of lab results into the patient'"'"'s medical record. It also serves the needs of people in human resources; finance and inventory control, and integrates with Microsoft Word, Outlook, Excel, Great Plains and other business systems. It delivers detailed diagnostic differentials associated with a likelihood of their applicability to the given patients'"'"' record and physician'"'"'s experience in his contextual situation; selects the most appropriate diagnostic procedures; offers the possibility for the user to implement context-sensitive tutorials; presents a context-sensitive source of information on diseases and medical procedures.

Claims

1. Claim 1 comprises a computer-readable medium encoded with a method of diagnosing a patient wherein the method applies artificial intelligence techniques to a patient'"'"'s medical record.

2. The medium of claim 1, wherein the artificial intelligence techniques comprise the knowledge of the physician'"'"'s experience in the contextual situation:

patients'"'"' history;

previous treatments;

current treatments;

physical examinations;

tests results;

laboratory particularities;

geographical location;

epidemiological situation;

doctors'"'"' experience and

doctors'"'"' expertise restricted as well as not restricted to current symptoms, such knowledge being recorded in a database and retrieved when the patient'"'"'s medical record;

clinical signs; and

diagnostic laboratory results matches a given number of parameters associated with a disease profile.

3. The medium of claim 1, wherein the method compares and prioritizes a list of likely diagnoses, which are presented in association with a likelihood, represented via a numeric score, of their applicability to the given patient.

4. The medium of claim 1, wherein the artificial intelligence techniques comprise a diagnostic module which is based on:

the patients'"'"' laboratory results;

the degree of importance of individual tests; and

the symptoms selected by the user and upon which the interpretation should be focused.

5. The medium of claim 1, wherein the artificial intelligence techniques comprise a diagnostic module which is based on:

the patients laboratory results; and

the degree of importance of individual tests, and in which the interpretation is focused upon all the symptoms.

6. The medium of claim 1, wherein the artificial intelligence techniques makes visually stand out:

any abnormal historical;

any abnormal physical examination results;

any abnormal laboratory results; and

any pathological particularities, so it may immediately be spotted by the user when viewing the screen.

7. The medium of claim 1, wherein the artificial intelligence techniques delivers detailed diagnostic differentials each of which is based on the patients'"'"' record and is customizable:

to the doctors'"'"' way of practicing medicine;

to the patient;

to the visit;

to the context, and presents;

the most appropriate diagnostic procedures;

a context-sensitive source of information on diseases;

a context-sensitive source of information on medical procedures, and offers the possibility for the user to implement context-sensitive tutorials.

8. The medium of claim 1, wherein the artificial intelligence techniques delivers detailed diagnostic differentials each described by:

a numeric value which represents its relative probability of being the correct diagnosis;

the raisons for which the artificial intelligence has selected this disease;

the enumeration the symptoms for each selected disease;

the laboratory results commonly present in each selected disease;

the diagnostic procedures used to evaluate each selected condition; and

a Multimedia page which may contain additional information;

radiographies of abnormalities when seen in the selected disease;

echographies of abnormalities when seen in the selected disease;

videos of abnormalities when seen in the selected disease;

audios of abnormalities when seen in the selected disease; and

tutorials concerning the selected disease.

9. The medium of claim 1, wherein the method establishes complete holistic reports documenting:

homeopathy;

acupuncture;

Chinese medicine;

bio resonance;

bio spectrum frequency; and

bio nutritional analysis, and in which artificial intelligence selects a holistic management plan based on the patients record and consisting in treatments in;

homeopathy;

acupuncture;

Chinese medicine;

bio resonance; and

bio spectrum frequency and that allows the user to insert;

videos of the patients'"'"' holistic examinations;

holistic treatments;

holistic data;

voice notes and other holistic information.

10. Claim 10 comprises a computerized medium encoded with a computer readable method of managing the back off ice and front office of:

a veterinary medical practice;

a veterinary clinic;

a veterinary hospital;

a medical practice in the fields of human medicine;

a clinic in the fields of human medicine; and

a hospital in the fields of human medicine.

11. The medium of claim 10, wherein the method includes work flow processing steps which manage workflow including the submission and storage of laboratory results, wherein the laboratory results from professional outdoor laboratories that are transmitted by email or by another media may be automatically inserted into the patient'"'"'s record.

12. The medium of claim 10, wherein the method includes work flow processing steps which manage workflow including the submission and storage of laboratory results, wherein the laboratory results from in-house laboratories may be either manually or automatically inserted into the patient'"'"'s record.

13. The medium of claim 10, wherein the Laboratory module stores pre-entered laboratory reference and optimal values from numerous laboratories and enters them automatically in the patients'"'"' record after the user has selected the laboratories'"'"' name.

14. The medium of claim 10, wherein the patient medical records'"'"' Visit module comprise information:

on total amount money charged;

on amount money paid;

on amount money due;

on medical assessment;

on doctor doing the consultation;

on the name of consultant if a report of this visit has been sent to a consultant; and

date of sending if a report of this visit has been sent to a consultant and button when activated by the user prepares automatically an email addressed to the consultant with the reports'"'"' profile information, and field allowing insertion of prior history documents.

15. The medium of claim 10, wherein the patient medical records'"'"' Assessment module comprise information on the patients'"'"' medical assessment and a field allowing easy insertion of different kinds of documents:

Adobe Acrobat Document;

Clip Multimedia;

Clip Video;

Corel Photo Home Image;

Document WordPad;

Image Bitmap;

Image Paintbrush;

Image Wang;

Microsoft Clip Gallery;

Microsoft Excel Chart;

Microsoft Worksheet;

Microsoft Graph Chart;

Microsoft PowerPoint Presentation;

Microsoft PowerPoint Slide;

Microsoft Word Document;

Microsoft Picture;

Package;

QuickTime Movie;

QuickTime Picture;

Sequence MIDI;

Sound Wave; and

E film.

16. The medium of claim 10, wherein the method schedules backups, by issuing just prior to the shutdown time, a warning message to users informing them that the shutdown time arrives then saves any procedure that is opened and then closes the Database.

17. The medium of claim 10, wherein the method provides a module which contains different kinds fields in which the user may insert in an orderly fashion:

sources;

authors; and

dates, and different kinds of documents;

Adobe Acrobat Document;

Clip Multimedia;

Clip Video;

Corel Photo Home Image;

Document WordPad;

Image Bitmap;

Image Paintbrush;

Image Wang;

Microsoft Clip Gallery;

Microsoft Excel Chart;

Microsoft Worksheet;

Microsoft Graph Chart;

Microsoft PowerPoint Presentation;

Microsoft PowerPoint Slide;

Microsoft Word Document;

Microsoft Picture Package;

QuickTime Movie;

QuickTime Picture;

Sequence MIDI;

Sound Wave; and

E film to look up and have handy the information at all times.

18. The medium of claim 10, wherein the method provides a module which contains different kinds fields in which a company inserts and updates in an orderly fashion:

sources;

authors; and

dates, and different kinds of documents;

Adobe Acrobat Document;

Clip Multimedia;

Clip Video;

Corel Photo Home Image;

Document WordPad;

Image Bitmap;

Image Paintbrush;

Image Wang;

Microsoft Clip Gallery;

Microsoft Excel Chart;

Microsoft Worksheet;

Microsoft Graph Chart;

Microsoft PowerPoint Presentation;

Microsoft PowerPoint Slide;

Microsoft Word Document;

Microsoft Picture Package;

QuickTime Movie;

QuickTime Picture;

Sequence MIDI;

Sound Wave; and

E film, allowing users to look up and have handy any medical document that is relevant for the profession.

19. The medium of claim 10, wherein the method provides fields integrated throughout the software in which the user may insert different kinds of documents:

sources;

authors; and

dates, and different kinds of documents;

Adobe Acrobat Document;

Clip Multimedia;

Clip Video;

Corel Photo Home Image;

Document WordPad;

Image Bitmap;

Image Paintbrush;

Image Wang;

Microsoft Clip Gallery;

Microsoft Excel Chart;

Microsoft Worksheet;

Microsoft Graph Chart;

Microsoft PowerPoint Presentation;

Microsoft PowerPoint Slide;

Microsoft Word Document;

Microsoft Picture Package;

QuickTime Movie;

QuickTime Picture;

Sequence MIDI;

Sound Wave; and

E film, used as extended medical reports and which allow each user to customize the software to personal way of practicing medicine.

20. The medium of claim 10, wherein the method provides a online Real Case Reference Database discussion forum, in which complete reports compliant with:

Problem Oriented Medical Record (P.O.M.R.) system;

Subjective, Objective, Assessment, Plan (S.O.A.P.) record system;

ASMC standards for behaviour medicine; and

AFMC standards for behaviour medicine, each of which is revised and contains recommendations from a consultant specialist in the field, and may be searched by users selecting any criteria in the report and from which statistics may be compiled.

21. The medium of claim 10, wherein the method allows, wherever useful throughout the invention, the user to find a record based on a field, by double clicking on it, which pops up the search menu.

22. The medium of claim 10, wherein the method allows, where ever a telephone number is displayed in the invention, the user to automatically dial up the number by double clicking on it.

23. The medium of claim 10, wherein the method allows, where ever e mail or a website address is displayed in the invention, the user to automatically open, a email message whose destination is the e mail address or to open the web sites home page, by double clicking on it.

24. Claim 24 comprises a computer-readable medium encoded with a method of:

human medical Client Relationship Management(C.R.M.);

veterinary medical Client Relationship Management(C.R.M.);

human medical Enterprise resource planning (E.R.P.); and

veterinary medical Enterprise resource planning (E.R.P.), wherein the method

manages the back office and front office of a medical practice;

clinic and hospital.

25. The medium of claim 24, wherein the method provides full control and processing of information on:

employees;

accounting;

suppliers;

services; and

products including medication dosages and full inventory information control and processing with automatic ordering when needed as well as complete traceability of all paid and unpaid invoices including;

when payments have been made;

to whom payments have been made; and

to which employee payments have been made;

in which form payments;

cash;

checks;

bank;

post;

credit cards; and

factoring have been done.

26. The medium of claim 24, wherein the method enables users to view and update:

tasks;

medical cases;

appointments;

sales;

over the counter sales;

phone calls;

faxes;

emails;

letters;

diagnostic procedures; and

therapeutic procedures, and to distribute them with a traceable method (who gave orders to whom and when) among staff members just with a few mouse clicks, and brings the user with a single mouse click from the list of tasks to be accomplished, to the precise location in the patient'"'"'s record where the procedure should be entered.

27. The medium of claim 24, wherein the method provides a predetermined set of diagnostic procedures, called minimum data base, for each type of patient or problem which covers medical problems:

PUPD;

Dyspnea;

acute vomiting with polysytemic signs;

chronic vomiting;

acute diarrhea with polysytemic signs;

chronic diarrhea;

coughing;

obstetric medical problems;

acute abdomen; and

breast problems, and establishes invoice estimates for recommended treatments and services for these symptomatologies, and also displays a message box that prompts the user to determine choice when prices of a service differs among patients such as radiography dimensions, which are proportional to the patient'"'"'s size.

28. The medium of claim 24, wherein the method establishes based on the patients record and within seconds, a complete report compliant to:

Problem Oriented Medical Record (P.O.M.R) system;

Subjective, Objective, Assessment, Plan (S.O.AP) record system;

ASMC standards for behaviour medicine; and

AFMC standards for behaviour medicine.

29. The medium of claim 24, wherein the method automatically establishes and sends within seconds a complete report with images compliant to:

Problem Oriented Medical Record (P.O.M.R) system;

Subjective, Objective, Assessment, Plan (S.O.AP) record system;

ASMC standards for behaviour medicine; and

AFMC standards for behaviour medicine to a consultant that is on duty.

30. The medium of claim 24, wherein the method provides Preventive Medicine module that informs the user when:

FVRCP vaccinations;

FIP vaccinations;

Leucosis vaccinations;

Rabies vaccinations;

Tetanus vaccinations;

Tetanus serum;

DHLP vaccinations;

DHLPParvo vaccinations;

Parvo vaccinations;

Leptospirosis vaccinations;

Piroplasmosis vaccinations;

Adeno V vaccinations;

Parainfluensa V vaccinations.;

Bordetella vaccinations;

Corona V vaccinations.;

Lymes vaccinations;

DHLP Parvo serum;

DHLP serum;

Parvo serum;

12 user defined dewormings;

annual Lab check Ups;

and ECG check Ups;

Felv Elisa;

Felv IFA;

Felv PCR;

FIV Elisa;

FIV Western Blot;

radiographies;

FIP Exposure Titer;

FIP Antibody;

FIP specific Elisa;

Vaccines for humans;

Heartworm occult antibody;

Heartworm occult antigen;

Heartworm microscopic examination;

toxoplasmosis IgG;

toxoplasmosis IgM;

Pregnancy dates;

Pregnancy XR evaluations;

Pregnancy echographique examinations;

Pregnancy tests,

Pregnancy preventions;

Blood smear check for presence of Babesia;

Babesia Canis titer;

Babesia Gibsoni titer;

orthopedic evaluations;

neurological evaluations; and

other evaluations pertinent to;

the patient'"'"'s species;

the patients'"'"' gender; and

to the patient, have been and should be done, pointing out any discrepancies from a correct protocol by using a colour code readily visible on the screen and automatically printing reminder letters to be sent to clients informing them of the upcoming due dates for preventive measures.

31. The medium of claim 24, wherein the method provides extended data base module containing context sensitive information inserted by a company and customizable by the user by inserting Information:

descriptions on how to accomplish procedures;

documents that he has scanned;

a link to a streaming tutorial video; and

a link to the Real Case Reference Database discussion forum to view similar cases.

32. The medium of claim 24, wherein the method provides a neurological module that is structured to enter a complete neurological examination, contains tutorial videos that teaches the state of the art neurological examination, and that allows the user to insert:

videos of the patients'"'"' neurological examinations;

electro-diagnostic data; and

voice notes.

33. The medium of claim 24, wherein the method provides a surgical module that is structured to enter a complete surgical examination and protocols, and that allows the user to insert:

pictures of the patients'"'"' surgeries;

videos of the patients'"'"' surgeries; and

voice notes.

34. The medium of claim 24, wherein the method provides a dental module that is structured to enter a complete dental examination and protocols, and that allows the user to insert:

pictures of the patients'"'"' dentistries;

videos of the patients'"'"' dentistries; and

voice notes.

35. The medium of claim 24, wherein the method provides a medical acts and medical services module that is structured to enter protocols on medical acts and medical services, and that allows the user to insert:

Pictures concerning the medical act and service

videos concerning the medical act and service;

tutorials concerning the medical act and service;

voice notes concerning the medical act and service;

fees concerning the medical act and service; and

documents concerning the medical act and service.

36. The medium of claim 24, wherein the method provides a imaging module containing 379 fields with 22 different document profiles:

Adobe Acrobat Document;

Clip Multimedia;

Clip Video;

Corel Photo Home Image;

Document WordPad;

Image Bitmap;

Image Paintbrush;

Image Wang;

Microsoft Clip Gallery;

Microsoft Excel Chart;

Microsoft Worksheet;

Microsoft Graph Chart;

Microsoft PowerPoint Presentation;

Microsoft PowerPoint Slide;

Microsoft Word Document;

Microsoft Picture Package;

QuickTime Movie;

QuickTime Picture;

Sequence MIDI;

Sound Wave; and

E film, that is structured for automatic insertion of;

radiographies;

cardiac echography;

abdominal echography;

Computer Tomography Scan(CT Scan);

radio-magnetic imaging (IRM);

electrocardiograms (ECGs);

videos;

photos;

protocols on imaging techniques;

tutorials; and

dictated memos, in the patient'"'"'s record and allowing storage and transmission of these documents through internet.

37. The medium of claim 24, wherein the method provides a grooming for animals and a hairdresser for humans module which is designed to collect all the information as to the grooming and hairdressing, into fields specific for every body part, in form of:

pictures;

films;

vocal notes;

text;

documents on how the animal has been or should be groomed;

documents on how persons'"'"' hair cut has been or should be acomplished, and information on current medical problems that are useful knowing when the animal is left at the groomers'"'"';

allergies;

cardiac problems; and

epilepsy;

phobias;

aggressions.

38. The medium of claim 24, wherein the method provides a Behaviour Module from which a text formatted Report based on the ASMC and AFMC standards is automatically created from the patients'"'"' record and that may be sent via internet.