Networked system for routing medical images

• US 20060095429A1
• Filed: 10/29/2004
• Published: 05/04/2006
• Est. Priority Date: 10/29/2004
• Status: Abandoned Application

• Current Assignee: CareStream Health Incorporated
• Original Assignee: Eastman Kodak Company
• Inventors: Weil, Richard, Abhyankar, Vishwas G.
• Application Number:
  US10/977,855
• Publication Number:
  US 20060095429A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A method for dynamically routing medical data related to a patient (12) in a communications network (16) obtains the medical data about the patient at a first site and obtains patient profile data having information associated with the patient (102). The patient profile data is processed to identify, from a plurality of available specialist sites, a receiving specialist site (118) for transmittal of the medical data, based on the patient profile data. The medical data is then transmitted to the receiving specialist site (130).

Claims

1. A method for dynamically routing medical data related to a patient in a communications network, comprising:

(a) obtaining the medical data about the patient at a first site;

(b) obtaining patient profile data comprising information associated with the patient;

(c) processing the patient profile data and identifying a receiving specialist site based on the patient profile data; and

(d) transmitting the medical data to the receiving specialist site.

2. A method according to claim 1 wherein the step of obtaining the medical data comprises the step of capturing an image.

3. A method according to claim 1 wherein the step of obtaining patient profile data comprises the step of requesting data from a networked site.

4. A method according to claim 1 wherein the step of obtaining patient profile data comprises the step of identifying the patient by performing a retinal scan.

5. A method according to claim 1 wherein the step of identifying a receiving specialist site comprises the step of obtaining additional data from an insurance carrier site.

6. A method according to claim 1 further comprising the step of notifying the receiving specialist site about the availability of the medical data.

7. A method according to claim 1 wherein the step of identifying a receiving specialist site comprises the step of obtaining additional data from at least one of said plurality of available specialist sites.

8. A method according to claim 1 wherein the step of identifying a receiving specialist site comprises the step of obtaining additional data associated with a government regulation.

9. A method according to claim 1 further comprising the steps of assessing the medical data at the receiving specialist site and, based on the assessment, transmitting the medical data to a third site.

10. A method according to claim 1 wherein the step of transmitting the medical data comprises the step of using an internet connection.

11. A method for managing medical image data for a patient, comprising:

(a) obtaining the medical image data at a first networked site;

(b) obtaining patient profile data associated with the patient;

(c) transmitting the medical image data to a second networked site, according to patient profile data;

(d) providing the medical image data to an authorized viewer at a third site by;

(i) notifying the authorized viewer about the medical image data with an electronic message;

(ii) receiving a request for the medical image data from the authorized viewer; and

(iii) transmitting the medical image data from said second site to the authorized viewer at the third site.

12. A method according to claim 11 wherein the patient profile data comprises data related to health insurance coverage.

13. A method according to claim 11 wherein the patient profile data comprises medical history data.

14. A method according to claim 11 wherein the step of transmitting the medical image data comprises the step of using an internet connection.

15. A method according to claim 11 wherein the authorized viewer is an ophthalmologist.

16. A method according to claim 11 further comprising the step of transferring, from the third site, a diagnostic assessment of patient condition according to the medical image data.

17. A method according to claim 11 wherein the step of obtaining the medical image data at a first networked site further comprises the step of assessing the quality of the medical image data.

18. A method according to claim 11 wherein the step providing the medical image data to an authorized viewer at a third site further comprises the step of providing additional data about the patient.

19. A method according to claim 11 further comprising the step of providing payment information to the patient.

20. A method according to claim 11 further comprising the step of storing the medical image data at a networked site.

21. A method according to claim 11 further comprising the step of notifying the patient about a diagnostic assessment by the authorized viewer.

22. A method for routing medical image data obtained for a patient comprising:

(a) obtaining the medical image for the patient on an image capture apparatus at a first networked site;

(b) obtaining a routing instruction associated with the patient, wherein the routing instruction is accessed from a memory on the image capture apparatus and wherein the routing instruction for the patient may specify any one of a plurality of networked site destinations, according to information obtained from an insurance carrier at a second networked site and from at least a third networked site; and

(c) transmitting the medical image data to a fourth networked site based upon the routing instruction.

23. A method according to claim 22 wherein the step of obtaining the medical image comprises the step of obtaining a retinal image.

24. A method according to claim 22 wherein the routing instruction is generated by a process comprising the steps of:

(i) obtaining data about the patient;

(ii) obtaining information about the insurance carrier; and

(iii) obtaining information about a medical specialist.

25. A method according to claim 22 further comprising the step of notifying the patient about a diagnostic assessment at the fourth networked site.

26. A method according to claim 22 wherein the step of obtaining a routing instruction further comprises the step of accessing a computer storing information about governmental regulations.

27. A method for specifying a routing destination for medical data obtained for a patient at a first site on a network, comprising:

(a) receiving a request over the network for destination instructions, wherein the request identifies a patient and provides at least a first item of patient profile metadata about the patient;

(b) obtaining, over the network, at least a second item of metadata for routing from a medical professional;

(c) obtaining at least a third item of metadata for routing from a second site on the network;

(d) generating a destination instruction for the medical data according to the patient profile metadata, second item of metadata, and third item of metadata; and

(e) transmitting the destination instruction to the first site.

28. A method according to claim 27 wherein said second site is an insurance carrier site.

29. A method according to claim 27 wherein said second site provides data on governmental regulations.

30. A method for routing medical image data obtained at a primary care site to a specialist site along a network, the method comprising:

(a) loading executable code to a logic processor at the primary care site;

(b) identifying the patient to the processor at the primary care site;

(c) executing the executable code from the processor at the primary care site;

(d) obtaining at least one metadata item from a third site;

(e) generating a routing address for the specialist site according to patient metadata and according to the at least one metadata item; and

(f) transmitting the medical image data to the specialist site, according to the routing address.

31. A method according to claim 30 wherein the step of loading executable code comprises the step of loading an object oriented executable program.

32. A method according to claim 30 wherein the step of generating a routing address comprises the step of generating an internet protocol address.

33. A method according to claim 30 wherein the at least one metadata item comprises information about insurance coverage for the patient.

34. A method according to claim 30 wherein the at least one metadata item comprises information about a governmental regulation.

35. A method for dynamically routing medical data related to a patient between sites in a communications network, comprising:

(a) identifying said patient at a first site;

(b) obtaining the medical data about the patient at said first site;

(c) forming a current workflow profile, comprising the steps of;

(i) obtaining a patient profile comprising information associated with the patient;

(ii) obtaining at least one additional profile comprising information associated with the medical data obtained; and

(iii) associating the patient profile with the at least one additional profile, forming said current workflow profile thereby;

(d) processing data in said current workflow profile to determine a preferred receiving site; and

(e) transmitting the medical data to the preferred receiving site.

36. A method according to claim 35 wherein the step of identifying the patient comprises the step of obtaining biometric data from the patient.

37. A method according to claim 35 wherein the step of obtaining the medical data comprises the step of capturing an image.

38. A method according to claim 35 wherein the step of obtaining the medical data comprises the step of capturing a retinal image.

39. A method according to claim 35 wherein the step of building the current workflow profile comprises the step of requesting data from a networked site.

40. A method according to claim 35 wherein the step of processing data in the current workflow profile comprises the step of identifying a plurality of receiving sites in the communications network.

41. A method according to claim 35 wherein the step of obtaining a patient profile comprises the step of accessing data local to the logic processor executing the sequence of steps a) through e).

42. A method according to claim 35 wherein the step of processing the current workflow profile data is performed at a networked site.

43. A method according to claim 35 wherein the step of processing the current workflow profile data is performed at the logic processor executing the sequence of steps a) through e).

44. A method according to claim 35 wherein the step of selecting a preferred receiving site comprises the step of obtaining additional data from a networked site.

45. A method according to claim 35 further comprising the steps of assessing the medical data at the preferred receiving site and, based on the assessment and on the current workflow profile, transmitting the medical data and current workflow profile to a third site.

46. A method according to claim 35 wherein the step of transmitting the medical data comprises transmitting the medical data and current workflow profile data.

47. A method according to claim 35 wherein both the first site and the preferred receiving site are remote sites relative to the control logic processor executing the sequence of steps a) through e).

48. A method according to claim 35 wherein the step of transmitting the medical data comprises the step of sending data using an internet connection.

49. A method according to claim 36 wherein the step of obtaining biometric data from the patient comprises the step of performing a retinal scan.

50. A method according to claim 36 wherein the step of obtaining biometric data from the patient comprises the step of scanning a fingerprint.

51. A method according to claim 36 wherein the step of obtaining at least one additional profile comprises the step of obtaining data about an insurance carrier.

52. A method according to claim 36 wherein the step of obtaining at least one additional profile comprises the step of obtaining data about a governmental regulation.

53. A method according to claim 35 wherein said method occurs in real time.

54. A method for dynamically notifying an authorized viewer about the availability of medical data related to a patient in a communications network, comprising:

(a) obtaining workflow information and associated medical data;

(b) processing the workflow information to identify the authorized viewer;

(c) obtaining viewer profile data comprising information associated with the authorized viewer;

(d) processing the viewer profile to identify a notification method; and

(e) informing the authorized viewer about the availability of the medical image data using the notification method.

55. A method according to claim 54 wherein the step of obtaining workflow information comprises requesting data from a networked site.

56. A method according to claim 54 wherein the step of obtaining workflow information comprises the step of identifying a group of authorized viewers.

57. A method according to claim 54 wherein the step of processing the workflow information comprises requesting additional data about authorized viewers from a networked site.

58. A method according to claim 54 wherein the step of processing the workflow information comprises the step of requesting additional data from a networked site.

59. A method according to claim 54 wherein the step of informing comprises the step of providing an automated voice message.

60. A method according to claim 54 wherein the step of informing comprises the step of providing an electronic mail message.

61. A method according to claim 54 wherein the authorized viewer is an ophthalmic specialist.

62. A method according to claim 54 wherein the step of informing is performed from third networked site.

63. A method according to claim 54 wherein the step of informing comprises the step of transmitting an electronic pager message.

64. A method for dynamically routing, in a communications network, a diagnostic report related to medical data about a patient, the method comprising:

(a) obtaining the diagnostic report and workflow profile data at a first site;

(b) processing data from both the diagnostic report and the workflow profile data to obtain a destination address of a receiving site;

(c) formatting the diagnostic report according to data about the receiving site; and

(d) transmitting the formatted diagnostic report to the receiving site, according to a preferred delivery method obtained from the receiving site.

65. A method according to claim 64 further comprising the step of querying the receiving site to determine the preferred delivery method.

66. A method according to claim 64 wherein the step of formatting the diagnostic report comprises the step of specifying a subset of data from a larger set of obtained data.

67. A method for dynamically routing medical data related to a patient in a communications network, comprising:

(a) obtaining the medical data about the patient at a first site;

(b) transmitting the medical data to a second site to assess if the data is suitable for diagnostic purposes;

(c) reporting results of the assessment to the first site; and

(d) transmitting the medical data to a third site for diagnostic assessment.

68. A method for dynamically notifying a second site in a communications network about the availability of a diagnostic report related to a patient at a first site, the method comprising:

(a) obtaining the diagnostic report at a first site;

(b) forming a current workflow profile, comprising the steps of;

(i) obtaining a patient profile comprising information associated with the patient;

(ii) obtaining at least one additional profile comprising information associated with the diagnostic report obtained; and

(iii) associating the patient profile with the at least one additional profile, forming a current workflow profile thereby;

(c) processing data in the current workflow profile to determine a preferred second site;

(d) obtaining notification profile data associated with the second site; and

(e) notifying the second site about the availability of the diagnostic report according to the notification profile data.

69. A method for dynamically routing medical data related to a patient between sites in a communications network, comprising:

(a) identifying a patient at a first site;

(b) obtaining the medical data about the patient at a first site;

(c) forming a current workflow profile, comprising the steps of;

(i) obtaining a patient profile comprising information associated with the patient;

(ii) obtaining at least one additional profile comprising information associated with the medical data obtained; and

(iii) associating the patient profile with the at least one additional profile, forming a current workflow profile thereby;

(d) processing data in the current workflow profile to determine a preferred receiving site;

(e) obtaining viewer profile data comprising information associated with an authorized viewer at the preferred receiving site;

(f) processing the viewer profile data to identify a notification method;

(g) informing the authorized viewer about the availability of the medical image data using the notification method;

(h) transmitting the medical data to the preferred receiving site;

(i) generating a diagnostic report related to the medical data;

(j) processing data from both the diagnostic report and the workflow profile data to obtain a destination address of a third site;

(k) formatting the diagnostic report according to data about the third site; and

(l) transmitting the formatted diagnostic report to the third site, according to a preferred delivery method obtained from the third site.

70. A method for dynamically routing medical data related to a patient between sites in a communications network, comprising:

(a) identifying a patient at a first site;

(b) obtaining the medical data about the patient at a first site;

(c) forming a current workflow profile, comprising the steps of;

(i) obtaining a patient profile comprising information associated with the patient;

(ii) obtaining at least one additional profile comprising information associated with the medical data obtained; and

(iii) associating the patient profile with the at least one additional profile, forming a current workflow profile thereby;

(d) processing data in the current workflow profile to determine a preferred receiving site;

(e) obtaining viewer profile data comprising information associated with an authorized viewer at the preferred receiving site;

(f) processing the viewer profile data to identify a notification method;

(g) informing the authorized viewer about the availability of the medical image data using the notification method; and

(h) transmitting the medical data to the preferred receiving site.

71. A method for dynamically notifying a second site in a communications network about the availability of a diagnostic report related to a patient at a first site, the method comprising:

(a) obtaining the diagnostic report at a first site;

(b) forming a current workflow profile, comprising the steps of;

(i) obtaining a patient profile comprising information associated with the patient;

(ii) obtaining at least one additional profile comprising information associated with the diagnostic report obtained; and

(iii) associating the patient profile with the at least one additional profile, forming a current workflow profile thereby;

(c) processing data in the current workflow profile to determine a second site for receiving the diagnostic report;

(d) obtaining notification profile data associated with the second site;

(e) notifying the second site about the availability of the diagnostic report according to the notification profile data;

(f) formatting the diagnostic report according to data about the second site; and

(g) transmitting the formatted diagnostic report to the second site, according to a preferred delivery method obtained from the receiving site.

72. A method for dynamically routing medical data related to a patient between sites in a communications network, comprising:

(a) identifying a patient at a first site;

(b) obtaining the medical data about the patient at a first site;

(c) forming a current workflow profile, comprising the steps of;

(i) obtaining a patient profile comprising information associated with the patient;

(ii) obtaining at least one additional profile comprising information associated with the medical data obtained; and

(iii) associating the patient profile with the at least one additional profile, forming a current workflow profile thereby;

(d) processing data in the current workflow profile to determine a preferred receiving site;

(e) obtaining viewer profile data comprising information associated with an authorized viewer at the preferred receiving site;

(f) transmitting the medical data to the authorized viewer at the preferred receiving site;

(g) generating a diagnostic report related to the medical data;

(h) processing data from both the diagnostic report and the workflow profile data to obtain a destination address of a third site;

(i) formatting the diagnostic report according to data about the third site; and

(j) transmitting the formatted diagnostic report to the third site, according to a preferred delivery method obtained from the third site.

73. A system for providing a diagnosis for a patient comprising:

(a) an image capture appliance at a first networked site for obtaining retinal image data from the patient, for obtaining metadata about the patient, and for executing a network transaction for transmitting the retinal image data and metadata to a second networked site;

(b) a remote server in networked communication with the image capture appliance for obtaining the metadata for the patient and for providing the network address of the second site according to the metadata;

(c) a storage resource in communication with the remote server for storing a copy of the transmitted retinal image data; and

(d) a viewing appliance in networked communication with the remote server and in networked communication with the image capture appliance for viewing the transmitted retinal image data according to the routing instructions.

74. A system according to claim 73 wherein the image capture appliance comprises a logic processor for executing instructions downloaded over the network.

75. A system according to claim 73 wherein the image capture appliance is configured by the remote server.