Medical claim data transfer to medical deposit box and/or medical visit record

• US 20060136270A1
• Filed: 12/02/2005
• Published: 06/22/2006
• Est. Priority Date: 12/02/2004
• Status: Abandoned Application

• Current Assignee: Charles Russell Rhodes, John David Morgan, Kenneth E. Andam, Mark C. Kozak, Paul Hubert Warner
• Original Assignee: Charles Russell Rhodes, John David Morgan, Kenneth E. Andam, Mark C. Kozak, Paul Hubert Warner
• Inventors: Morgan, John David, Andam, Kenneth E., Rhodes, Charles Russell, Kozak, Mark C., Warner, Paul Hubert
• Application Number:
  US11/292,576
• Publication Number:
  US 20060136270A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06F 40/151 Transformation
• CPC Class Codes: G06F 40/166 Editing, e.g. inserting or deleting
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/00 ICT specially adapted for the handling or processing of medical references

Abstract

A method for generating a personal health record for a patient includes: providing a plurality of medical claim objects that are stored in a first format, the medical claim objects including medical claim codes indicative of medical claim events; and translating the medical claim objects from the first format into a second format to generate personal health record data. The personal health record can also include patient or practitioner entered data. The personal health record is portable and may be owned by the patient. Access to the personal health record can be given by a patient to a practitioner to the extent desired. The portable personal health record is stored in standard codes so that medical information, advertisements, queries, and the like can be readily translated to various reader levels to facilitate clear communication at the reader'"'"'s education level and language.

Claims

1. A method for generating a personal health record for a patient, comprising:

providing a plurality of medical claim objects that are stored in a first format, the medical claim objects including medical claim codes indicative of medical claim events; and

translating the medical claim objects from the first format into a second format to generate personal health record data.

2. A method as defined in claim 1, wherein the personal health record data is stored in an ONCHIT standard format.

3. A method as defined in claim 1, wherein the personal health record data is stored in SNOMED-CT code.

4. A method as defined in claim 1, wherein the medical claim objects comprise data stored in the electronic standard X12N.837 protocol.

5. A method as defined in claim 1, further comprising:

receiving direct medical history data in a personal health record such that a patient has medical data stored in the personal health record that is derived from each of the medical claim objects and the direct medical history data; and

translating the medical claim objects and the received medical history data to a uniform data format for storage in the personal health record.

6. A method for generating a personal health record for a patient, comprising:

providing a personal health record comprising data generated by the method of claim 1;

and

receiving health data from user entered information.

7. A method for generating a personal health record for a patient, comprising:

providing a personal health record comprising data generated by the method of claim 1;

and

receiving health data derived from practitioner entered clinical information.

8. In a computing environment, a computer program product for implementing a method suitable for use in generating a personal health record for a patient, the computer program product comprising a computer readable medium carrying computer executable instructions for performing the method as defined in claim 1.

9. In a computing environment, a computer program product for implementing a method suitable for use in use in communicating symptoms from a patient to a practitioner, the computer program product comprising a computer readable medium carrying computer executable instructions for performing the method:

the acts as defined in claim 6, wherein the practitioner entered medical information is obtained by, with the patient'"'"'s permission, receiving the personal health record from a personal health database such that the practitioner can access the personal health record to the extent authorized by the patient;

if necessary, translating the personal health record into a format compatible with the practitioner'"'"'s electronic health record; and

adding the translated personal health record to the practitioner'"'"'s electronic health record to generate an enhanced electronic health record, wherein the enhanced electronic health record enables a practitioner to view an enhanced data set of symptoms and medical history.

10. A computer program product as defined in claim 9, wherein the method further comprises the act of analyzing the enhanced data set of symptoms and medical history and providing a validated symptom history recommendation to the practitioner.

11. A method as defined in claim 1, further comprising the acts of:

storing the personal health record data in a centralized database comprising a personal health record, the personal health record aligning the personal health record data with the patient receiving the medical service that generated the medical claim;

upon receiving a request from a user to access the patient'"'"'s medical history, translating the personal health record data into user readable text that describes the medical service provided and is at a reading level appropriate to a profile defined for the user; and

presenting the user readable text to the user at the appropriate reading level.

12. A computer program product as defined in claim 9, wherein the method further comprises the act, upon receiving directions from a practitioner, of generating text or a list of literature that are adapted to the appropriate reading level or language of the user.

13. A method for providing automated health advice for a patient, comprising:

providing a personal health database stored on at least one data storage device, the personal health database including health data translated from coded provider diagnoses and procedure coded on medical claim forms;

defining a plurality of nodes corresponding to event triggers or medical problems, wherein each node designates through rules or algorithms one or more recommended activities to be performed or suggested upon the occurrence of an event trigger or problem; and

upon receiving data indicative of an event trigger or problem for a patient;

identifying one or more nodes to be acted upon and selecting one or more activities to be suggested;

referencing the personal health manager to identify any medical and health data that is relevant to the activities to be suggested, and if necessary, modifying the suggested activities; and

presenting the suggested activities as medical or health advice, queries, or suggestions to a patient or practitioner.

14. A method as defined in claim 13, wherein the personal health database further comprises health data derived from user entered information.

15. A method as defined in claim 13, wherein the personal health database further comprises health data derived from practitioner entered medical information.

16. A method as defined in claim 13, wherein the event trigger is selected from the group consisting of:

an advertiser request for direct-to-consumer advertising, the identification of a clinical trial seeking participants with characteristics matching those of the patient, a request for a rating (per specific medical conditions/procedures) directed to one or more of doctors, hospitals, and clinics, and the recommendation of a peer group having medical conditions similar to that of the patient.

17. In a computing environment, a computer program product for implementing a method suitable for use in generating a personal health record for a patient, the computer program product comprising a computer readable medium carrying computer executable instructions for performing the method:

the method as defined in claim 14, wherein the act of providing at least one data storage device comprising a personal health database including health data derived from user entered information comprises obtaining health data derived from user entered information by;

at a data computing device, directing a patient to enter symptom data indicative of symptoms or medical conditions pertaining to the patient;

converting the symptom data into SNOMED-CT code; and

storing the SNOMED-CT code in the personal health record to create a historical record of the symptoms.

18. A method for communicating medical information to a patient, comprising:

providing a personal health record containing information indicative of a patient'"'"'s medical history, the personal health record containing information about the patient'"'"'s education, literacy and/or language;

upon receiving a request from a user to access the patient'"'"'s medical history, translating codes indicative of the personal health record data into user readable text that describes the medical service provided and is at a reading level appropriate to a profile defined for the user; and

presenting the user readable text at the appropriate reading level.

19. A method as defined in claim 18, wherein the user is the patient.

20. A method as defined in claim 18, wherein the user is a medical practitioner.