Patient conditional diagnosis, assessment and symptom tracking system

• US 20060178569A1
• Filed: 02/24/2006
• Published: 08/10/2006
• Est. Priority Date: 03/07/2002
• Status: Active Grant

• Current Assignee: Melanie A. Dean
• Original Assignee: Melanie A. Dean
• Inventors: Dean, Melanie A.
• Granted Patent: US 7,204,805 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: Y10S 283/90 Medical record

Abstract

A system for diagnosing and tracking patient symptoms includes providing an interview instrument implemented as a computer program accessible by clinician and patient to record symptoms and having diagnostic and assessment information for a selected disorder, the clinician interviewing a patient to identify, assess, and record symptoms on the instrument or the patient recording symptoms on the instrument before the first interview. The clinician develops a diagnosis and treatment plan and records them on the instrument and follows up with interviews for identifying and recording any changes on the instrument for documenting effects of the treatment plan. The interview instrument includes a joint use portion listing symptoms and assessment criteria and space for recording symptoms and assessments, a diagnostic portion having diagnostic criteria for the clinician, a patient-use portion having educational information for the patient and a follow-up portion for tracking effects of a treatment plan across subsequent visits.

Claims

1. A method for conditionally diagnosing a selected disorder in a patient and assessing and tracking symptoms of the patient during treatment for the disorder, comprising the steps of:

a. providing an interview instrument implemented as a computer program generating a screen display and accessible and usable by either or both of a clinician and a patient to record and track symptoms, said interview instrument including diagnostic and assessment information for a selected disorder, a joint-use portion for use by both said clinician and said patient and a follow-up portion, said diagnostic and assessment information, said joint-use portion and said follow-up portion each including a list of symptoms of said selected disorder;

b. a clinician conducting a first interview of said patient for identifying and assessing the patient'"'"'s symptoms of said disorder in accordance with said list of symptoms of said selected disorder and said diagnostic and assessment information;

c. said clinician selecting said patient'"'"'s identified symptoms from said list of symptoms on said joint-use portion and recording said symptoms and an assessment of said patient'"'"'s identified symptoms by said clinician on said joint-use portion; and

said patient reviewing said joint-use portion and recording revised identified symptoms or assessments on said joint-use portion and/or selecting and recording additional symptoms on said joint-use portion;

d. said clinician developing a diagnosis of said disorder based on said recorded symptoms, developing a treatment plan for treatment of said disorder, and recording said treatment plan on said interview instrument;

e. said clinician conducting a subsequent interview of said patient for assessing changes in symptoms of said patient by reference to said list of symptoms on said follow-up portion; and

f. said clinician recording said changes in symptoms of said patient on said follow-up portion of said interview instrument for tracking effects of said treatment plan.

2. The method in claim 1, wherein said interview instrument further includes a patient information portion.

3. The method of claim 1 further including the step of:

a. said clinician identifying target symptoms of said patient for treatment.

4. The method in claim 1 including the steps of:

a. said clinician distributing a copy of the recorded patient'"'"'s symptoms, an assessment of said recorded patient'"'"'s symptoms by said clinician and a patient information portion to said patient; and

b. said patient reviewing said copy and said patient information portion for learning about said disorder and better communicating with said clinician.

5. The method as set forth in claim 1 wherein said patient records symptoms of said selected disorder on said joint-use portion before said clinician conducts said first interview.

6. The method as set forth in claim 1 wherein the step of recording said patient'"'"'s identified symptoms and said clinician'"'"'s assessment of said patient'"'"'s identified symptoms on said joint-use portion further includes the step of:

a. said clinician recording the words used by said patient to describe said identified symptoms.

7. A method for conditionally diagnosing a selected disorder in a patient and assessing and tracking symptoms of the patient, comprising the steps of:

a. providing an interview instrument implemented as a computer program generating a screen display and accessible and usable by either or both of a clinician and a patient to record and track symptoms;

said interview instrument including a diagnostic portion for use by a clinician, a patient-use portion for use by said patient, a joint-use portion for use by both said clinician and said patient, and a follow-up portion for use by said clinician;

said diagnostic portion of said interview instrument including symptom, diagnostic and assessment information for a selected disorder, said joint-use portion and said follow-up portion each including a list of symptoms of said selected disorder;

said patient-use portion of said interview instrument including educational information about said disorder;

b. said clinician reviewing said diagnostic and assessment information, interviewing said patient, identifying and recording patient symptoms of said disorder on said joint-use portion of said interview instrument by reference to said list of symptoms and an environment in which each of the identified symptoms occurs to create a record of said patient symptoms;

said patient reviewing said joint-use portion and recording revised identified symptoms or environments on said joint-use portion and/or recording additional symptoms on said joint-use portion; and

said clinician identifying target symptoms for treatment;

c. said patient reviewing said educational information on said patient-use portion of said interview instrument and reviewing said recorded symptoms; and

d. said clinician again interviewing said patient, said patient reporting changes in symptoms of said patient, and said clinician recording said changes in symptoms of said patient on said follow-up portion of said interview instrument by reference to said list of symptoms on said follow-up portion for documenting effects of said treatment.

8. The method as set forth in claim 7 wherein the step of interviewing said patient and recording effects of said treatment on said identified symptoms on said follow-up portion of said interview instrument is repeated.

9. The method as set forth in claim 7 further including the step of:

a. said clinician prescribing a medication as part of said treatment and recording medication side effects on said patient.

10. The method as set forth in claim 7 further including the step of:

a. said clinician recording additional patient information.

11. The method as set forth in claim 7 further including the step of:

a. submitting said joint-use and said diagnostic portions of said interview instrument to a health care insurer as documentation for reimbursement for providing care to said patient.

12. The method as set forth in claim 7, further including the step of:

a. submitting said follow-up portion of said interview instrument to a health care insurer as documentation for reimbursement for providing continuing care to said patient.

13. The method as set forth in claim 7 wherein said patient records symptoms of said selected disorder on said joint-use portion before said clinician conducts a first interview.