Method and system for generating personal/individual health records

• US 20060277076A1
• Filed: 07/28/2006
• Published: 12/07/2006
• Est. Priority Date: 10/11/2000
• Status: Active Grant

• Current Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Original Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Inventors: Wallen, J. Dominic, Peterson, John C., Hasan, Malik M.
• Granted Patent: US 7,440,904 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• 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 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: 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 system and method for generating and/or updating a personal/individual health record. Inputs of data to the system may come from diverse sources including, but not limited to, patient questionnaires, insurance company (or other payor) claims data, hospitals, clinics and other institutional providers, and individual physicians and physicians'"'"' offices.

Claims

1. A method for generating a personal/individual health record, said method comprising:

receiving a data element indicative of a health related parameter for a patient;

determining a SNOMED code corresponding to said data element; and

inserting an entry into a personal/individual health record associated with said patient based on said SNOMED code.

2. The method of claim 1, wherein said data element includes payor claims data.

3. The method of claim 2, wherein said payor claims data includes at least one health insurance claim code.

4. The method of claim 1, wherein said data element includes at least one ICD code.

5. The method of claim 1, wherein said data element includes at least one CPT code.

6. The method of claim 1, wherein said data element includes at least one NDC code.

7. The method of claim 1, wherein said data element includes at least one LOINC code.

8. The method of claim 1, wherein said data element is selected from the group consisting of data collected from patient questionnaires, direct input, health plans, pharmacy benefits managers, labs, imaging centers, freestanding outpatient facilities, hospitals and physicians.

9. The method of claim 1, further comprising transmitting a description of said entry to a client system.

10. The method of claim 9, further comprising associating a first description and a second description with said entry, wherein said first description is synonymous with said second description.

11. The method of claim 10, wherein said first description uses medical terminology and wherein said second description uses layman'"'"'s terms.

12. The method of claim 11, further comprising determining whether said client system is associated with a healthcare provider and wherein said first description is transmitted to said client system if said client system is associated with a health care provider.

13. The method of claim 12, wherein said second description is transmitted to said user if said client system is not associated with a health care provider.

14. The method of claim 13, wherein said SNOMED code corresponding to said data element is transmitted to said user when said first description is transmitted to said user.

15. The method of claim 1, further comprising determining whether said individual health record includes any entries related to said entry.

16. The method of claim 15, further comprising associating entries in said individual health record related to said entry based on said SNOMED code.

17. A method of generating a personal/individual health record, said method comprising:

receiving a claims data element indicative of a health insurance claim associated with a patient;

determining a SNOMED code corresponding to said claims data element; and

inserting health related data into a personal/individual health record associated with said patient based on said SNOMED code.

18. The method of claim 17, further comprising:

receiving a questionnaire data element indicative of an answer to a questionnaire by said patient;

determining a SNOMED code corresponding said questionnaire data element; and

inserting health related data into said personal/individual health record associated with said patient based on said SNOMED code.

19. The method of claim 18, further comprising:

receiving a clinical data element indicative of clinical data associated with said patient;

determining a SNOMED code corresponding to said clinical data element; and

inserting health related data into said personal/individual health record associated with said patient based on said SNOMED code.

20. A method for generating a personal/individual health record, said method comprising:

receiving a data element indicative of a health related parameter for a patient;

identifying a health related concept that corresponds to said data element, wherein said health related concept is selected from a hierarchical arrangement of health related concepts;

inserting a new entry into said personal/individual health care record representative of said identified health related concept; and

associating said new entry with entries in said personal/individual health record that have a hierarchical relationship to said new entry.

21. The method of claim 20, wherein said hierarchical arrangement includes nodes representative of medical diagnoses or medical procedures.

22. The method of claim 21, wherein said hierarchical arrangement includes at least 300,000 nodes.

23. The method of claim 22, wherein said hierarchical arrangement comprises a plurality of SNOMED Clinical Terms.

24. The method of claim 23, further comprising determining a format of said data element.

25. The method of claim 24, wherein said format is selected from the group of formats consisting of HL7 data, ICD codes, and CPT codes.

26. The method of claim 25, further comprising receiving said data element from a health insurance payor, wherein said data element is representative of at least one health insurance claim code.