Automatic Patient Healthcare and Treatment Outcome Monitoring System

• US 20070173702A1
• Filed: 08/29/2006
• Published: 07/26/2007
• Est. Priority Date: 10/21/2005
• Status: Abandoned Application

• Current Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Original Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Inventors: Grigsby, Jean, Dlugos, Mary
• Application Number:
  US11/468,012
• Publication Number:
  US 20070173702A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A system generates criteria associating subjective narrative text describing a treatment outcome with acquired patient medical data and linking a narrative treatment outcome description to documented data during patient assessment documentation. A patient healthcare monitoring system includes an acquisition processor for automatically acquiring data representing outcomes of multiple corresponding assessments of medical condition of a patient. A data processor automatically evaluates a logical expression comprising a logical combination of the multiple corresponding assessments to provide an overall outcome representative result and compares the overall outcome representative result with a predetermined treatment objective of the patient to provide a result indicative of whether the treatment objective is met. A documentation processor updates a record of the patient to indicate the objective is met.

Claims

1. A patient healthcare monitoring system, comprising:

an acquisition processor for automatically acquiring data representing outcomes of a plurality of corresponding assessments of medical condition of a patient;

a data processor for automatically,

evaluating a logical expression comprising a logical combination of said outcomes of said plurality of corresponding assessments to provide an overall outcome representative result and

comparing said overall outcome representative result with a predetermined treatment objective of said patient to provide a result indicative of whether said treatment objective is met; and

a documentation processor for updating a record of said patient to indicate said objective is met.

2. A system according to claim 1, wherein

said acquisition processor automatically acquires data representing Findings representing aspects of medical condition of a patient and corresponding Finding acceptability criteria data and for comparing said Findings with said corresponding Finding acceptability criteria data to determine said outcomes of said plurality of corresponding assessments of medical condition of said patient.

3. A system according to claim 1, wherein

said logical combination comprises determining a logical AND of data representing outcomes of said plurality of corresponding assessments to provide an overall outcome representative result.

4. A system according to claim 3, wherein

data representing outcomes of said plurality of corresponding assessments individually comprise a logical 1 or 0 derived by an individual test to provide an overall outcome representative result.

5. A system according to claim 4, wherein

said logical 1 or 0 is derived in response to at least one of, (a) user data entry concerning a result of a patient assessment by a healthcare worker and (b) an automatically acquired test result provide by a medical parameter measurement or monitoring device attached to a patient.

6. A system according to claim 1, wherein

said record of said patient comprises a care plan of said patient.

7. A system according to claim 6, wherein

said logical expression is associated with said care plan.

8. A user interface system for use in patient healthcare monitoring, comprising:

an acquisition processor for automatically acquiring data representing outcomes of a plurality of corresponding assessments of medical condition of a patient;

a display processor for initiating generation of data representing at least one display image enabling a user to enter a logical expression comprising a logical combination of said outcomes of said plurality of corresponding assessments to automatically provide an overall outcome representative result; and

a documentation processor for updating a record of said patient to indicate said objective is met in response to evaluation of said logical expression and comparison of said overall outcome representative result with a predetermined treatment objective.

9. A system according to claim 8, wherein

said acquisition processor automatically acquires data representing Findings representing aspects of medical condition of a patient and corresponding Finding acceptability criteria data, said Findings being for comparison with said corresponding Finding acceptability criteria data to determine said outcomes of said plurality of corresponding assessments of medical condition of said patient.

10. A system according to claim 8, wherein

said at least one display image enables a user to enter a logical expression comprising a logical combination of outcomes of said plurality of corresponding assessments and an individual outcome of an assessment comprises a logical evaluation of a condition associated with a patient medical parameter.

11. A system according to claim 10, wherein

said logical evaluation of a condition associated with a patient medical parameter comprises a TRUE or FALSE determination.

12. A system according to claim 10, wherein

said logical evaluation of a condition associated with a patient medical parameter comprises a text interpretation of user entered assessment text.

13. A system according to claim 10, wherein

said logical evaluation of a condition associated with a patient medical parameter employs at least one logical operator of, (a) less than, (b) less than or equal to, (c) greater than and (d) greater than or equal to.

14. A system according to claim 10, wherein

said logical combination employs at least one operator of, (a) AND, (b) OR, (c) NOT, (d) NOR, (e) EXCLUSIVE OR and (f) EXCLUSIVE NOR.

15. A patient healthcare monitoring system, comprising:

an acquisition processor for automatically acquiring data representing Findings representing aspects of medical condition of a patient and corresponding Finding acceptability criteria data;

a data processor for automatically,

comparing said Findings with said corresponding Finding acceptability criteria data to determine outcomes of a plurality of corresponding assessments of medical condition of a patient;

evaluating a logical expression comprising a logical combination of said outcomes of said plurality of corresponding assessments to provide an overall outcome representative result and

comparing said overall outcome representative result with a predetermined treatment objective of said patient to provide a result indicative of whether said treatment objective is met; and

a documentation processor for updating a record of said patient to indicate said objective is met.

16. A system according to claim 15, wherein

said Findings are at least one of, (a) numeric, (b) encoded and (c) text.

17. A system according to claim 15, wherein

said Finding acceptability criteria are at least one of, (a) a maximum high value, (b) a minimum low value and (c) a range.

18. A system according to claim 17, wherein

said range comprises at least one of, (a) a normal range, (h) an abnormal range and (c) a critical range and

said ranges are based on patient age and/or gender.