COMPUTERIZED MEDICAL DIAGNOSTIC AND TREATMENT ADVICE SYSTEM INCLUDING NETWORK ACCESS

• US 20080051638A1
• Filed: 10/31/2007
• Published: 02/28/2008
• Est. Priority Date: 12/29/1993
• Status: Active Grant

• Current Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Original Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Inventors: Iliff, Edwin
• Granted Patent: US 9,005,119 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• 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 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/63 for local operation
• 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: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
• CPC Class Codes: Y10S 128/904 Telephone telemetry
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

A system and method for providing computerized, knowledge-based medical diagnostic and treatment advice. The medical advice is provided to the general public over networks, such as a telephone network or a computer network. The invention also includes a stand-alone embodiment that may utilize occasional connectivity to a central computer by use of a network, such as the Internet. New authoring languages, interactive voice response and speech recognition are used to enable expert and general practitioner knowledge to be encoded for access by the public. “Meta” functions for time-density analysis of a number of factors regarding the number of medical complaints per unit of time are an integral part of the system. A re-enter feature monitors the user'"'"'s changing condition over time. A symptom severity analysis helps to respond to the changing conditions. System sensitivity factors may be changed at a global level or other levels to adjust the system advice as necessary.

Claims

1. A medical diagnostic and treatment advice system for providing information to a patient, the system comprising:

a server connected to a public data network configured to;

a) receive patient information from a user over the public data network;

b) selectively execute at least one diagnostic code portion based on at least a portion of the received information; and

c) provide information indicative of a diagnosed condition to the user over the public data network.

2. The system of claim 1, wherein the public data network is the Internet.

3. The system of claim 1, wherein the user is a patient or a proxy or assistant thereto.

4. The system of claim 1, wherein the user is a medical professional.

5. The system of claim 1, further comprising a medical history database in data communications with the server configured to store medical data.

6. The system of claim 5, wherein the medical data is securely stored.

7. The system of claim 1, wherein the at least one diagnostic code portion scores at least a portion of the received information and diagnoses a medical condition associated with the executed diagnostic code portion if the score reaches or passes a threshold.

8. The system of claim 1, wherein the server is further configured to monitor and manage patient traffic, demand, and queuing.

9. The system of claim 1, wherein the server is further configured to communicate with a health maintenance organization, an insurance carrier, a credit agency, or a bank over the public data network.

10. The system of claim 1, wherein the server is configured to distribute information to a health maintenance organization.

11. The system of claim 1, wherein the server is further configured to communicate with a laboratory, pharmacy, or health supply store over the public data network.

12. The system of claim 1, wherein the provided information comprises scripts, data, advice, or reports.

13. A method of providing a medical diagnosis, the method comprising:

receiving patient information from a user over a public data network;

generating a medical diagnosis by selectively executing at least one diagnostic code portion based on at least a portion of the received information; and

transmitting a medical diagnosis to the user over the public data network.

14. The method of claim 13, wherein the public data network is the Internet.

15. The method of claim 13, wherein the user is a patient or a proxy or assistant thereto.

16. The method of claim 13, wherein the user is a medical professional.

17. The method of claim 13, further comprising storing the received patient information in a medical history database.

18. The method of claim 13, wherein the at least one diagnostic code portion scores at least a portion of the received information and generates a medical diagnosis if the score reaches or passes a threshold.

19. The method of claim 13, wherein the diagnosis comprises a single medical condition.

20. The method of claim 13, wherein the diagnosis comprises a differential diagnosis list.

21. A system for providing a medical diagnosis, the system comprising:

means for receiving patient information from a user over a public data network;

means for generating a medical diagnosis by selectively executing at least one diagnostic code portion based on at least a portion of the received information; and

means for transmitting a medical diagnosis to the user over the public data network.