COMPUTERIZED MEDICAL DIAGNOSTIC AND TREATMENT ADVICE SYSTEM

• US 20080051640A1
• Filed: 10/31/2007
• Published: 02/28/2008
• Est. Priority Date: 12/29/1993
• Status: Abandoned Application

• Current Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Original Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Inventors: Iliff, Edwin
• Application Number:
  US11/933,154
• Publication Number:
  US 20080051640A1
• 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 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• 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 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training
• 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: G16H 70/60 relating to pathologies
• CPC Class Codes: H04M 2201/40 using speech recognition speech recognition per se G10L15/00
• CPC Class Codes: H04M 2203/355 Interactive dialogue design tools, features or methods
• CPC Class Codes: H04M 3/493 Interactive information services, e.g. directory enquiries ; Arrangements therefor, e.g. interactive voice response [IVR] systems or voice portals
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/925 Neural network
• CPC Class Codes: Y10S 706/924 Medical

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 a telephone network. Two 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 semantic discrepancy evaluator routine along with a mental status examination are used to detect the consciousness level of a user 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 advise system for providing information to a patient, the system comprising:

a computer;

an input device, connected to the computer, to receive information from the patient;

an output device, connected to the computer, to provide information to the patient; and

at least one diagnostic code portion selectively executed based on at least a portion of the received information so as to provide a patient with a diagnosis, wherein at least one of the at least one diagnostic code portion accepts biometric data as an input.

2. The system of claim 1, wherein the biometric data comprises the results of laboratory tests.

3. The system of claim 1, wherein the biometric data comprises a blood sugar level.

4. The system of claim 1, wherein the biometric data comprises a patient'"'"'s vital signs.

5. The system of claim 1, wherein the biometric data comprises blood pressure.

6. The system of claim 1, wherein the biometric data comprises temperature.

7. The system of claim 1, further comprising a biometric measuring device configured to provide biometric data to at least one of the plurality of medical complaint algorithms.

8. The system of claim 7, wherein the biometric measuring device provides biometric data to at least one of the plurality of medical complaint algorithms via a direct connection to the computer.

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

a computer;

an input device, connected to the computer, to receive information from the patient;

an output device, connected to the computer, to provide information to the patient; and

at least one diagnostic code portion selectively executed based on at least a portion of the received information so as to provide a patient with a diagnosis, wherein at least one of the at least one diagnostic code portion accepts an audio or video input.

10. The method of claim 9, wherein the audio or video input is a static image.

11. The method of claim 9, wherein the input device comprises a tele-stethoscope.

12. The method of claim 9, wherein the audio or video input comprises at least one of a heart murmur, a bruit, a wheeze, a cough, stridor, or a bowel sound.

13. The method of claim 9, wherein the audio or video input comprises a sound pattern represented as a two-dimensional array of time versus amplitude.

14. The method of claim 9, wherein the audio or video input comprises a spectrogram.

15. The method of claim 9, wherein the audio or video input is subjected to analysis by the medical complaint algorithm.

16. The method of claim 15, wherein the analysis comprises a transform.

17. The method of claim 15, wherein a first audio or video input received at a first time is compared to a second audio or video input received at a second time.