COMPUTERIZED MEDICAL DIAGNOSTIC AND TREATMENT ADVICE SYSTEM

• US 20080059247A1
• Filed: 10/30/2007
• Published: 03/06/2008
• 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:
  US11/929,248
• Publication Number:
  US 20080059247A1
• Time in Patent Office: Days
• US Class Current: 705/3
• 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 method of re-entering a diagnosis of a patient'"'"'s medical problem in an automatic medical advice system, the method comprising:

collecting and storing patient information in a data storage of a computer by performing an initial diagnostic consultation with the patient;

in conjunction with the computer, and input and output devices in data communication with the computer, automatically identifying a situation wherein further diagnostic consultation of the patient is required at a later time;

collecting and storing additional patient information in the data storage by performing one or more additional diagnostic consultations with the patient;

computing a diagnosis from the collected patient information during one of the diagnostic consultations; and

outputting the diagnosis.

2. The method of claim 1, wherein the system initiates additional diagnostic consultations with the patient at the later time.

3. The method of claim 1, wherein the system instructs the patient to initiate additional diagnostic consultations at the later time.

4. The method of claim 1, wherein identifying the situation provides for monitoring symptoms of the patient over time.

5. The method of claim 1, wherein identifying the situation makes an identification when the system fails to make a diagnosis based on the stored patient information.

6. The method of claim 1, wherein identifying the situation makes an identification when a treatment associated with a diagnosis formulated by the initial diagnostic consultation is changed.

7. The method of claim 1, additionally comprising identifying the patient as a re-enter patient.

8. The method of claim 1, wherein the additional diagnostic consultations are responsive to previous collected and stored patient information.

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

a computer;

a removable storage device reader, connected to the computer, configured to read and write patient information on a removable storage device;

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

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

a plurality of medical complaint algorithms selectively executed based on at least a portion of the patient information and providing medical advice, via the output device, particular to a medical condition as determined by at least one of the medical complain algorithms.

10. The system of claim 9, wherein the removable storage device is a compact disc.

11. The system of claim 9, wherein the removable storage device is a PCMCIA card.

12. The system of claim 9, wherein the removable storage device is a flash memory.

13. The system of claim 9, wherein the removable storage device is a data-storing card.