Method and system for health care data transfer

• US 20080270180A1
• Filed: 04/30/2007
• Published: 10/30/2008
• Est. Priority Date: 04/30/2007
• Status: Abandoned Application

• Current Assignee: Intuit, Inc., Ingenix Incorporated (UnitedHealth Group Incorporated)
• Original Assignee: Intuit, Inc., Ingenix Incorporated (UnitedHealth Group Incorporated)
• Inventors: LeClair, Terry F., Henderson, Kenneth J., Sholtis, Steven A., Costello, Maureen, Ghanbari, Reza, Lestor, Carl Stanley, Sastri, Ramaswamy
• Application Number:
  US11/799,170
• Publication Number:
  US 20080270180A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

A method for transferring health care data between a consumer health care application and a plurality of health care information sources. The method includes requesting a first portion of health care data corresponding to a consumer from a first health care information source of the plurality of health care information sources, receiving the first portion of health care data from the first health care information source, storing the first portion of health care data in a health care data repository, requesting a second portion of health care data corresponding to the consumer from a second health care information source of the plurality of health care information sources, receiving the second portion of health care data from the second health care information source, storing the second portion of health care data in the health care data repository, and accessing the first portion of health care data and the second portion of health care data from the health care data repository.

Claims

1. A method for transferring health care data between a consumer health care application and a plurality of health care information sources, the method comprising:

requesting a first portion of health care data corresponding to a consumer from a first health care information source of the plurality of health care information sources;

receiving the first portion of health care data from the first health care information source;

storing the first portion of health care data in a health care data repository;

requesting a second portion of health care data corresponding to the consumer from a second health care information source of the plurality of health care information sources;

receiving the second portion of health care data from the second health care information source;

storing the second portion of health care data in the health care data repository; and

accessing the first portion of health care data and the second portion of health care data from the health care data repository.

2. The method of claim 1, wherein accessing the first portion of health care data and the second portion of health care data is by the consumer health care application.

3. The method of claim 1, further comprising:

receiving, from the consumer health care application, first authentication information corresponding to the first health care information source; and

receiving, from the consumer health care application, second authentication information corresponding to the second health care information source.

4. The method of claim 1, further comprising:

notifying the consumer that the first portion of health care data and the second portion of health care data are in the health care data repository.

5. The method of claim 1, wherein the first health care information source is a first health plan provider and the second health care information source is a second health plan provider.

6. The method of claim 1, wherein the first health care information source corresponds to a first health care business domain and the second health care information source corresponds to a second health care business domain.

7. The method of claim 6, wherein the first health care business domain and the second health care business domain are each one selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

8. The method of claim 1, wherein the first portion of health care data and the second portion of health care data are each at least one selected from a group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

9. The method of claim 1, further comprising:

sending a third portion of health care data corresponding to the consumer to the first health care information source, wherein the first health care information source stores the third portion of health care data.

10. The method of claim 1, wherein requesting the first portion of health care data further comprises sending a request message comprising an action identifier corresponding to a get data request and an identifier corresponding to the first portion of health care data, and wherein receiving the first portion of health care data further comprises receiving a response message corresponding to the request message, the response message comprising the first portion of health care data.

11. The method of claim 10, wherein the action identifier identifies a health care data transfer protocol method selected from a group consisting of get topic data, set topic data, get catalog data and set catalog data, and wherein the first portion of health care data is one selected from a group consisting of a topic and a catalog, wherein the topic and the catalog comprise data structures corresponding to health care data in a health care business domain of the first health care information source.

12. The method of claim 9, wherein sending the third portion of health care data further comprises:

sending a request message comprising an action identifier corresponding to a set data request, an identifier corresponding to the third portion of health care data, and the third portion of health care data; and

receiving a response message corresponding to the request message.

13. The method of claim 12, wherein the request message further comprises search criteria.

14. The method of claim 1, further comprising:

receiving a request for a fourth portion of health care data corresponding to the consumer from the first health care information source;

sending the fourth portion of health care data to the first health care information source; and

storing the fourth portion of health care data.

15. The method of claim 14, wherein storing the fourth portion of health care data is by the first health care information source.

16. The method of claim 1, wherein the consumer health care application comprises the health care data repository.

17. A method for transferring health care data between a consumer health care application and a health care information source, the method comprising:

sending a first request message comprising a first request for performing a first action corresponding to a first portion of health care data;

receiving a first response message corresponding to the first request message, wherein the first response message comprises a result of performing the first action; and

processing the first response message,

wherein the first request message and the first response message adhere to a health care data transfer protocol.

18. The method of claim 17, wherein the first action is one selected from a group consisting of get topic data, set topic data, get catalog data and set catalog data, and wherein the first portion of health care data is one selected from a group consisting of a topic and a catalog, wherein the topic and the catalog comprise data structures corresponding to health care data in a health care business domain of the health care information source.

19. The method of claim 17, further comprising:

receiving authentication information corresponding to the health care information source.

20. The method of claim 17, wherein the health care information source corresponds to a health care business domain selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

21. The method of claim 17, wherein the first portion of health care data is at least one selected from a group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

22. The method of claim 17, wherein the first request message comprises a first action identifier identifying the first action as a get data request and an identifier corresponding to the first portion of health care data, and wherein the first response message comprises the first portion of health care data.

23. The method of claim 22, wherein processing the first response message further comprises storing the first portion of health care data in a health care data repository.

24. The method of claim 23, wherein the consumer health care application accesses the first portion of health care data from the health care data repository.

25. The method of claim 17, wherein the first request message further comprises search criteria.

26. The method of claim 17, wherein the first request message comprises an action identifier identifying the first action as a set data request, an identifier corresponding to the first portion of health care data, and the portion of health care data, and the first response message comprises one selected from a group consisting of an acknowledgement and an exception.

27. The method of claim 17, further comprising:

receiving a second request message comprising a request for performing a second action corresponding to a second portion of health care data;

performing the second action; and

generating a second response message corresponding to the second request message, wherein the second response message comprises a result of performing the second action,

wherein the second request message and the second response message adhere to the health care data transfer protocol.

28. The method of claim 27, wherein

the second request message comprises an action identifier identifying the second action as a get data request and an identifier corresponding to the second portion of health care data;

and

the second response message comprises the second portion of health care data.

29. The method of claim 28, wherein performing the second action further comprises retrieving the second portion of health care data from a health care data repository.

30. The method of claim 27, wherein the second request message comprises an action identifier identifying the second action as a set data request, an identifier corresponding to the second portion of health care data, and the second portion of health care data, and wherein the second response message comprises one selected from a group consisting of an acknowledgement and an exception.

31. A health care data transfer system comprising:

a health care information source configured to store a portion of health care data corresponding to a consumer; and

a health care data access service operatively connected to the health care information source, wherein the health care data access service comprises functionality to;

send a request message comprising a request for performing an action corresponding to the portion of health care data to the health care information source,

receive a response message corresponding to the request message, wherein the response message comprises a result of performing the action, and

process the response message,

wherein the request message and the response message adhere to a health care data transfer protocol.

32. The health care data transfer system of claim 31, further comprising:

a health care data server operatively connected to the health care information source and the health care data access service, wherein the health care data server comprises functionality to;

receive the request message,

interact with the health care information source to perform the action, and

send the response message to the health care data access service.

33. The health care data transfer system of claim 31, wherein the action is one selected from a group consisting of get topic data, set topic data, get catalog data and set catalog data, and wherein the portion of health care data is one selected from a group consisting of a topic and a catalog, wherein the topic and the catalog comprise data structures corresponding to health care data in a health care business domain of the health care information source.

34. The health care data transfer system of claim 31, wherein the health care information source corresponds to a health care business domain selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

35. The health care data transfer system of claim 31, wherein the portion of health care data is at least one selected from the group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

36. The health care data transfer system of claim 31, wherein the request message comprises an action identifier identifying the action as a get data request and an identifier corresponding to the portion of health care data, and wherein the response message comprises the portion of health care data.

37. The health care data transfer system of claim 36, further comprising:

a health care data repository operatively connected to the health care data access service and configured to store the portion of health care data in the health care data repository.

38. The health care data transfer system of claim 37, further comprising:

a consumer health care application operatively connected to the health care data access service, wherein the consumer uses the consumer health care application to access the portion of health care data.

39. The health care data transfer system of claim 31, wherein the request message further comprises search criteria.

40. The health care data transfer system of claim 31, wherein the request message comprises an action identifier identifying the action as a set data request, an identifier corresponding to the portion of health care data, and the portion of health care data, and wherein the response message comprises one selected from a group consisting of an acknowledgement and an exception.

41. A health care data transfer system comprising:

a first health care information source corresponding to a first health care business domain, wherein the first health care information source comprises a first portion of health care data corresponding to a consumer;

a second health care information source corresponding to a second health care business domain, wherein the second health care information source comprises a second portion of health care data corresponding to the consumer; and

a health care data access service operatively connected to the first health care information source and the second health care information source, wherein the health care data access service comprises functionality to;

receive the first portion of health care data and the second portion of health care data, and

store the first portion of health care data and the second portion of health care data.

42. The health care data transfer system of claim 41, further comprising:

a consumer health care application operatively connected to the health care data access service and configured to access the first portion health care data and the second portion of health care data.

43. The health care data transfer system of claim 42, wherein the health care data access service further comprises functionality to receive, from the consumer health care application, first authentication information corresponding to the first health care information source and second authentication information corresponding to the second health care information source.

44. The health care data transfer system of claim 41, wherein the health care data access system notifies the consumer that the first portion of health care data and the second portion of health care data are stored by the health care data access service.

45. The health care data transfer system of claim 41, wherein the first health care information source is a first health plan provider and the second health care information source is a second health plan provider.

46. The health care data transfer system of claim 41, wherein the first health care information source corresponds to a first health care business domain and the second health care information source corresponds to a second health care business domain.

47. The health care data transfer system of claim 46, wherein the first health care business domain and the second health care business domain are each one selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

48. The health care data transfer system of claim 41, wherein the first portion of health care data and the second portion of health care data are each at least one selected from a group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

49. The health care data transfer system of claim 41, wherein the health care data access service further comprises functionality to receive the first portion of health care data by:

sending a request message comprising an action identifier corresponding to a get data request and an identifier corresponding to the first portion of health care data to the first health care information source; and

receiving a response message corresponding to the request message from the health care information source, the response message comprising the first portion of health care data.

50. The health care data transfer system of claim 49, wherein the action identifier identifies a health care data transfer protocol method selected from a group consisting of get topic data, set topic data, get catalog data and set catalog data, and wherein the first portion of health care data is one selected from a group consisting of a topic and a catalog, wherein the topic and the catalog comprise data structures corresponding to health care data in a health care business domain of the health care information source.

51. The health care data transfer system of claim 41, wherein the health care data access service further comprises functionality to receive the first portion of health care data by:

receiving a request message from the first health care information source, wherein the request message comprises an action identifier corresponding to a set data request, an identifier corresponding to the first portion of health care data, and the first portion of health care data, and

sending a response message corresponding to the request message to the first health care information source.

52. The health care data transfer system of claim 41, wherein the health care data access service receives the first portion of health care data and the second portion of health care data using messages adhering to a health care data transfer protocol.

53. A health care data access service comprising:

a health care data repository configured to store health care data corresponding to a plurality of consumers, wherein the health care data is received from a plurality of health care information sources; and

a health care data import component configured to import the health care data from the plurality of health care information sources using messages adhering to a health care data transfer protocol.

54. The health care data access service of claim 53, wherein the health care data transfer protocol comprises:

a request message used to request an action corresponding to a portion of health care data,

and a response message corresponding to the request message used to return the result of performing the action,

wherein the action is one selected from a group consisting of get topic data, set topic data, and get catalog data and set catalog data, and

wherein the portion of health care data is one selected from a group consisting of a topic and a catalog, wherein the topic and the catalog are data structures corresponding to health care data in a plurality of health care business domains corresponding to the plurality of health care information sources.

55. The health care data access service of claim 53, wherein each health care information source of the plurality of health care information sources corresponds to a health care business domain selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

56. The health care data access service of claim 53, wherein the health care data is at least one selected from a group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

57. A computer readable medium comprising computer program code embodied therein for causing a computer system to transfer health care data between a consumer health care application and a plurality of health care information sources, the computer program code comprising program instructions to:

request a first portion of health care data corresponding to a consumer from a first health care information source of the plurality of health care information sources;

receive the first portion of health care data from the first health care information source;

store the first portion of health care data in a health care data repository;

request a second portion of health care data corresponding to the consumer from a second health care information source of the plurality of health care information sources;

receive the second portion of health care data from the second health care information source;

store the second portion of health care data in the health care data repository; and

access the first portion of health care data and the second portion of health care data from the health care data repository.

58. The computer readable medium of claim 57, wherein accessing the first portion of health care data and the second portion of health care data is by the consumer health care application.

59. The computer readable medium of claim 57, further comprising program instructions to:

receive, from the consumer health care application, first authentication information corresponding to the first health care information source; and

receive, from the consumer health care application, second authentication information corresponding to the second health care information source.

60. The computer readable medium of claim 57, further comprising program instructions to:

notify the consumer that the first portion of health care data and the second portion of health care data are in the health care data repository.

61. The computer readable medium of claim 57, wherein the first health care information source is a first health plan provider and the second health care information source is a second health plan provider.

62. The computer readable medium of claim 57, wherein the first health care information source corresponds to a first health care business domain and the second health care information source corresponds to a second health care business domain.

63. The computer readable medium of claim 62, wherein the first health care business domain and the second health care business domain are each one selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

64. The computer readable medium of claim 57, wherein the first portion of health care data and the second portion of health care data are each at least one selected from a group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

65. A computer readable medium comprising computer program code embodied therein for causing a computer system to transfer health care data between a consumer health care application and a health care information source, the computer program code comprising program instructions to:

send a first request message comprising a first request for performing a first action corresponding to a first portion of health care data;

receive a first response message corresponding to the first request message, wherein the first response message comprises a result of performing the first action; and

process the first response message,

wherein the first request message and the first response message adhere to a health care data transfer protocol.

66. The computer readable medium of claim 65, wherein the first action is one selected from a group consisting of get topic data, set topic data, get catalog data and set catalog data, and wherein the first portion of health care data is one selected from a group consisting of a topic and a catalog, wherein the topic and the catalog comprise data structures corresponding to the first portion of health care data in a health care business domain of the health care information source.

67. The computer readable medium of claim 65, further comprising program instructions to receive authentication information corresponding to the health care information source.

68. The computer readable medium of claim 65, wherein the health care information source corresponds to a health care business domain selected from a group consisting of a health plan business domain, a financial business domain, a patient records business domain, a pharmacy business domain, a laboratory business domain, a medical imaging business domain, a medical device business domain, a provider billing business domain, a medical research/analytics business domain, a patient education business domain, a dental business domain, a vision care business domain, an alternative medical treatment business domain, a physical fitness business domain, a physical therapy business domain, a rehabilitation business domain, an assisted care business domain, a practice management business domain, and a psychology business domain.

69. The computer readable medium of claim 65, wherein the first portion of health care data is at least one selected from a group consisting of member data, medical claim data, pharmacy claim data, benefit limit data, coverage data, accumulator data, provider data, and primary care provider data.

70. The computer readable medium of claim 65, wherein the first request message comprises an action identifier identifying the first action as a get data request and an identifier corresponding to the first portion of health care data;

and wherein the first response message comprises the first portion of health care data.

71. The computer readable medium of claim 65, further comprising program instructions to process the first response message by storing the first portion of health care data in a health care data repository.

72. The computer readable medium of claim 65, wherein the consumer health care application accesses the portion of health care data from the health care data repository.

73. The computer readable medium of claim 65, wherein the first request message further comprises search criteria.

74. The computer readable medium of claim 65, wherein

the first request message comprises an action identifier identifying the first action as a set data request, an identifier corresponding to the first portion of health care data, and the first portion of health care data;

and

the first response message comprises one selected from a group consisting of an acknowledgement and an exception.

75. The computer readable medium of claim 65, further comprising program instructions to:

receive a second request message, wherein the second request message comprises a request for performing a second action corresponding to a second portion of health care data;

perform the second action; and

generate a second response message corresponding to the second request message, wherein the second response message comprises a result of performing the second action,

wherein the second request message and the second response message adhere to the health care data transfer protocol.

76. The computer readable medium of claim 75, wherein the second request message comprises an action identifier identifying the second action as a get data request and an identifier corresponding to the second portion of health care data;

and wherein the second response message comprises the second portion of health care data.

77. The computer readable medium of claim 76, further comprising program instructions to perform the second action by retrieving the second portion of health care data from a health care data repository.

78. The computer readable medium of claim 75, wherein the second request message comprises an action identifier identifying the second action as a set data request, an identifier corresponding to the second portion of health care data, and the second portion of health care data, and wherein the response message comprises one selected from a group consisting of an acknowledgement and an exception.

79. The computer readable medium of claim 75, further comprising program instructions to perform the second action by storing the second portion of health care data in a health care data repository.