Expert system and method for translating, evaluating, monitoring, assessing, auditing, profiling, compiling and quantifying medical data sets

• US 20090099875A1
• Filed: 10/11/2008
• Published: 04/16/2009
• Est. Priority Date: 04/13/2006
• Status: Abandoned Application

• Current Assignee: Allen Roy Koenig
• Original Assignee: Allen Roy Koenig
• Inventors: Koenig, Allen Roy
• Application Number:
  US12/287,553
• Publication Number:
  US 20090099875A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G06Q 50/00 Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism healthcare informatics G16H
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A computer-implemented system and method for evaluating a soft-tissue injury claim, said method comprising: inputting a claimant; creating a claim and associating it with said claimant and with an injury site; associating a first visit with said claim; selecting a standard; inputting a first measurement characterizing said injury site from said first visit; associating a second visit with said claim; inputting a second measurement characterizing said injury site from said second visit; calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated findings; and generating a report that presents each of said measurements and each of said calculated findings in a graphical format and/or a tabular format.

Claims

1. A computer-implemented method for evaluating a soft-tissue injury claim, said method comprising:

creating a claimant record;

creating a claim record and associating it with said claimant record, said claim record being further associated with at least one injury site record and optionally being further associated with a carrier record, a provider record, an attorney record, an adjuster record, a private investigator record and a reviewer record;

inputting an injury site to said at least one injury site record;

associating a first visit record with said claim record;

selecting a standard and creating a first objective findings record that is associated with said first visit record and said at least one injury site record;

inputting a first measurement characterizing said injury site from said first visit into said first objective findings record;

associating a second visit record with said claim record;

creating a second objective findings record that is associated with said second visit record and said injury site record;

inputting a second measurement characterizing said injury site from said second visit into said second objective findings record;

calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated objective findings; and

generating a report that presents each of said measurements and each of said calculated objective findings in a graphical format and/or a tabular format.

2. The method of claim 1 wherein said claim record is further associated with a non-injured side record and the method further comprises:

selecting a standard and creating a third objective findings record that is associated with said first visit record and said non-injured side record;

inputting a first non-injured side measurement characterizing said non-injured side from said first visit into said third objective findings record;

creating a fourth objective findings record that is associated with said second visit record and said non-injured side record;

inputting a second non-injured side measurement characterizing said non-injured side from said second visit into said fourth objective findings record;

calculating a non-injured percent deficit for each non-injured side measurement by comparing each non-injured side measurement to said standard, and a percent improvement by comparing said first non-injured side measurement taken on a first visit to said second non-injured side measurement taken on said second visit to produce a second plurality of calculated objective findings.

4. The method of claim 1 wherein said claim is further associated with a non-injured side and the method further comprises:

inputting a first non-injured side measurement characterizing said non-injured side from said first visit;

inputting a second non-injured side measurement characterizing said non-injured side from said second visit;

calculating a non-injured percent deficit for each non-injured side measurement by comparing each non-injured side measurement to said standard, and a percent improvement by comparing said first non-injured side measurement taken on a first visit to said second non-injured side measurement taken on said second visit to produce a second plurality of calculated findings.

20. A computer-readable medium having computer-executable instructions for performing a method for evaluating the effects of treatment, the method comprising:

performing the steps of claim 1.

3. A computer-implemented method for evaluating a soft-tissue injury claim, said method comprising:

inputting a claimant;

creating a claim and associating it with said claimant and with an injury site;

associating a first visit with said claim;

selecting a standard;

inputting a first measurement characterizing said injury site from said first visit;

associating a second visit with said claim;

inputting a second measurement characterizing said injury site from said second visit;

calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated findings; and

generating a report that presents each of said measurements and each of said calculated findings in a graphical format and/or a tabular format.

5. A computer-implemented method for evaluating a soft-tissue injury claim, said method comprising:

a step for creating a claimant record;

a step for creating a claim record and associating it with said claimant record, said claim record being associated with an injury site record;

a step for inputting an injury site to said injury site record;

a step for associating a first visit record with said claim record;

a step for selecting a standard and creating a first objective findings record that is associated with said first visit record and said injury site record;

a step for inputting a first measurement characterizing said injury site from said first visit into said first objective findings record;

a step for associating a second visit record with said claim record;

a step for creating a second objective findings record that is associated with said second visit record and said injury site record;

a step for inputting a second measurement characterizing said injury site from said second visit into said second objective findings record;

a step for calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated objective findings; and

a step for generating a report that presents each of said measurements and each of said calculated objective findings.

6. The method of claim 5 wherein said report comprises a bar graph having a bar that represents each measurement.

7. A computer-implemented method for evaluating a condition, said method comprising:

selecting a protocol that characterizes a severity of the condition, and identifying a standard result of performing said protocol on a patient that does not have the condition;

inputting a plurality of visit records, each visit record comprising a visit date, and a measurement of said severity obtained by having said patient perform said protocol;

calculating a percent deficit by comparing said measurement to said standard result, and a percent improvement by comparing one measurement taken on a first visit date to another measurement taken on a subsequent visit date to produce a plurality of objective findings; and

generating a report that presents each of said objective findings.

8. The method of claim 7 wherein said report presents said one measurement and said another measurement in a time sequence.

9. The method of claim 8 further comprising:

adding a finding and/or a recommendation to said report.

10. A computer-implemented system for evaluating a soft-tissue injury claim, said system comprising:

means for creating a claimant record;

means for creating a claim record and associating it with said claimant record, said claim record being associated with at least one injury site record and optionally being associated with a carrier record, a provider record, an attorney record, an adjuster record, a private investigator record and a reviewer record;

means for inputting an injury site to said at least one injury site record;

means for associating a first visit record with said claim record;

means for selecting a standard and creating a first objective findings record that is associated with said first visit record and said at least one injury site record;

means for inputting a first measurement characterizing said injury site from said first visit into said first objective findings record;

means for associating a second visit record with said claim record;

means for creating a second objective findings record that is associated with said second visit record and said injury site record;

means for inputting a second measurement characterizing said injury site from said second visit into said second objective findings record;

means for calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated objective findings; and

means for generating a report that presents each of said measurements and each of said calculated objective findings in a graphical format and/or a tabular format.

11. The system of claim 10 wherein said claim record is further associated with a non-injured side record and the system further comprises:

means for selecting a standard and creating a third objective findings record that is associated with said first visit record and said non-injured side record;

means for inputting a first non-injured side measurement characterizing said non-injured side from said first visit into said third objective findings record;

means for creating a fourth objective findings record that is associated with said second visit record and said non-injured side record;

means for inputting a second non-injured side measurement characterizing said non-injured side from said second visit into said fourth objective findings record;

means for calculating a non-injured percent deficit for each non-injured side measurement by comparing each non-injured side measurement to said standard, and a percent improvement by comparing said first non-injured side measurement taken on a first visit to said second non-injured side measurement taken on said second visit to produce a second plurality of calculated objective findings.

26. The computer-implemented method of claim 22 wherein said special comprehensive report includes:

(1) a name and address of a carrier and an adjuster, (2) report date, (3) a reviewer name and contact information, (4) a summary of information about said claim and the claimant, (5) a reviewer'"'"'s findings and recommendations, (6) a summary of recent findings measurements, (7) a summary of said claimant'"'"'s history of visits, (8) a history of special evaluations, hospitalizations, and special diagnostic procedures, (9) a list of any additional injuries identified after an initial visit, (10) a history of previous injuries and previous claims, (11) a history of private investigation reports, (12) a list of accident facts entered into injury site records, (13) a list of any treatment notes from providers that were entered into visit records.

12. A computer-implemented system for evaluating a soft-tissue injury claim, said system comprising:

means for inputting a claimant;

means for creating a claim and associating it with said claimant and with an injury site;

means for associating a first visit with said claim;

means for selecting a standard;

means for inputting a first measurement characterizing said injury site from said first visit;

means for associating a second visit with said claim;

means for inputting a second measurement characterizing said injury site from said second visit;

means for calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated findings; and

means for generating a report that presents each of said measurements and each of said calculated findings in a graphical format and/or a tabular format.

13. The method of claim 12 wherein said claim is further associated with a non-injured side and the system further comprises:

means for inputting a first non-injured side measurement characterizing said non-injured side from said first visit;

means for inputting a second non-injured side measurement characterizing said non-injured side from said second visit;

means for calculating a non-injured percent deficit for each non-injured side measurement by comparing each non-injured side measurement to said standard, and a percent improvement by comparing said first non-injured side measurement taken on a first visit to said second non-injured side measurement taken on said second visit to produce a second plurality of calculated findings.

14. A computer-implemented system for evaluating a soft-tissue injury claim, said system comprising:

means for creating a claimant record;

means for creating a claim record and associating it with said claimant record, said claim record being associated with an injury site record;

means for inputting an injury site to said injury site record;

means for associating a first visit record with said claim record;

means for selecting a standard and creating a first objective findings record that is associated with said first visit record and said injury site record;

means for inputting a first measurement characterizing said injury site from said first visit into said first objective findings record;

means for associating a second visit record with said claim record;

means for creating a second objective findings record that is associated with said second visit record and said injury site record;

means for inputting a second measurement characterizing said injury site from said second visit into said second objective findings record;

means for calculating a percent deficit for each measurement by comparing each measurement to said standard, and a percent improvement by comparing said first measurement taken on a first visit to said second measurement taken on said second visit to produce a plurality of calculated objective findings; and

means for generating a report that presents each of said measurements and each of said calculated objective findings.

15. The system of claim 14 wherein said report comprises a bar graph having a bar that represents each measurement.

16. A computer-implemented system for evaluating a condition, said system comprising:

means for selecting a protocol that characterizes a severity of the condition, and identifying a standard result of performing said protocol on a patient that does not have said condition;

means for inputting a plurality of visit records, each visit record comprising a visit date, and a measurement of said severity obtained by having said patient perform said protocol;

means for calculating a percent deficit by comparing said measurement to said standard result, and a percent improvement by comparing one measurement taken on a first visit date to another measurement taken on a subsequent visit date to produce a plurality of objective findings; and

means for generating a report that presents each of said objective findings.

17. The system of claim 16 further comprising:

means for adding a finding and/or a recommendation to said report.

18. A computer-implemented system for evaluating a condition having a severity, said system comprising:

a computer having a memory and a monitor, said memory hosting a database;

said database having at least one claim record that is associated with a claimant record;

each claim record having an injury site record and a visit record, and optionally a report history record, a saved reports record, a carrier record, a provider record, an attorney record, an adjuster record, a private investigator record and/or a reviewer record;

each visit record having a date of examination field and being associated with at least one objective finding record, each objective finding record containing an objective finding comprising a range of motion measurement that characterizes the severity of the condition;

said monitor being operative to display a report for each injury site, said report containing a tabular or bar graph representation of each objective finding on each examination date and a comparison of each objective finding to a standard over time, said comparison comprising a percent improvement from a baseline objective finding and a percent deficit from said standard.

19. A computer-readable medium having computer-executable instructions for performing a method for evaluating the effects of treatment of an injury, the method comprising:

selecting a protocol that characterizes a severity of the injury, and identifying a standard result of performing said protocol on a patient that does not have the injury;

inputting a plurality of visit records, each visit record comprising a visit date, and a measurement of said severity obtained by having said patient perform said protocol;

calculating a percent deficit by comparing said measurement to said standard result, and a percent improvement by comparing one measurement taken on a first visit date to another measurement taken on a subsequent visit date to produce a plurality of objective findings; and

generating a report that presents all of said objective findings.

21. A computer-implemented method for evaluating an injury to a claimant, said method comprising:

selecting a claim from a claim grid, said claim having a date that the injury occurred, a protocol that characterizes a severity of the injury, and having a standard result of performing said protocol on a patient that does not have the injury;

inputting a plurality of visit records, each visit record comprising a visit date, and a measurement of said severity obtained by having said claimant perform said protocol;

calculating a percent deficit by comparing said measurement to said standard result, and a percent improvement by comparing one measurement taken on a first visit date to another measurement taken on a subsequent visit date to produce a plurality of objective findings; and

generating a report that presents a selected number of said objective findings.

22. The computer-implemented method of claim 21 wherein said report being selected from the group consisting of

an initial report,

a follow-up report,

an injury history report, and

a special comprehensive report.

23. The computer-implemented method of claim 22 wherein said initial report comprises:

(1) a name and address of carrier and adjuster, (2) a report date, (3) a reviewer name and contact information, (4) a summary of information about said claim and the claimant, (5) a reviewer'"'"'s findings, recommendations and additional information, (6) a summary of the initial findings measurements, (7) a summary of recent findings measurements, (8) a summary of the claimant'"'"'s history of visits, (9) a history of special evaluations, hospitalizations, and special diagnostic procedures and (10) a history of private investigation reports.

24. The computer-implemented method of claim 22 wherein said follow-up report comprises:

(1) a name and address of a carrier and an adjuster, (2) a report date, (3) a reviewer name and contact information, (4) a summary of information about said claim and the claimant, (5) a reviewer'"'"'s findings and recommendations, (6) a summary of recent findings measurements, (7) a summary of the claimant'"'"'s history of visits since a previous report was generated, (9) a history of special evaluations, hospitalizations, and special diagnostic procedures since said last report was generated and (10) a history of private investigation reports since said last report was generated.

25. The computer-implemented method of claim 22 wherein said injury history report comprises:

(1) a name and address of a carrier and an adjuster, (2) a report date, (3) a reviewer name and contact information, (4) a summary of information about said claim and the claimant, (5) reviewer'"'"'s findings and recommendations and (6) a summary of injuries information from any past claims or as reported in a history of previous injuries record associated with the claimant.

27. The computer-implemented method of claim 22 wherein said inputting step is carried out using a personal digital assistant.