SYSTEM FOR COLLECTING, STORING,PRESENTING AND ANALYZING IMMUNIZATION DATA HAVING REMOTE STATIONS IN COMMUNICATION WITH A VACCINE AND DISEASE DATABASE OVER A NETWORK

• US 20110029488A1
• Filed: 02/26/2003
• Published: 02/03/2011
• Est. Priority Date: 04/12/2002
• Status: Active Grant

• Current Assignee: Becton, Dickinson & Co
• Original Assignee: Becton, Dickinson & Co
• Inventors: Fuerst, Oren, Rosenberg, Zeil
• Granted Patent: US 7,908,155 B2
• Time in Patent Office: Days
• US Class Current: 707/636
• 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 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/60 relating to pathologies

Abstract

A system is provided for collecting and storing immunization and disease data. Immunization mobile stations (IMSs) are provided with a software application to facilitate the collection of patient information such as biographical data, previous vaccination data, medical history, medications in use, occupation, administration of recent vaccination, disease symptoms and the like. IMSs synchronize the patient information with information stored in a database maintained at a data center that is accessible to different groups of personnel based on different privileges defined at the data center and security measures. Patients can access electronic patient records created by the IMSs, and stored at the IMSs and/or a local server and eventually at the data center, via telephone or computer (e.g., via web browser). IMSs can capture and store images of vaccination and disease symptom sites on patients. The database allows for vaccination and disease tracking and disease control. The IMSs can be provided with a vaccination recommendation engine to determine if a patient is eligible for a vaccination and electronic patient consent forms, and are programmable to track adverse events and create follow-up reports after a vaccine is administered.

Claims

1-19. -19. (canceled)

20. A system for managing immunization and disease information comprising:

a computer-readable database that stores disease information, vaccination information, electronic patient records, and vaccine administration data;

a service provider transaction module for receiving service provider input data comprising biographical patient information corresponding to patients receiving vaccinations and location of vaccination administration and data selected from the group consisting of patient medical history, vaccination date, vaccination lot number, and adverse event data relating to an adverse reaction to a vaccine, said service provider input data being stored in corresponding said electronic patient records and being used to generate said vaccine administration data, and transmitting output data from said database to service providers, said output data being selected from the group consisting of said disease information, said vaccination information, and said electronic patient records, said disease information and said vaccination information comprising, respectively, information about a vaccine preventable disease and the vaccine therefor;

a patient transaction module configured to provide a patient with said disease information, said vaccination information and his corresponding one of said electronic patient records from said database, and to receive patient input data from the patient for storage in the corresponding one of said electronic patient records in said database, said patent input data comprising adverse reaction data relating to an adverse reaction in the patient from a vaccination and other data selected from the group consisting of biographical patient information, patient medical history, and vaccination history, said adverse reaction data comprising measurements of the patient'"'"'s temperature and size of selected characteristics of a site of said vaccination on the patient'"'"'s body and digital images of the site of said vaccination taken on each of a plurality of days;

wherein said database is configured to store said measurements and said digital images in said vaccine administration data and relate them to the corresponding one of said electronic patient records for said patient and to said vaccination administered by said service provider, and selected ranges for each of said measurements for each of the plurality of days; and

wherein said service provider transaction module is configured to determine when at least one of said measurements is outside the selected range corresponding to a selected one of the plurality of days and generate an alert indicating that referral of the patient to a health provider is recommended.

21. A system as claimed in claim 22, wherein said customer is selected from the group consisting of a government, a state government, a national government, a hospital, a health clinic, a call center, a retailer, a pharmacy, a corporation, an employer, a regulatory group, a government agency, and a disease control center.

22. A system as claimed in claim 20, further comprising a customer transaction module for providing said vaccination administration data and said disease information retrieved from the database to a customer upon request, said customer transaction module being configured to analyze said vaccination administration data to identify which of said patients in a selected group have been vaccinated with a selected vaccine, and to analyze said disease information comprising symptoms being experienced by said patients and documented in said electronic patient records for epidemic evaluation and control.

23. A system as claimed in claim 22, wherein said customer transaction module is configured to analyze said vaccination administration information and determine compliance with regulatory requirements relating to vaccinations.

24. A system as claimed in claim 22, wherein said system is implemented by said customer for bio-terrorism preparedness.

26. A system as claimed in claim 20 further comprising at least one remote processing device programmable to collect and store said service provider input data.

27. A system as claimed in claim 26, wherein said remote processing device comprises an application program configured to automatically generate Center for Disease Control Vaccine Adverse Event Reports with data from said electronic patient records and said vaccination administration data.

46. A system as claimed in claim 20, wherein said service provider transaction module is configured to retrieve said digital images for said patient for each of a plurality of days and baseline photos for comparison and generate a notification to a government agency for disease tracking when a lesion captured in one of said digital images is determined to require expert assessment and notification to the government agency.

25. (canceled)

31-35. -35. (canceled)

36. A method of collecting and storing immunization data comprising the steps of:

establishing at least one ad-hoc network comprising at least one immunization mobile station in communication with a data center, said data center being configured to store disease information and vaccination information relating, respectively to a vaccine preventable disease and vaccine therefore, said immunization mobile station operating in a global mode when connected to said data center;

providing at least one of said disease information and said vaccination information at said immunization mobile station in response to a request therefor;

presenting at least one of said disease information and said vaccination information to patients receiving a vaccination via said immunization mobile station if requested;

configuring said immunization mobile station with at least one application for collecting and storing patient data and vaccination administration data relating to patients receiving a vaccination administered at a location remote with respect to said data center;

generating electronic patient records comprising said patient data and said vaccination administration data via said immunization mobile station;

transmitting via said immunization mobile station said electronic patient records to said data center for synchronization and storage in a database when said immunization mobile station is operating in the global mode; and

configuring said immunization mobile station to operate as a group master in a group mode with a plurality of other immunization mobile stations by communicating directly with one another via peer-to-peer communication and exchanging information comprising at least said patient data and said vaccination administration data via a second ad-hoc network even when no connectivity to said data center is available, said immunization mobile station maintaining and synchronizing said exchanged information for said plurality of other immunization mobile stations at said immunization mobile station while in group mode and providing said exchanged information to said data center when connectivity to said data center is available.

37. A method as claimed in claim 36 further comprising the steps of:

determining a health risk to a patient for receiving a vaccination based on said patient data and said vaccination information;

inputting data relating to the health risk via said immunization mobile station; and

generating automatically via said immunization mobile station a recommendation regarding vaccination based on said health risk.

38. A method as claimed in claim 36 further comprising the steps of:

generating via said immunization mobile station a digital image of a symptom appearing on a patient; and

storing said digital image in one of said electronic patient records corresponding to the patient.

39. A method as claimed in claim 38, wherein said symptom is a smallpox lesion.

40. A method as claimed in claim 36 further comprising the steps of:

generating adverse event data relating to adverse side effects of a vaccination experienced by a patient using said application; and

storing said adverse event data in one of said electronic patient records corresponding to the patient.

41. A method as claimed in claim 40, wherein said application is programmable to generate screens to guide users when entering said adverse event data to comply with protocols for documenting adverse events to vaccines.

42. A method as claimed in claim 41, wherein said application is programmable to collect and store said adverse events data automatically and in compliance with a protocol set forth by at least one of the Center for Disease Control and the National Institutes of Health.

43. A method as claimed in claim 36, wherein said application is programmed to allow said patient to generate and store diary entries on respective dates relating to symptoms appearing on a patient in said electronic patient record, said diary entries being generated using at least one of said immunization mobile station and a web browser and synchronized with said immunization mobile station and said data center.

44. (canceled)

45. A system for managing immunization and disease information comprising:

a computer-readable database that stores disease information, vaccination information, electronic patient records, and vaccine administration data;

a service provider transaction module for

receiving service provider input data selected from the group consisting of biographical patient information corresponding to patients receiving vaccinations, patient medical history, vaccination date, vaccination lot number, location of vaccination administration, adverse event data relating to an adverse reaction to a vaccine, said service provider input data being stored in corresponding said electronic patient records and being used to generate said vaccine administration data, and

transmitting output data from said database to service providers, said output data being selected from the group consisting of said disease information, said vaccination information, and said electronic patient records, said disease information and said vaccination information comprising, respectively, information about a vaccine preventable disease and the vaccine therefor,

said service provider transaction module being mobile and provided in a computer located at a clinic corresponding to one of a plurality of temporary and moveable locations of vaccination administration and comprising a global position/mapping module, said computer being operable remotely from said database and selectively synchronized with said database, said service provider transaction module in said computer being configured to process said vaccination administration data comprising tracking data relating to said patients vaccinated at said clinic, and to generate clinic-specific reports comprising data relating to vaccinations administered at said clinic and adverse events reported at said clinic; and

wherein a plurality of said service provider transaction module are provided in a computer at corresponding ones of said plurality of locations of vaccination administration to create a plurality of clinics; and

a customer computer connected to said database;

wherein said database is configured to receive and store clinic-specific said vaccination administration data from said computer at each of said plurality of clinics, said clinic-specific vaccination administration data comprising identification of said location of vaccination administration via said global position/mapping module, patient information corresponding to patients receiving vaccinations at said location of vaccination administration, vaccination date, vaccination lot number, and follow-up data relating to a reaction to a vaccine at said location of vaccination administration;

wherein said customer computer is configured to analyze said clinic-specific vaccination administration data associated with selected ones of said plurality of clinics to determine for each of said selected clinics a clinic average for at least one parameter associated with said follow-up data, and to compare said clinic average with an overall average for said parameter for tracing and analysis of epidemic spread and control via vaccination based on said identification of said location of each of said selected clinics and said average comparisons.

28. A system as claimed in claim 45, wherein clinic-specific information about a selected clinic is retrieved from said vaccination administration data in said database to generate clinic reports regarding vaccinations occurring at the clinic.

29. A system as claimed in claim 28, wherein said clinic-specific information is selected from the group consisting of a Center for Disease Control Vaccinia IND Roster listing clinic activity, said electronic patient records of patients who visited the clinic, a summary of vaccine adverse events.

30. A system as claimed in claim 28, wherein said clinic-specific information for a plurality of clinics is retrieved from said vaccination administration data in said database to generate reports regarding multiple vaccination administration locations.