SYSTEM FOR COMMUNICATION OF HEALTH CARE DATA

• US 20120284055A1
• Filed: 07/19/2012
• Published: 11/08/2012
• Est. Priority Date: 10/11/2000
• Status: Active Grant

• Current Assignee: Cindy A. Post, John C. Peterson, Malik M. Hasan, Ralph A. Korpman, Wallen J. Dominic
• Original Assignee: Cindy A. Post, John C. Peterson, Malik M. Hasan, Ralph A. Korpman, Wallen J. Dominic
• Inventors: Wallen, J. Dominic, Peterson, John C., Post, Cindy A., Hasan, MALIK M., Korpman, Ralph A.
• Granted Patent: US 8,620,691 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

An apparatus for communicating health care data from a sender to a receiver is provided. The apparatus has a first computer system, a second computer system, and a rules engine. The first computer system has health care data stored therein. The second computer system is in operable communication with, and is configured to extract the health care data from, the first computer system. The rules engine normalizes the extracted health care data to a predefined format. The rules engine defines a plurality of health care data fields in the predefined format, as well as a plurality of relationships between fields of normalized data.

Claims

1. A computerized system for facilitating patient viewing of his/her health records over a communications network, the system comprising:

a database residing on a computer having stored health records concerning a plurality of patients from claims data of at least two payor systems, wherein the patients are enrolled in respective health plans offered by the payors in which the payors cover at least a portion of the cost of respective patients'"'"' encounters with health care providers;

a web-based healthcare portal accessible by a health care provider and a patient via a communications network, wherein the web-based healthcare portal is programmed with computer-readable instructions to perform steps comprising;

detecting whether the requester is a patient or a health care provider in response to a request for health-related data in the database;

responsive to detection of the requester as a health care provider, presenting an electronic interface that allows the health care provider to view information for multiple patients across multiple payors based on the claims data from the at least two payor systems in the database; and

responsive to detection of the requester as a patient, presenting an electronic interface that allows the patient to review personalized health information regarding the patient based on the health record of the patient in the database.

2. A computerized system for facilitating patient viewing of his/her health records over a communications network, the system comprising:

a database residing on a computer having stored health records concerning a plurality of patients from claims data of one or more payor systems, wherein the patients are enrolled in respective health plans offered by the payors in which the payors cover at least a portion of the cost of respective patients'"'"' encounters with health care providers;

a web-based healthcare portal accessible by a health care provider and a patient via a communications network, wherein the web-based healthcare portal is programmed with computer-readable instructions to perform steps comprising;

detecting whether the requester is a patient or a health care provider in response to a request for health-related data in the database;

responsive to detection of the requester as a health care provider, presenting an electronic interface that allows the health care provider to make a referral for a selected patient to another health care provider, wherein the referral is electronically determined based at least in part upon plan rules of the patient'"'"'s payor; and

responsive to detection of the requester as a patient, presenting an electronic interface that allows the patient to review personalized health information regarding the patient based on the health record of the patient in the database.

3. A computerized system for facilitating patient viewing of his/her health records over a communications network, the system comprising:

a database residing on a computer having stored health records concerning a plurality of patients from claims data of one or more payor systems, wherein the patients are enrolled in respective health plans offered by the payors in which the payors cover at least a portion of the cost of respective patients'"'"' encounters with health care providers;

a web-based healthcare portal accessible by a health care provider and a patient via a communications network, wherein the web-based healthcare portal is programmed with computer-readable instructions to perform steps comprising;

detecting whether the requester is a patient or a health care provider in response to a request for health-related data in the database;

responsive to detection of the requester as a health care provider, presenting an electronic interface that allows the health care provider to order laboratory tests electronically using a communications network for a selected patient and monitoring a status of the laboratory tests prior to electronically receiving the results of the laboratory tests; and

responsive to detection of the requester as a patient, presenting an electronic interface that allows the patient to review personalized health information regarding the patient based on the health record of the patient in the database.