Medical Information Handling System

• US 20130013341A1
• Filed: 09/14/2012
• Published: 01/10/2013
• Est. Priority Date: 05/15/2002
• Status: Abandoned Application

• Current Assignee: US Department of The Army (Government of the United States of America)
• Original Assignee: US Department of The Army (Government of the United States of America)
• Inventors: Morris, Tommy J.
• Application Number:
  US13/616,061
• Publication Number:
  US 20130013341A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• 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 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 50/80 for detecting, monitoring or modelling epidemics or pandemics, e.g. flu
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A system and method used to create a longitudinal medical record for an injured person that in at least one embodiment begins a location remote from a medical facility. The system includes in at least one embodiment a plurality of mobile computing devices. In at least one embodiment, the mobile computing devices provide an interface for receiving information from a first responder or a medic.

Claims

1. A medical information system comprising:

at least one main database containing medical records of a plurality of individuals,

a plurality of mobile computing devices in intermittent communication with said at least one main database, each of said devices having

patient list means for maintaining a list of patients,

receiving information means for receiving information from a user regarding at least one of one of the patients and a newly entered patient, the information relating to the health of the patient,

completing means for automatically completing a portion of the information required for a medical record of the patient based on information received by said receiving information means,

non-volatile storage connected to said receiving information means and said completion means, said storage including a local database to store information provided by said receiving information means and said completing means, and

means for transferring at least a portion of the information from the medical record of the patient stored in said storage during at least one period of communication with said at least one main database independent of user action through a wireless connection with said at least one main database,

said patient list means, receiving information means, and said completing means operate independent of said at least one main database and computer network when no communication with said at least one main database is available.

2. The system according to claim 1, wherein each of said mobile computing devices includes means for communicating with an electronic information carrier including both reading from and transferring at least a portion of the medical record to the electronic information carrier.

3. The system according to claim 1, further comprising a plurality of connection nodes in communication with said at least one main database, and each of said connection nodes is in intermittent communication with at least one mobile computing device.

4. The system according to claim 1, wherein said means for automatically completing a portion of the information supplies a narrative for injuries entered by the user using location and injury type received by said receiving information means where

said completing means selects at least one ICD9 code corresponding to the entered injuries, and

said completing means uses the at least one ICD9 code to select a narrative describe the injuries entered by the user into said receiving information means.

5. The system according to claim 4, wherein

said receiving information means adds the received information to a medical record for the patient for storage in the local database at least during periods of no communication with said at least one main database, and

said completing means adds the completed information to the medical record for the patient that includes the information received by said receiving information means for storage in the local database at least during periods of no communication with said at least one main database.

6. The system according to claim 1, wherein

said receiving information means adds the received information to a medical record for the patient for storage in the local database at least during periods of no communication with said at least one main database, and

said completing means adds the completed information to the medical record for the patient that includes the information received by said receiving information means for storage in the local database at least during periods of no communication with said at least one main database.

7. A medical information system for a creation of a longitudinal medical record from a place remote from a medical facility through care provided at the medical facility while a patient is present at the medical facility, the system comprising:

at least one main database containing medical records of a plurality of individuals where said at least one main database is located at a medical facility,

a plurality of mobile computing devices in intermittent communication with said at least one main database and capable of independent operation away from the medical facility, each of said devices having

patient list means for maintaining a list of patients,

receiving information means for receiving information from a user regarding at least one of one of the patients and a newly entered patient, the information relating to the health of the patient,

completing means for automatically completing a portion of the information required for a medical record of the patient based on information received by said receiving information means,

non-volatile storage connected to said receiving information means and said completion means, said storage including a local database to store information provided by said receiving information means and said completing means, and

means for transferring at least a portion of the information from the medical record of the patient stored in said storage during at least one period of communication with said at least one main database independent of user action through a wireless connection with said at least one main database,

said patient list means, receiving information means, and said completing means operate independent of said at least one main database when no communication with said at least one main database is available.

8. The system according to claim 7, wherein each of said mobile computing devices includes means for communicating with an electronic information carrier including both reading from and transferring at least a portion of the medical record to the electronic information carrier.

9. The system according to claim 7, further comprising a plurality of connection nodes in communication with said at least one main database, and each of said connection nodes is in intermittent communication with at least one mobile computing device.

10. The system according to claim 7, wherein said means for automatically completing a portion of the information supplies a narrative for injuries entered by the user using location and injury type received by said receiving information means where

said completing means selects at least one ICD9 code corresponding to the entered injuries, and

said completing means uses the at least one ICD9 code to select a narrative describe the injuries entered by the user into said receiving information means.

11. The system according to claim 10, wherein

said receiving information means adds the received information to a medical record for the patient for storage in the local database at least during periods of no communication with said at least one main database, and

said completing means adds the completed information to the medical record for the patient that includes the information received by said receiving information means for storage in the local database at least during periods of no communication with said at least one main database.

12. The system according to claim 7, wherein

said receiving information means adds the received information to a medical record for the patient for storage in the local database at least during periods of no communication with said at least one main database, and

said completing means adds the completed information to the medical record for the patient that includes the information received by said receiving information means for storage in the local database at least during periods of no communication with said at least one main database.

13. The system according to claim 7, wherein said patient list means, receiving information means, and said completing means operate independent of any computer located at the medical facility when no communication with the medical facility is available.

14. A computer program product for creation of a longitudinal medical record from a place remote from a medical facility through care provided at the medical facility while a patient is present at the medical facility, said computer program product comprising:

a computer readable storage medium having stored thereon;

first program instructions executable by a mobile computing device to cause the mobile computing device to receive a selection of a patient from a user in response to a presentation of a list of patients to the user on a display of the mobile computing device;

second program instructions executable by the mobile computing device to cause the mobile computing device to display an interface for receiving information regarding the selected patient from the user where the information received relates to a health event involving the selected patient;

third program instructions executable by the mobile computing device to cause the mobile computing device to automatically complete a portion of the information required for a longitudinal medical record of the patient based on information received by said second program instructions;

fourth program instructions executable by the mobile computing device to cause the mobile computing device to store the longitudinal medical record in non-volatile storage present on the mobile computing device where the longitudinal medical record includes information received by said second program instructions and completed by said third program instructions; and

fifth program instructions executable by the mobile computing device to cause the mobile computing device to transfer at least a portion of the longitudinal medical record to a database maintained by a medical facility to which the patient is transported during at least one period of communication with the database independent of user action through a wireless connection with the database, and

wherein said first, second, third, fourth, and fifth program instructions operate independent of the database maintained by the medical facility when no communication with the database is available.

15. The computer program product according to claim 14, wherein said computer readable storage medium further having stored thereon:

sixth program instructions executable by the mobile computing device to cause the mobile computing device to estimate a level of consciousness of the patient for the user based on the received information contained in the longitudinal medical record, where the computing device estimates the level of consciousness of the patient and provides the estimated level of consciousness of the patient to the user; and

seventh program instructions executable by the mobile computing device to cause the mobile computing device to receive a confirmation of the estimated level of consciousness from the user.