EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS

• US 20130173300A1
• Filed: 12/05/2012
• Published: 07/04/2013
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: The Invention Science Fund II, L.L.C. (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Hyde, Roderick A., Jung, Edward K.Y., Kare, Jordin T., Leuthardt, Eric C., Levien, Royce A., Lord, Richard T., Lord, Robert W., Malamud, Mark A., Rinaldo, John D. Jr., Rivet, Dennis J., Tegreene, Clarence T., Wood, Lowell L. Jr.
• Granted Patent: US 10,475,142 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• 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

Abstract

Structures and protocols are presented for signaling a status or decision (processing or transmitting a medical record or other resource, e.g.) conditionally. Such signaling may be partly based on one or more symptoms, regimen attributes, performance indicia (compliance indications, e.g.), privacy considerations (patient consent, e.g.), contextual considerations (being in or admitted by a care facility, e.g.), sensor data, or other such determinants. In some contexts this may trigger an incentive being manifested (as a dispensation of an item, e.g.), an intercommunication (telephone call, e.g.) beginning, a device being configured (enabled or customized, e.g.), data distillations being presented or tracked, or other such results.

Claims

1. A healthcare information management system comprising:

one or more articles of manufacture including

transistor-based circuitry having an event-sequencing structure configured for obtaining a field of view within which a specific portion of the field of view includes a view of a first patient;

transistor-based circuitry having an event-sequencing structure configured for obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and

transistor-based circuitry having an event-sequencing structure configured for signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.

3. The healthcare information management system of claim 1, further comprising:

a mobile device associated with the first patient.

4. The healthcare information management system of claim 1, further comprising:

a device mounted on a building as a component of the event-sequencing structure configured for obtaining the field of view.

6. The healthcare information management system of claim 1, further comprising:

a highlighted portion of a display as the specific portion of the field of view.

7. The healthcare information management system of claim 1, further comprising:

a data-handling medium depicting a barcode in the specific portion of the field of view.

10. The healthcare information management system of claim 1, further comprising:

a microphone bearing voice data as the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.

11. The healthcare information management system of claim 1, further comprising:

a touchscreen comprising the event-sequencing structure configured for obtaining the user input identifying the specific portion that depicts the first patient.

15. The healthcare information management system of claim 1, further comprising:

a data-handling medium bearing an indication that the first patient has been admitted to a first institution as a component of the medical data about the first patient.

17. The healthcare information management system of claim 1, further comprising:

an indication of a symptom on a data-handling medium as a component of the medical data about the first patient.

19. The healthcare information management system of claim 1, further comprising:

an indication of a component of a first health regimen on a data-handling medium as a component of the medical data about the first patient.

21. The healthcare information management system of claim 1, further comprising:

a handheld device, including the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.

22. The healthcare information management system of claim 1, further comprising:

an application-specific integrated circuit, including the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.

23. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a therapeutic protocol; and

transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay.

24. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a medical condition; and

transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay.

25. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being or not being the first patient.

26. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being or not being the first patient.

28. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that a specific pathology in the first patient has been treated at a first hospital and an indication that the specific pathology in the first patient has been treated at a second hospital.

29. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record of the first patient selectively in response to an explicit indication of a payment reduction that identifies the first patient.

30. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set.

31. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for detecting a wireless device within an effective range of a stationary device.

32. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for obtaining an explicit indication whether or not a record of treating a medical condition in the first patient with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

33. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for initiating a telephone call between the first patient and another entity as an automatic response to the first patient not being compliant with a health regimen and to an indication that the other entity is available.

34. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether to transfer a resource to the first patient partly based on an indication that the first patient is not compliant with a health regimen and partly based on an indication that the first patient has accepted a telephone call.

35. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for causing a locally-resident subscriber registry to be updated.

36. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for determining whether a medical device is in a vicinity of another device, the other device being associated with the first patient.

37. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for responding to an event with an audible notification.

39. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for detecting a passive wireless transponder within a vicinity of a vehicle, the passive wireless transponder being wearable by and associated with the first patient.

41. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive.

42. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first patient detecting a particular event relating to the first patient.

43. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the first patient is received and until an indication is received that the first patient is in a vicinity of the medical equipment.

90. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for updating a locally-resident subscriber registry in response to the first patient entering a service zone;

transistor-based circuitry having an event-sequencing structure configured for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being or not being the first patient;

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that a specific pathology in the first patient has been treated at a first hospital and an indication that the specific pathology in the first patient has been treated at a second hospital; and

transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record of the first patient selectively in response to an explicit indication of a payment reduction that identifies the first patient.

91. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for determining whether a medical device is in a vicinity of another device, the other device being associated with the first patient;

transistor-based circuitry having an event-sequencing structure configured for responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment;

transistor-based circuitry having an event-sequencing structure configured for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive; and

transistor-based circuitry having an event-sequencing structure configured for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first patient detecting a particular event relating to the first patient.

92. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a therapeutic protocol and as a function of a medical condition;

transistor-based circuitry having an event-sequencing structure configured for obtaining an explicit indication whether or not a record of treating the medical condition in the first patient with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent;

transistor-based circuitry having an event-sequencing structure configured for transmitting a query as an automatic response to an expiration of the communication delay; and

transistor-based circuitry having an event-sequencing structure configured for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being or not being the first patient.

93. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set;

transistor-based circuitry having an event-sequencing structure configured for initiating a telephone call between the first patient and another entity as an automatic response to the first patient not being compliant with a health regimen and to an indication that the other entity is available; and

transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether to transfer a resource to the first patient partly based on an indication that the first patient is not compliant with a health regimen and partly based on an indication that the first patient has accepted the telephone call.

2. (canceled)

5. (canceled)

8-9. -9. (canceled)

12-14. -14. (canceled)

16. (canceled)

18. (canceled)

20. (canceled)

27. (canceled)

38. (canceled)

40. (canceled)

44. A healthcare information management system comprising:

one or more articles of manufacture including

means for obtaining a field of view within which a specific portion of the field of view includes a view of a first patient;

means for obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and

means for signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.

54. The healthcare information management system of claim 44, further comprising:

the means for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

means for obtaining an explicit indication whether or not a record of treating a medical condition in the first patient with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

56. The healthcare information management system of claim 44, further comprising:

the means for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

means for signaling a decision whether to transfer a resource to the first patient partly based on an indication that the first patient is not compliant with a health regimen and partly based on an indication that the first patient has accepted a telephone call.

45-53. -53. (canceled)

55. (canceled)

57-65. -65. (canceled)

66. A healthcare information management method comprising:

obtaining a field of view within which a specific portion of the field of view includes a view of a first patient;

obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and

invoking transistor-based circuitry having an event-sequencing structure configured for signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.

74. The healthcare information management method of claim 66, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set.

80. The healthcare information management method of claim 66, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the medical data about the first patient as the automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient including at least

determining whether a medical device is in a vicinity of another device, the other device being associated with the first patient.

67-73. -73. (canceled)

75-79. -79. (canceled)

81-88. -88. (canceled)

89. An article of manufacture for healthcare information management comprising:

one or more physical media bearing a device-detectable output manifesting an occurrence of

obtaining a field of view within which a specific portion of the field of view includes a view of a first patient;

obtaining user input selectively indicating the first patient by identifying the specific portion that depicts the first patient; and

signaling medical data about the first patient as an automatic and conditional response to the user input selectively indicating the first patient by identifying the specific portion that depicts the first patient.