EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS

• US 20130179188A1
• Filed: 12/05/2012
• Published: 07/11/2013
• 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 10,528,913 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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 an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen;

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and

transistor-based circuitry having an event-sequencing structure configured for signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.

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

the second device, comprising a seat configured to detect that the second individual is on the seat as the indication that the second individual is available to participate in the electronic intercommunication.

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

the second device including the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.

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

the transistor-based circuitry having the event-sequencing structure configured for obtaining the indication via the second device that the second individual is available to participate in the electronic intercommunication including an electrical node having a voltage level manifesting the indication that the second individual is available to participate in the electronic intercommunication.

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

the first device local to the first individual, the first health regimen having a tracking component, the first device configured to generate a signal negatively indicative of compliance with the tracking component of the first health regimen as the indication that the first individual is noncompliant with the first health regimen.

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

exercise equipment, the first health regimen having an exercise component, the exercise equipment configured to detect the indication that the first individual is noncompliant with the first health regimen, the exercise equipment being or not being the first device local to the first individual.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least an application-specific integrated circuit.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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, the therapeutic protocol being a component of the first health regimen; 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.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 associated with the first individual; 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.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 the first individual or the second individual.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 the first individual or the second individual.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

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

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

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

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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, the wireless device being the first device local to the first individual.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 individual with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

transistor-based circuitry having an event-sequencing structure configured for initiating a telephone call as the electronic intercommunication.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

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

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

transistor-based circuitry having an event-sequencing structure configured for determining whether a medical device is in a vicinity of the first 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 electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

transistor-based circuitry having an event-sequencing structure configured for responding to an event with an audible notification, the electronic intercommunication being the event.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 first device local to the first individual including the passive wireless transponder.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication whether the first individual is compliant with a second health regimen as a determinant of a decision whether or not to signal the electronic intercommunication.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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, the second element referring to the first individual or to the second individual.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 first device local to the first individual including the passive wireless transponder;

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 individual being the first individual or the second individual;

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

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

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 individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

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

transistor-based circuitry having an event-sequencing structure configured for looking up a communication delay as a function of a medical condition associated with the first individual and as a function of a therapeutic protocol, the therapeutic protocol being a component of the first health regimen;

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

transistor-based circuitry having an event-sequencing structure configured for signaling a decision whether to transfer a resource to the first individual partly based on the indication that the first individual is not compliant with the first health regimen and partly based on an indication that the first individual has accepted a telephone call, the telephone call being a component of the electronic intercommunication; and

transistor-based circuitry having an event-sequencing structure configured for determining whether a medical device is in a vicinity of the first device.

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

the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication 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 individual 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 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 the first individual or the second individual;

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; and

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, the second element referring to the first individual or to the second individual.

2-3. -3. (canceled)

6-8. -8. (canceled)

11. (canceled)

13-16. -16. (canceled)

22. (canceled)

30. (canceled)

33. (canceled)

37. (canceled)

39. A healthcare information management system comprising:

one or more articles of manufacture including

means for obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen;

means for obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and

means for signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.

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

the means for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

means for looking up a communication delay as a function of a medical condition associated with the first individual; and

means for transmitting a query as an automatic response to an expiration of the communication delay.

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

the means for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

means 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 the first individual or the second individual.

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

the means for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

means 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 the first individual or the second individual.

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

the means for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

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

40. (canceled)

44-48. -48. (canceled)

50-60. -60. (canceled)

61. A healthcare information management method comprising:

obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen;

obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and

invoking transistor-based circuitry having an event-sequencing structure configured for signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.

73. The healthcare information management method of claim 61, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

signaling a decision whether to transfer a resource to the first individual partly based on the indication that the first individual is not compliant with the first health regimen and partly based on an indication that the first individual has accepted a telephone call, the telephone call being a component of the electronic intercommunication.

82. The healthcare information management method of claim 61, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for signaling the electronic intercommunication as the automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication including at least

implementing a failsafe preventing medical equipment from operating until the order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.

62-72. -72. (canceled)

74-81. -81. (canceled)

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

one or more physical media configured to bear a device-detectable implementation of a method including at least

obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen;

obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and

signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.

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

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

obtaining an indication via a first device local to a first individual that the first individual is noncompliant with a first health regimen;

obtaining an indication via a second device that a second individual is available to participate in an electronic intercommunication; and

signaling the electronic intercommunication as an automatic and conditional response to the indication via the first device local to the first individual that the first individual is noncompliant with the first health regimen and to the indication via the second device that the second individual is available to participate in the electronic intercommunication.