MANAGEMENT AND DISTRIBUTION OF PATIENT INFORMATION

• US 20140046690A1
• Filed: 08/09/2012
• Published: 02/13/2014
• Est. Priority Date: 08/09/2012
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gunderson, Bruce D., Ousdigian, Kevin T., Patel, Amisha S.
• Application Number:
  US13/570,884
• Publication Number:
  US 20140046690A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: A61N 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

Techniques, systems, and devices, for generating a patient management report based on clinician input and patient data are described. For example, one or more processors may be configured to receive a clinician input selecting at least one reporting characteristic for each of a plurality of diagnostic metrics and organize the diagnostic metrics based on the selected reporting characteristic. In addition, the one or more processors may be configured to receive patient data for at least one patient, determine a value for at least a subset of the diagnostic metrics based on the patient data, and generate a patient management report comprising the diagnostic metrics having a value that exceeds a respective threshold. The diagnostic metrics may be ordered in the patient management report based on the organization.

Claims

1. A method comprising:

receiving a clinician input selecting at least one reporting characteristic for each of a plurality of diagnostic metrics;

organizing, by one or more processors, the diagnostic metrics based on the selected reporting characteristic;

receiving patient data for at least one patient;

determining a value for at least a subset of the diagnostic metrics based on the patient data; and

generating, by the one or more processors, a patient management report comprising the diagnostic metrics having a value that exceeds a respective threshold, wherein the diagnostic metrics are ordered in the patient management report based on the organization.

2. The method of claim 1, further comprising:

presenting a clinician survey to the clinician, wherein the clinician input is received via the clinician survey.

3. The method of claim 1, wherein:

receiving the clinician input comprises receiving, from a plurality of different clinicians, input selecting at least one reporting characteristic for each of the plurality of diagnostic metrics;

the method further comprises generating at least one composite reporting characteristic for each of the plurality of diagnostic metrics based on the selected reporting characteristics from the plurality of clinicians; and

organizing the diagnostic metrics further comprises organizing, by the one or more processors, the diagnostic metrics based on the at least one composite reporting characteristic.

4. The method of claim 1, wherein the reporting characteristic comprises at least one of an urgency score, a treatment action, or a treatment time.

5. The method of claim 1, wherein organizing the diagnostic metrics comprises one of ranking or grouping the diagnostic metrics based on the selected reporting characteristic for each of the diagnostic metrics.

6. The method of claim 1, wherein:

receiving the patient data comprises receiving the patient data for each of the at least one patient from a plurality of sources; and

the plurality of sources comprises at least two of an implantable medical device implanted within the at least one patient, a patient programmer, a clinician programmer, and a remote database.

7. The method of claim 1, wherein, for at least one of the diagnostic metrics, the patient data comprises a sensed component from an implantable medical device and a patient information component entered by a clinician.

8. The method of claim 1, wherein the diagnostic metrics comprise at least two of a number of monomorphic ventricular tachycardia episodes with similar morphology, a first ventricular tachycardia or ventricular fibrillation in a primary prevention patient, a ventricular tachycardia episode caused by anti-tachycardia induced acceleration, an increase in frequency of cardiac episodes, a first non-sustained ventricular tachycardia in the primary prevention patient, and an implantable medical device delivered shock.

9. The method of claim 8, wherein the respective thresholds comprise at least two of six monomorphic ventricular tachycardia episodes with similar morphology, one ventricular tachycardia or ventricular fibrillation in the primary prevention patient, one ventricular tachycardia episode caused by anti-tachycardia induced acceleration, a 10 percent increase in frequency of cardiac episodes, one non-sustained ventricular tachycardia in the primary prevention patient, and one implantable medical device delivered shock.

10. The method of claim 1, wherein the at least one selected reporting characteristic is used to organize the diagnostic metrics for a plurality of clinicians associated with a single clinic.

11. A system comprising:

one or more processors configured to;

receive a clinician input selecting at least one reporting characteristic for each of a plurality of diagnostic metrics;

organize the diagnostic metrics based on the selected reporting characteristic;

receive patient data for at least one patient;

determine a value for at least a subset of the diagnostic metrics based on the patient data; and

generate a patient management report comprising the diagnostic metrics having a value that exceeds a respective threshold, wherein the diagnostic metrics are ordered in the patient management report based on the organization.

12. The system of claim 11, further comprising a network interface configured to transmit the patient management report to a computing device;

and wherein

the system comprises the computing device, and

the computing device is configured to receive the patient management report and present the patient management report to a clinician.

13. The system of claim 11, wherein the one or more processors are configured to:

receive, from a plurality of different clinicians, input selecting at least one reporting characteristic for each of the plurality of diagnostic metrics;

generate at least one composite reporting characteristic for each of the plurality of diagnostic metrics based on the selected reporting characteristics from the plurality of clinicians; and

organize the diagnostic metrics based on the at least one composite reporting characteristic.

14. The system of claim 11, wherein the reporting characteristic comprises at least one of an urgency score, a treatment action, or a treatment time.

15. The system of claim 11, wherein the one or more processors are configured to one of rank or group the diagnostic metrics based on the selected reporting characteristic for each of the diagnostic metrics.

16. The system of claim 11, wherein:

the one or more processors are configured to receive the patient data for each of the at least one patient from a plurality of sources; and

the plurality of sources comprise at least two of an implantable medical device implanted within the at least one patient, a patient programmer, a clinician programmer, and a remote database.

17. The system of claim 11, wherein, for at least one of the diagnostic metrics, the patient data comprises a sensed component from an implantable medical device and a patient information component entered by a clinician.

18. The system of claim 11, wherein the diagnostic metrics comprise at least two of a number of monomorphic ventricular tachycardia episodes with similar morphology, a first ventricular tachycardia or ventricular fibrillation in a primary prevention patient, a ventricular tachycardia episode caused by anti-tachycardia induced acceleration, an increase in frequency of cardiac episodes, a first non-sustained ventricular tachycardia in the primary prevention patient, and an implantable medical device delivered shock.

19. The system of claim 18, wherein the respective thresholds comprise at least two of six monomorphic ventricular tachycardia episodes with similar morphology, one ventricular tachycardia or ventricular fibrillation in the primary prevention patient, one ventricular tachycardia episode caused by anti-tachycardia induced acceleration, a 10 percent increase in frequency of cardiac episodes, one non-sustained ventricular tachycardia in the primary prevention patient, and one implantable medical device delivered shock.

20. The system of claim 11, further comprising one or more networked servers that house the one or more processors.

21. A computer-readable storage medium comprising instructions that cause one or more processors to:

receive a clinician input selecting at least one reporting characteristic for each of a plurality of diagnostic metrics;

organize the diagnostic metrics based on the selected reporting characteristic;

receive patient data for at least one patient;

determine a value for at least a subset of the diagnostic metrics based on the patient data; and

generate a patient management report comprising the diagnostic metrics having a value that exceeds a respective threshold, wherein the diagnostic metrics are ordered in the patient management report based on the organization.