METHODS AND SYSTEMS FOR INTERACTIVE IMPLEMENTATION OF MEDICAL GUIDELINES

• US 20140058742A1
• Filed: 05/16/2013
• Published: 02/27/2014
• Est. Priority Date: 05/16/2012
• Status: Abandoned Application

• Current Assignee: Dynamic Health Initiatives
• Original Assignee: Dynamic Health Initiatives
• Inventors: CHARI, Seshadri M., TRAN, Teresa B.C., DYER, Kelly N.
• Application Number:
  US13/895,873
• Publication Number:
  US 20140058742A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

Methods and systems for interactive implementation of medical guidelines.

Claims

1. A system for interactive implementation of medical guidelines, the system comprising a processor;

wherein the processor is configured to implement a guideline module that, when executed, causes the system to;

apply at least one predefined medical guideline to a set of data associated with a patient to determine at least one medical condition of the patient, the at least one predefined medical guideline including at least one rule defining the medical condition and at least one rule defining a medical recommendation according to the defined medical condition;

determine at least one medical recommendation for the patient, based on the at least one medical condition of the patient and the at least one predefined medical guideline; and

generate output signals representing the at least one medical recommendation;

and wherein the processor is configured to implement an interface module that, when executed, causes the system to;

provide an interface for receiving input signals representing data associated with the patient; and

provide an interface for presenting the at least one medical recommendation.

2. The system of claim 1, further comprising a patient database for storing the set of data associated with the patient, wherein the processor is configured to receive the set of data from the patient database.

3. The system of claim 1, wherein the at least one medical guideline comprises at least one medical guideline for a medical condition selected from:

Allergy, Alzheimer'"'"'s disease, Atrial fibrillation, Cancer of various etiologies, Chronic, kidney disease, Chronic obstructive pulmonary disease, Congestive heart failure, Dementia, Depression, Diabetes, Drug interactions, Dyslipidemia, Hepatitis, HIV, Hypertension, Infectious diseases, Inflammatory bowel disease, Ischemic heart disease, Obesity, Osteoarthritis, Osteoporosis, Rheumatoid arthritis and Stroke.

4. The system of claim 1 wherein applying the at least one medical guideline comprises calculating a criteria for determining the medical condition according to at least one rule defined by the medical guideline.

5. The system of claim 1 wherein, when the data is insufficient to apply the medical guideline, the interface module causes the system to provide a prompt for requesting and receiving more input data.

6. The system of claim 1 wherein communication of input and output signals comprise communication of signals through at least one of:

a wired connection, a wireless connection, a server, an intranet, the Internet and a local network.

7. The system of claim 1 wherein the at least one medical guideline is applied in response to input data received for at least one other medical guideline.

8. The system of claim 1 wherein the processor is configured to receive the set of data from a patient database of the same or another system.

9. The system of claim 1 wherein the interface module causes the system to provide an interface through another system.

10. The system of claim 2 wherein the at least one medical guideline is applied in response to an internally generated update of data stored in the patient database.

11. The system of claim 1 wherein data associated with the patient is received from an external device.

12. The system of claim 11 wherein communication between the external device and the system takes place over a secure communication channel.

13. A method in a processor for interactive implementation of a medical guideline, or a part thereof, the method comprising:

applying at least one predefined medical guideline to a set of data associated with a patient to determine at least one medical condition of the patient, the at least one predefined medical guideline including at least one rule defining the medical condition and at least one rule defining a medical recommendation according to the defined medical condition;

determining at least one medical recommendation for the patient, based on the at least one medical condition of the patient and the at least one predefined medical guideline; and

generating output signals representing the at least one medical recommendation.

14. The method of claim 13 further comprising receiving input signals representing data associated with the patient.

15. The method of claim 13 further comprising providing an interface for at least one of:

receiving input signals representing data associated with the patient and presenting the at least one medical recommendation.

16. The method of claim 13, wherein the at least one medical guideline comprises at least one medical guideline for a medical condition selected from:

Allergy, Alzheimer'"'"'s disease, Atrial fibrillation, Cancer of various etiologies, Chronic, kidney disease, Chronic obstructive pulmonary disease, Congestive heart failure, Dementia, Depression, Diabetes, Drug interactions, Dyslipidemia, Hepatitis, HIV, Hypertension, Infectious diseases, Inflammatory bowel disease, Ischemic heart disease, Obesity, Osteoarthritis, Osteoporosis, Rheumatoid arthritis and Stroke.

17. The method of claim 13 wherein applying the at least one medical guideline comprises calculating a criteria for determining the medical condition according to at least one rule defined by the medical guideline.

18. The method of claim 13 further comprising, when the data is insufficient to apply the medical guideline, providing a prompt for requesting and receiving more input data.

19. The method of claim 13 wherein the at least one medical guideline is applied in response to input data received for at least one other medical guideline.

20. The method of claim 13 wherein the at least one medical guideline is applied in response to an internally generated update of the data associated with the patient.

21. The method of claim 13 further comprising logging in a user and providing the user with information about one or more patients associated with the user, including any medical recommendations for the one or more patients.

22. The method of claim 21 further comprising determining any new or updated medical recommendations for the one or more patients since a last log in of the user, and providing identification of any new or updated medical recommendations to the user.

23. The method of claim 22 further comprising removing the new or updated medical recommendations for the one or more patients on a subsequent log in of the user.

24. The method of claim 13 further comprising storing information about the at least one medical recommendation and associating the information about the at least one medical recommendation with the patient.

25. The method of claim 24 further comprising, in response to signals representing a received input indicating that the at least one medical recommendation has been fulfilled, removing the information about the at least one medical recommendation from storage.

26. The method of claim 24 further comprising, in response to signals representing a received input indicating rejection of the at least one medical recommendation, removing the information about the at least one medical recommendation from storage.

27. The method of claim 24 further comprising, in response to signals representing a received input indicating a request for a different medical recommendation, generating an alternative medical recommendation according to the request.

28. The method of claim 13 wherein the at least one medical recommendation comprises a recommendation for further patient assessment.

29. The method of claim 28 wherein the recommendation for further patient assessment comprises at least one of:

a recommendation for a routine assessment based on a medical guideline defining a time interval for routine assessment;

a recommendation for a follow-up assessment based on a medical guideline defining a requirement for follow-up assessment; and

a recommendation for a follow-up assessment based on updated patient data meeting the criteria of a medical guideline.

30. The method of claim 28 wherein the recommendation for further patient assessment is a recommendation for a patient assessment at a future scheduled date, further comprising tracking the recommendation and generating a notification of the upcoming scheduled date.

31. The method of claim 13 wherein the at least one medical recommendation comprises at least one medication for treatment of the patient.

32. The method of claim 13 further comprising providing at least one generated recommendation as an input for a different predefined medical guideline.

33. The method of claim 13 wherein, when the at least one recommendation comprises a medication, determining whether the medication is in a list of contraindicated medications.

34. The method of claim 13, wherein data associated with the patient is indexed to rules of the at least one medical guideline or vice versa.

35. The method of claim 13, wherein data associated with the patient is indexed to rules of at least two medical guidelines or vice versa.

36. The method of claim 34, wherein the data associated with the patient is inputted by a user, patient or laboratory, an output of a rule from at least one medical guideline, or internally updated.

37. The method of claim 13, wherein a rule associated with the at least one medical guideline implements one or more rules from a second medical guideline.

38. The method of claim 37, wherein the one or more rules from the second medical guideline comprises all of rules associated with the second medical guideline.

39. The method of claim 37, wherein the one or more rules from the second medical guideline comprises a portion of the rules associated with the second medical guideline.

40. A method in a processor for interactive implementation of a medical tool, the medical tool for determining a medical recommendation, the method comprising:

applying at least one rule from each of a plurality of predefined medical guidelines to a set of data associated with a patient, each rule defining either a medical condition or a medical recommendation according to the defined medical condition;

determining at least one medical output for the patient, the medical output comprising a medical recommendation or a medical condition based on the at least one rule from each of the plurality of predefined medical guidelines; and

generating output signals representing the at least one medical output.