Adaptive Medical Testing

• US 20140107461A1
• Filed: 11/30/2012
• Published: 04/17/2014
• Est. Priority Date: 10/15/2012
• Status: Abandoned Application

• Current Assignee: CLINICALBOX, INC.
• Original Assignee: CLINICALBOX, INC.
• Inventors: Menon, Murali, Afshar, Salim, Hagigi, Farbod
• Application Number:
  US13/690,432
• Publication Number:
  US 20140107461A1
• Time in Patent Office: Days
• US Class Current: 600/407
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A computer-based system and method improves the efficiency (quality and/or cost) of healthcare services provided to a patient by dynamically adapting the tests that are performed on the patient. Such adaptation may include one or both of selecting the tests to be performed and modifying the contents and/or methods of the tests to be performed. Tests may be adapted based on a wide variety of data, such as any one or more of sensor data, coordination data, clinical data, contextual data, test outcome data, clinical outcome data, and epoch of care data. In particular, tests may be adapted based on data in a model of an epoch of care of the patient so that the tests are selected and/or modified in ways that are tailored to the patient'"'"'s epoch of care.

Claims

1. A method performed by at least one computer processor executing computer program instructions stored on at least one non-transitory computer-readable medium, the method comprising:

(A) receiving first sensor data from a patient via a sensor substantially in real-time while a test is being performed on the patient for at least one of diagnosing a disease of the patient and assessing an outcome of the patient,

wherein the first sensor data comprises at least one of accelerometer data received via the sensor, velocity data received via the sensor, and pressure data received via the sensor,

wherein the test is represented by test data stored in the at least one non-transitory computer-readable medium;

wherein the test data comprises method data representing a method of the test, content data representing content of the test, and domain data representing a domain of the test;

(B) receiving data obtained outside the test;

(C) identifying an association between the sensor data and the data obtained outside the test;

(D) modifying at least one of the method data, the content data, and the domain data, substantially in real-time and while the test is being performed on the patient, based on the identified association, to produce modified test data representing a modified form of the test and stored in the at least one non-transitory computer-readable medium; and

(E) receiving second sensor data from the patient via the sensor substantially in real-time while the modified test is being performed on the patient.

2. The method of claim 1, wherein (C) comprises correlating the sensor data with the data obtained outside the test to produce correlation data, and wherein (D) comprises modifying the test based on the correlation data.

3. The method of claim 1, wherein the data obtained outside the test comprises epoch of care data representing an epoch of care within which the test is performed.

4. The method of claim 1, wherein the data obtained outside the test comprises contextual data.

5. The method of claim 1, wherein the data obtained outside the test comprises clinical data.

6. The method of claim 1, wherein the data obtained outside the test comprises epoch of care cohort data.

7. The method of claim 1, wherein the data obtained outside the test comprises profile data of the patient.

10. The method of claim 1, wherein the test comprises a battery of tests, and wherein (D) comprises modifying the test data to represent the addition of another test to the battery of tests.

11. The method of claim 1, wherein the test comprises a battery of tests, and wherein (D) comprises modifying the test data to represent the removal of a test from the battery of tests.

12. The method of claim 1, wherein the test comprises a battery of tests, and wherein (D) comprises modifying the test data to represent a modification to a pathway of the battery of tests.

13. The method of claim 1, wherein (D) comprises modifying the test data to represent a modification to the method of the test.

14. The method of claim 13, wherein the test data comprises data representing technology that is used to provide test input to the patient during the test, and wherein (D) comprises modifying the test data to represent a modification to the technology that is used to provide test input to the patient during the test.

15. The method of claim 1, wherein (D) comprises modifying the test data to represent a modification to the content of the test.

16. The method of claim 1, wherein (D) comprises modifying the test data to represent a modification to the domain of the test.

18. The method of claim 1, wherein (A) further comprises receiving image data from the patient via an image sensor during the test substantially in real-time.

19. The method of claim 1, wherein (A) further comprises receiving audio data from the patient via an audio sensor during the test substantially in real-time.

21. The method of claim 1, wherein the method of the test comprises a technology for providing the content of the test to the patient, and wherein (D) comprises modifying data representing the technology.

22. The method of claim 1, wherein the method of the test comprises a medium for providing the content of the test to the patient, and wherein (D) comprises modifying data representing the medium.

23. The method of claim 1, wherein the content of the test comprises a question, and wherein (D) comprises modifying data representing the question.

24. The method of claim 1, wherein the content of the test comprises an instruction, and wherein (D) comprises modifying data representing the instruction.

8. (canceled)

9. (canceled)

17. (canceled)

20. A system comprising at least one non-transitory computer-readable medium containing computer program instructions, wherein the computer program instructions are executable by at least one computer processor to perform a method, the method comprising:

(A) receiving first sensor data from a patient via a sensor substantially in real-time while a test is being performed on the patient for at least one of diagnosing a disease of the patient and assessing an outcome of the patient,

wherein the first sensor data comprises at least one of accelerometer data received via the sensor, velocity data received via the sensor, and pressure data received via the sensor,

wherein the test is represented by test data stored in the at least one non-transitory computer-readable medium;

wherein the test data comprises method data representing a method of the test, content data representing content of the test, and domain data representing a domain of the test;

(B) receiving data obtained outside the test;

(C) identifying an association between the sensor data and the data obtained outside the test;

(D) modifying at least one of the method data, the content data, and the domain data, substantially in real-time and while the test is being performed on the patient, based on the identified association, to produce modified test data representing a modified form of the test and stored in the at least one non-transitory computer-readable medium; and

(E) receiving second sensor data from the patient via the sensor substantially in real-time while the modified test is being performed on the patient.