Comparative medical-physical analysis

• US 4,852,570 A
• Filed: 02/09/1989
• Issued: 08/01/1989
• Est. Priority Date: 02/09/1989
• Status: Expired due to Term

• Current Assignee: Alfred B. Levine
• Original Assignee: Alfred B. Levine
• Inventors: Levine, Alfred B.
• Primary Examiner(s): CHAMBERS, A MICHAEL
• Application Number:
  US07/308,071
• Time in Patent Office: 173 Days
• Field of Search: 235/487, 235/454, 235/375, 128/906, 128/900, 128/630, 346/33 ME, 364/415
• US Class Current: 600/301
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y10S 128/906 Multiphasic diagnostic clinic

Abstract

A medical process and apparatus for repeatedly obtaining short term changes in the physiological functioning of an individual as an aid in diagnosing illness and malfunction, and determining longer term changes and "trends" that are, or may be, indicative of the onset of a developing adverse condition. The process involves repetitive testing of the individual at short term intervals and permanently recording the results of all tests, as well as comprehensive medical data about that individual, in the form of microrecordings on a small, credit card size medical record adapted to be continuously carried by the individual. The extensive compilation of test data and medical data is reviewed and compared at longer term intervals to reveal changes and "trends" in process of development. A similar process is employed for determining changes and "trends" in the degree of physical fitness or conditioning. Apparatus for practicing the processes can include multiphasic diagnostic equipments that perform the numerous tests at frequent intervals, and at lower cost, with reduced need for attending physicians or other medical specialists. The medical history card is intended to be always in the possession and under control of the individual to which it relates, and is always available in the event of an emergency requiring medical assistance.

Claims

1. A method for comparative trend medical analysis of persons comprising the steps of:

a. repetitively performing a multiphasic medical examination of said person at frequent short term intervals less than one year,

b. each of said multiphasic medical examinations comprising the step of examining and monitoring a like series of different physiological conditions during each short term interval,

c. each of said repetitive multiphasic examinations comprising the additional step of recording each one of said different monitored physiological conditions onto a miniature medical record adapted to be retained by that person,

d. recording on said miniature medical record along with each of said different multiphasic medical examinations the date that such examination was performed,

e. recording on said miniature medical record along with each one of the monitored physiological conditions a unique identification of that type of physiological condition,

f. whereby after passage of a long term interval comprising a plurality of short term intervals, said miniature medical record contains a plurality of chronologically related recordings for each different type of monitored physiological condition, with each one of the different recordings being uniquely identified on the record by the type of condition being monitored and by the date of the measurement,

g. at long term intervals after the passage of plural ones of such multiphasic examinations, selectively retrieving from said miniature medical record a chronologically related series of recordings for one of the different physiological conditions being monitored,

h. comparing the individual recordings of said related series of like conditions being monitored with each other to chronologically detect any unusual trends or changes in that monitored condition occuring over that long term interval,

i. at long term intervals after the passage of plural multiphasic physiological medical examinations, selectively retrieving from said miniature medical record, a second series of chronologically related recordings for a different monitored physiological condition,

j. comparing the individual recordings of the retrieved second series of recordings with each other to chronologically detect any unusual trends or changes in the different monitored condition occuring over that long term period,

k. and cumulatively repeating the same multiphasic medical examination of that person over additional short term intervals, and cumulatively recording all of the like monitored conditions for each such examination on said miniature medical record, together with the date of each said examination and a unique identification of each type of monitored physiological condition,

l. whereby said miniature medical record retained by the person retains a progressively lengthened series of chronologically made recordings for each different monitored physiological condition, with the passage of time, and accordingly provides a progressively greater base for comparative trend medical analysis of that person.

2. In the method of claim 1, the additional step of:

m. at long term intervals, comparing the retrieved recordings from the miniature medical record with a normal range for that condition to detect any unusual changes or trends from the normal ranges.

3. In the method of claim 1,

the step of recording a unique identification of each different recorded condition comprising the recording of a unique digital code for each different physiological condition that is chronologically monitored.

4. In the method of claim 1,

the step of recording a unique identification for each different recorded condition comprising the recording of all like physiological conditions adjacent one another at a given spatial location on the miniature medical record.

5. In the method of claim 1,

the step of retrieving and comparing the recordings of like physiological conditions being progressively monitored at short term intervals including the additional step of:

m. mathematically processing the series of progressively recorded related recordings and displaying the mathematically processed recordings.

6. In the method of claim 5,

the step of mathematically processing the series of retrieved recordings comprising the step of averaging said recordings.

7. In the method of claim 1,

the step of retrieving and comparing the recordings of like monitored conditions including the step of:

m. displaying the chronologically related recordings as a variable with time.

8. In the method of claim 1,

the step of retrieving and comparing the recordings of like monitored conditions including averaging said retrieved recordings.

9. In the method of claim 1,

the step of retrieving and comparing the recordings of like monitored conditions comprising:

m. mathematically processing said retrieved recordings to derive one of the differences between recordings;

the ratio of different ones of the recordings; and

the average of a series of such recordings.

10. A method for comparative trend analysis of a person comprising the steps of:

a. repetitively subjecting the person to the same fixed program of physical activity at short term intervals less than one year,

b. at each such program performing a multiphasic examination of that person,

c. each said examination comprising the step of monitoring that person for a series of different physiological conditions,

d. each of said examinations comprising the additional step of recording each one of the different monitored physiological conditions onto a miniature record adapted to be retained by that person,

e. recording on said miniature record along with each of said different multiphasic examinations the date that such examination was performed,

f. recording on said miniature record along with each different monitored condition a unique identification of that type of physiological condition,

g. at long term intervals following the passage of plural ones of such multiphasic examinations, selectively retrieving from said miniature record a chronologically related series of recordings for one of the different physiological conditions being monitored,

h. comparing with each other the individual recordings of the series of like conditions being monitored to detect by such comparisons any unusual trends or changes in the monitored physiological condition occuring over that long term interval,

i. at long term intervals following the passage of plural ones of such multiphasic examinations, selectively retrieving from said miniature record, a second series of chronologically related recordings for a different monitored condition,

j. comparing the individual recordings of the retrieved second series to chronologically detect any unusual trends or changes in the different monitored condition occuring over that long term interval,

k. whereby said miniature record contains a progressively lengthening series of chronologically made recordings for each of the different monitored conditions, with the passage of time, and accordingly provides a progressively greater base for comparative trend analysis of that person.

11. In the method of claim 10,

the step of recording each different monitored physiological condition being accompanied by recording a different unique digital code to identify the type of condition being monitored.

12. In the method of claim 10,

the step of comparing the rerieved individual recordings including the additional step of:

l. comparing the retrieved recodings with a normal range for that monitored condition.

13. In the method of claim 10,

the step of retrieving and comparing the recordings of like physiological conditions at long term intervals including the additional step of:

l. mathematically processing the retrieved recordings and displaying the mathematically processed recordings.

14. In the method of claim 10,

the step of retrieving and comparing the recordings of like physiological conditions at long term intervals comprising the steps of:

l. mathematically processing the retrieved recorded conditions to derive one of the average of a series of such retrieved recordings;

the ratio of different pairs of such recordings; and

the averages of sleected groups of said recordings,

m. and displaying the mathematically processed retrieved conditions as a variable parameter with time.

15. A method for comparative trend analysis of a person comprising the steps of:

a. repetitively performing a multiphasic physiological examination of said person at frequent short term intervals less than one year,

b. each of said examinations comprising the steps of monitoring the same plurality of different physiological conditions in a comparable environment,

c. at each examination, recording the results of each of the plurality of different monitored physiological conditions in the form of microrecordings on a miniature record,

d. said recording steps additionally including the step of recording the data for each such multiphasic examination on said record,

e. said recording steps additionally including the recording of each different monitored condition at a different address on the miniature record,

f. at long term intervals following a plurality of short term intervals and multiphasic examinations, selectively retrieving from the miniature record a chronologically related series of recordings for one given type of monitored physiological condition,

g. comparing the retrieved recordings for said given type of physiological condition to detect any unusual trends or changes in the monitored condition occuring over the long term interval,

h. at said long term intervals after the recording of plural ones of the results of said multiphasic examinations, selectively retrieving from the record, a second series of chronologically related series of recordings for a different type of physiological condition being monitored,

i. comparing the retrieved recordings for the different type of physiological condition with each other to detect any unusual trends or changes in the monitored condition occuring over that long term interval,

j. and repeating the above mentioned steps of retrieving and comparing the retrieved recordings at successive long term intervals following successive series of multiphasic examination.

16. In the method of comparative analysis of claim 15,

the additional step of subjecting the person to the same fixed program of physical activity in conjunction with each of the multiphasic examinations.

17. In the method of claim 15,

the additional step of:

k. at said long term intervals, mathematically processing the retrieved recordings, and displaying the mathematically processed recordings.

18. In the method of claim 15,

the step of comparing the retrieved recordings being performed by displaying the retrieved recordings as a varying parameter with time.