Clinical information reporting system

• US 5,277,188 A
• Filed: 06/26/1991
• Issued: 01/11/1994
• Est. Priority Date: 06/26/1991
• Status: Expired due to Term

• Current Assignee: New England Medical Center Hospitals, Inc.
• Original Assignee: New England Medical Center Hospitals, Inc.
• Inventors: Selker, Harry P.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US07/721,157
• Time in Patent Office: 930 Days
• Field of Search: 128/695-696, 128/702-705, 364/413.06
• US Class Current: 600/508
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• 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 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

A clinical information reporting system for use with an electronic database for a health care facility, the electronic database containing records for a group of patients and operational information which is accessed and used during the course of operation of the facility, the records containing clinical information for said group of patients, the reporting system including an electrocardiograph which generates ECG-related data for the group of patients; database application logic for incorporating the ECG-related data for the group of patients into the database; and report generating logic for generating a process of care report from the information stored in the database, the process of care report presenting selected process of care information derived from the database as a function of a clinically meaningful class of the group of patients, wherein the clinically meaningful class is defined at least in part in terms of the ECG-related data supplied by the electrocardiograph and stored within the database.

Claims

1. A clinical information reporting system for use with an electronic database for a health care facility, said electronic database containing records for a group of patients, there being at least one record for each patient of said group of patients, said database also containing operational information which is accessed and used during the course of operation of the facility, said records containing clinical information for said group of patients, said reporting system comprising:

an electrocardiograph means for generating ECG-related data for reach of the patients of the group of patients;

a database application means for incorporating the ECG-related data for said group of patients into the records for the patients of said group of patients; and

a report generating means for generating a process of care report from the information stored in said database, said process of care report presenting selected process of care information derived form said database as a function of a clinically meaningful class of said group of patients, wherein said clinically meaningful class is defined at least in part in terms of the ECG-related data supplies by said electrocardiograph means and stored within said database.

2. The clinical information reporting system of claim 1 wherein each of said patient records for a group of patients contains non-ECG related clinical information and wherein said clinically meaningful class is defined in terms of the ECG-related data supplied by said electrocardiograph means and stored within said database and non-ECG related clinical information sorted within said database.

3. The clinical information reporting system of claim 2 wherein said non-ECG related clinical information includes laboratory test results of blood enzyme analyses and wherein said clinically meaningful class is defined in terms of the ECG-related data supplied by said electrocardiograph means and stored within said database and the presence of an abnormal blood enzyme as indicated by said laboratory test results stored in said database.

4. The clinical information reporting system of claim 3 wherein said abnormal blood enzyme is CPK.

5. The clinical information reporting system of claim 1 wherein said database includes administrative information which is accessed and updated during the course of operation of the health care facility and wherein said process of care information is derived at least in part from said administrative information.

6. The clinical information reporting system of claim 1 wherein said database includes patient billing information which is accessed and updated during the course of operation of the health care facility and wherein said process of care information is derived at least in part from said patient billing information.

7. The clinical information reporting system of claim 1 wherein said database contains triage decisions for said group of patients and wherein said process of care report reports triage decisions for said clinically meaningful class of said group of patients.

8. A clinical ion reporting system for use with an electronic database for health care facility, said electronic database containing records for a group of patients, there being at lest one record for each patient of said group of patients, said database also containing operationl information which is accessed and used during the course of operation of the facility, said records containing clinical information for said group of patients, said reporting system comprising:

an electrocardiograph mans for generating ECG-related data for each of the patients of the group of patients;

a predictive instrument means or receiving from said electrocardiograph means ECG data for each patient of said group of patients and computing a probability for each patient therefrom, said computed probability for each patient being a probability that patient is experiencing a cardiac problem;

a database application means for incorporating said ECG-related data for said group of patients and the computed probability for each patient into the records for the patients of said group of patients; and

a report generating means for generating a process of care report from the information stored in said database, said process of care report presenting selected process of care information derived from said database as a function of the computed probabilities supplied by said predictive instrument means.

9. The clinical information reporting system of claim 8 wherein each of said patient records for the group of patients contains non-ECG related clinical information and wherein said clinically meaningful class is defined in terms of the ECG-related data supplied by said electrocardiograph means and stored within said database and non-ECG related clinical information stored within said database.

10. The clinical information reporting system of claim 9 wherein said non-ECG related clinical information includes laboratory test results of blood enzyme analyses and wherein said clinically meaningful class is defined in terms of the ECG-related data supplied by said electrocardiograph means and stored within said database and the presence of an abnormal blood enzyme as indicted by said laboratory test results stored in said database.

11. The clinical information reporting system of claim 10 wherein said abnormal blood enzyme is CPK.

12. The clinical information reporting system of claim 8 wherein said database includes administrative information which is accessed and updated during the course of operation of the health care facility and wherein said process of care information is derived at least in part from said administrative information.

13. The clinical information reporting system of claim 8 wherein said database includes patient billing information which is accessed and updated during the course of operation of the health care facility and wherein said process of care information is derived at lest in part from said patient billing information.

14. The clinical information reporting system of claim 8 wherein said database contains triage decisions for said group of patients and wherein said process of care report reports triage decisions or said clinically meaningful class of said group of patients.

15. A method of reporting clinical information about a group of patients in a health care facility, said method comprising:

storing records for the group of patients in an electronic database, there being a record for each patient of said group of patients, each of said records containing clinical information for a corresponding patient of said group of patients;

storing operational information for said facility in said electronic database, said operational information relating to operation of the facility;

generating ECG-related data for each of the patients of the group of patients;

incorporating the ECG-related data for said group of patients into the records for the patients of said group of patients; and

generating a process of care report from the information stored in aid database, said process of care report presenting selected process of care information derived from said database as a function of a clinically meaningful class of said group of patients, wherein said clinically meaningful class is defined at least in part in terms of the ECG-related data stored within said database.