Remote access medical image exchange system and methods of operation therefor

• US 6,006,191 A
• Filed: 05/12/1997
• Issued: 12/21/1999
• Est. Priority Date: 05/13/1996
• Status: Expired due to Term

• Current Assignee: Integrated Claims Systems LLC
• Original Assignee: Andrew L. Dirienzo
• Inventors: DiRienzo, Andrew L.
• Primary Examiner(s): MacDonald, Allen R.
• Assistant Examiner(s): CRECCA, MICHELE S
• Application Number:
  US08/854,474
• Time in Patent Office: 953 Days
• Field of Search: 705/37, 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/087 Inventory or stock management, e.g. order filling, procurement or balancing against orders
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/06 Buying, selling or leasing transactions
• CPC Class Codes: G06Q 30/0611 Request for offers or quotes
• CPC Class Codes: G06Q 40/04 Trading; Exchange, e.g. stocks, commodities, derivatives or currency exchange
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y10S 707/99948 Application of database or data structure, e.g. distributed, multimedia, or image

Abstract

A system for transmitting, storing, retransmitting and receiving a plurality of electronic medical images, which permits diagnostic readings by physicians during irregularly occurring periods of down time, where each of the electronic medical images contains an indicia, e.g., bid price, of the priority attached to it by a patient, includes first through fourth computer systems. The first computer system includes an associated scanning device for generating the electronic medical images, the second computer system includes an electronic medical image storage memory for storing the electronic medical images in a predetermined order based on the indicia in the respective electronic medical images, the third computer system includes a first display for displaying the selected one of the electronic medical images, and the fourth computer system includes a second display for monitoring all of the electronic medical images, and an input device for changing one of the indicia in a respective one of the electronic medical images thereby changing the predetermined order. The second and third computer systems are connected by both a low speed communications channel for instructing the second computer system to download the selected one of the electronic medical images to the third computer system, and a high speed communications channel for downloading the selected one of the electronic medical images from the second computer system to the third computer system. Methods of operating this system are also described.

Claims

1. A buffer memory for storing a plurality of digital information blocks generated by a plurality of respective first users in an order established by said first users,

wherein each of said digital information blocks is receivable by at least one of a plurality of second users,

wherein each of said digital information blocks includes a bid price offered by said first users to said second users to thereby indicate the priority one of said users attaches to an associated one of said digital information blocks, and

wherein one of said second users elects to receive one of said digital information blocks responsive to said bid price of a respective digital information block.

2. The buffer memory as recited in claim 1, wherein said digital information blocks are electronic medical images.

3. The buffer memory as recited in claim 1, wherein any one of said first users can freely change said bid price of the associated one of said digital information blocks.

4. A storage medium for storing computer readable instructions for permitting a computer to store a plurality of electronic medical images corresponding to respective first users, to arrange said electronic medical images in a bid price order established by all of said first users, and to download one of said electronic medical images to a requesting one of a plurality of second users based on the bid price order established by said first users.

5. The storage medium as recited in claim 4, wherein said second users are diagnostic physicians.

6. The storage medium as recited in claim 4, wherein said storage medium is a hard drive disposed in a computer.

7. A storage medium for storing computer readable instructions for permitting a computer to store a plurality of first electronic medical images corresponding to respective first users, to store a plurality of second electronic medical images corresponding to respective second users, to arrange said first electronic medical images in a first order established by all of said first users, to arrange said second electronic medical images in a second order established by all of said second users, to download one of said first electronic medical images to any requesting one of a plurality of third users based on the order established by said first users, and to download one of said second electronic medical images to one of said third users selected by one of said second users.

8. The storage medium as recited in claim 7, wherein said storage medium stores computer readable instructions for instructing the computer to store said first electronic medical images in a plurality of queues, each of said queues storing respective ones of said first electronic medical images having a respective predetermined indicia of the priority assigned by each of said first users.

9. The storage medium as recited in claim 7, wherein said storage medium stores computer readable instructions for instructing the computer to permit said first users to become said second users, and vice versa, until a selected one of said first and said second electronic medical images is downloaded by one of said third users.

10. A combination comprising:

a first record medium for storing computer readable instructions for permitting a first computer to store a plurality of first electronic medical images corresponding to respective first users, to store a plurality of second electronic medical images corresponding to respective second users, to arrange said first electronic medical images in a first order established by all of said first users, to arrange said second electronic medical images in a second order established by all of said second users, to download one of said first electronic medical images to any requesting one of a plurality of third users based on the order established by said first users, and to download one of said second electronic medical images to one of said third users selected by one of said second users;

a second record medium for storing computer readable instruction for permitting a second computer to generate said first and said second electronic medical images;

a third record medium for storing machine readable instructions for permitting a third computer to monitor a relative position of a selected one of said first and second electronic medical images and for instructing said first computer to move said selected one of said first and second electronic medical images to a new position in one of the orders established by said first and said second users; and

a fourth record medium for storing computer readable instructions for permitting a fourth computer to download said requested one of said first and said second electronic medical images.

11. The combination as recited in claim 10, wherein said first, said second, said third and said fourth storage media comprise respective hard disks.

12. The combination as recited in claim 10, wherein said first and said second electronic medical images are digitized x-rays.

13. The combination as recited in claim 10, wherein said first and said second electronic medical images each include an indicia of the priority a respective one of said first and said second users attaches to processing of respective first and second electronic medical images by said third users.

14. The combination as recited in claim 13, wherein said machine readable instructions for instructing said first computer to move said selected one of said first and second electronic medical images to a new position in one of the orders established by said first and second users comprises changing said indicia in said first and said second electronic medical images.

15. The combination as recited in claim 10, wherein said instructions in said fourth storage medium permit said selected electronic medical image to be displayed on said fourth computer.

16. A system for transmitting, storing, retransmitting and receiving a plurality of electronic medical images, each containing an indicia of the priority attached to one of the electronic medical images by a respective patient, said system comprising:

a first computer system including;

a first memory storing a first software module containing first operating instructions readable by said first computer system; and

a scanning device for generating the electronic medical images;

a first communications channel receiving said electronic medical images from said first computer system;

a second computer system receiving the electronic medical images from said first communications channel, said second computer system including;

a second memory storing a second software module containing second operating instructions readable by said second computer system;

an electronic medical image storage memory for storing links to the electronic medical images in a predetermined order based on the indicia in the respective electronic medical images; and

a second communications channel for receiving a selected one of the electronic medical images from said second memory;

a third computer system for selecting said selected one of the electronic medical images and for receiving said selected one of said electronic medical images, said third computer comprising;

a third memory storing a third software module containing third operation instructions readable by said third computer; and

a first display for displaying said selected one of the electronic medical images;

a third communications channel; and

a fourth computer system operatively coupled to said second computer system by said third communications channel, said fourth computer system comprising;

a second display for monitoring all of said electronic medical images; and

an input device for changing one of the indicia in a respective one of the electronic medical images;

wherein said second computer system, under control of said second operating instructions, reorders all of said links to the stored electronic medical images responsive to the change of any one of the indicia of the electronic medical images.

17. The system as recited in claim 16, wherein said second communications channel comprises:

a low speed communications channel for instructing said second computer system to download the selected one of the electronic medical images to said third computer system; and

a high speed communications channel for downloading said selected one of the electronic medical images from said second computer system to said third computer system.

18. The system as recited in claim 16, wherein said third computer system comprises a plurality of third computers, and wherein said electronic medical image storage memory comprises a first electronic medical image storage memory accessible by all of said third computers and a second electronic medical image storage memory having a plurality of partitions, each of said partitions being accessible by only a selected one of said third computers.

19. The system as recited in claim 18, wherein a one-to-one correspondence between said partitions and a subset of said third computers is established by respective passwords.

20. A method for operating a computer system including a buffer memory storing a plurality of electronic medical images awaiting diagnosis by a diagnostic physician, each of the electronic medical images having an associated priority indicia assigned by a respective user, said method comprising steps for:

storing a patient'"'"'s electronic medical image among the plurality of electronic medical images;

monitoring a rate of change of position of the patient'"'"'s electronic medical image relative to the plurality of electronic medical images to thereby determine velocity through the buffer memory to the diagnostic physician; and

when said velocity is unacceptable to the patient, changing the priority indicia in the patient'"'"'s electronic medical image so as to instruct the computer system to reorder the plurality of electronic medical images based on the priority indicia and thereby adjust the velocity of the patient'"'"'s electronic medical image through the buffer memory.

21. The method as recited in claim 20, wherein the priority indicia correspond to a price bid by the patient to the diagnostic physician for performing the diagnosis.

22. The method as recited in claim 20, further comprising the step for downloading the one of the electronic medical images having the highest priority to the diagnostic physician.

23. A method for operating a computer system including a first buffer memory storing a plurality of first electronic medical images awaiting diagnosis by one of a plurality of diagnostic physicians and a second buffer memory storing a plurality of second electronic medical images awaiting diagnosis by a selected diagnostic physician, each of the electronic medical images having an associated priority indicia assigned by a respective user, said method comprising steps for:

storing a patient'"'"'s electronic medical image among a selected one of the first and second electronic medical images;

monitoring a rate of change of position of the patient'"'"'s electronic medical image relative to the selected one of the first and second electronic medical images to thereby determine velocity through one of the first and second buffer memories; and

when said velocity is unacceptable to the patient, changing the priority indicia in the patient'"'"'s electronic medical image so as to instruct the computer system to reorder the selected one of the first and second electronic medical images based on the priority indicia and thereby adjust the velocity of the patient'"'"'s electronic medical image through the selected one of the first and second buffer memories.

24. The method as recited in claim 23, wherein changing the priority indicia permits transfer of the patient'"'"'s electronic medical image from the first buffer memory to the second buffer memory, and vice versa.

25. A remote access medical image exchange system, comprising:

a first facility for converting a plurality of physical medical images for respective patients into corresponding digital medical images and for storing the digital medical images in a remotely accessible data storage device, to thereby provide a remotely accessible electronic digital medical image database comprised of the stored digital medical images;

a plurality of second facilities remote from the first facility, but in electronic communication therewith, for providing a pool of participating diagnostic service providers with access to the electronic digital medical image database; and

,

wherein the system is configured in such a manner as to enable any one or more of the diagnostic service providers to select one or more of the digital medical images from the database for reading, in accordance with selection criteria established by one of the diagnostic service providers and the patients.

26. The system as set forth in claim 25, wherein the selection criteria include estimated time of reading and price.

27. The system as set forth in claim 25, wherein the selection criteria include diagnostic service provider capability and availability.

28. The system as set forth in claim 26, wherein the selection criteria further include diagnostic service provider capability and availability.

29. The system as set forth in claim 25, wherein the system is configured in such a manner as to enable any one or more of the diagnostic service providers to select one or more of the digital medical images from the database for reading at any time which they choose.

30. The system as set forth in claim 29, wherein the time of their choosing includes diagnostic service provider downtime.

31. The system as set forth in claim 25, further comprising means for facilitating interactive bidding by the patients and diagnostic service providers regarding the fees to be charged by the participating diagnostic service providers for the reading of one or more of the digital medical images from the database, whereby the system functions as an open electronic marketplace for the reading of digital medical images.

32. The system as set forth in claim 25, further comprising means for facilitating competitive bidding by the diagnostic service providers for the reading of at least some of the digital medical images stored in the database.

33. The system as set forth in claim 25, further comprising means for providing the patients access to biographical information concerning the diagnostic service providers.

34. The system as set forth in claim 33, further comprising means for providing the patients access to pricing information for the reading of the digital medical images.

35. The system as set forth in claim 34, wherein the pricing information includes a schedule of fees for the reading of different types of the digital medical images.

36. The system as set forth in claim 34, wherein the pricing information includes a listing of the fees charged by different ones of the diagnostic service providers.

37. The system as set forth in claim 34, wherein the pricing information includes:

a schedule of fees for the reading of different types of the digital medical images; and

a listing of the fees charged by different ones of the diagnostic service providers.

38. A method for facilitating remote reading of medical images, including the steps of:

converting a plurality of physical medical images for respective patients into corresponding digital medical images;

storing the digital medical images in a remotely accessible data storage device, to thereby provide a remotely accessible electronic digital medical image database comprised of the stored digital medical images;

providing a pool of participating diagnostic service providers with access to the electronic digital medical image database; and

wherein any one or more of the diagnostic service providers can select one or more of the digital medical images from the database for reading, in accordance with selection criteria established by the diagnostic service providers and the patients.

39. The method as set forth in claim 38, wherein any one or more of the diagnostic service providers can select one or more of the digital medical images from the database for reading any time which they choose.

40. The method as set forth in claim 38, wherein any one or more of the diagnostic service providers selects one or more of the digital medical images from the database during their normal downtime.

41. The method as set forth in claim 38, further including the step of the participating diagnostic service providers competitively bidding for the right to read one or more of the digital medical images from the database.

42. The method as set forth in claim 38, further including the step of the participating diagnostic service providers and the patients engaging in an interactive bidding process regarding the fees to be charged by the participating diagnostic service providers for the reading of one or more of the digital medical images from the database.

43. The method as set forth in claim 38, further including the step of providing the patients access to biographical information concerning the qualifications of the participating diagnostic service providers.

44. The method as set forth in claim 38, further including the step of providing the patients access to pricing information for the reading of the digital medical images.

45. The method as set forth in claim 44, wherein the pricing information includes a schedule of fees for the reading of different types of the digital medical images.

46. The method as set forth in claim 44, wherein the pricing information includes a listing of the fees charged by different ones of the diagnostic service providers.

47. The method as set forth in claim 44, wherein the pricing information includes:

a schedule of fees for the reading of different types of the digital medical images ; and

a listing of the fees charged by different ones of the participating diagnostic service providers.

48. A method for operating a computer system including a buffer memory storing a plurality of electronic medical by diagnosis by a diagnostic physician, each of the electronic medical images having an associated priority indicia assigned by a respective user, said method comprising steps for:

monitoring a rate of change of position of the patient'"'"'s electronic medical image relative to the plurality of electronic medical images;

estimating a velocity through the buffer memory to the diagnostic physician; and

when said velocity is unacceptable to the patient, changing the priority indicia in the patient'"'"'s electronic medical image so as to instruct the computer system to reorder the plurality of electronic medical images based on the priority indicia and thereby increase the velocity of the patient'"'"'s electronic medical image.

49. The method as recited in claim 48, wherein the priority indicia correspond to a price bid by the patient to the diagnostic physician for performing the diagnosis.

50. The method as recited in claim 48, further comprising the step for downloading the one of the electronic medical images having the highest priority to the diagnostic physician.