System and method for providing self-screening of patient symptoms

• US 6,383,135 B1
• Filed: 02/16/2000
• Issued: 05/07/2002
• Est. Priority Date: 02/16/2000
• Status: Expired due to Fees

• Current Assignee: Oleg K. Chikovani, William R. Dobkin
• Original Assignee: Oleg K. Chikovani, William R. Dobkin
• Inventors: Dobkin, William R., Chikovani, Oleg K.
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Astorino, Michael C
• Application Number:
  US09/505,974
• Time in Patent Office: 811 Days
• Field of Search: 600/200-301, 600/300, 128/903, 128/904, 128/920-925, 705/2, 705/3, 434/262-275
• US Class Current: 600/300
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y10S 128/904 Telephone telemetry
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A medical self-screening system and method that allows rapid triage of patient medical problems. An exemplary system includes a computer having a selection device, a display, and an optional printer. A storage device containing one or more databases is coupled to the computer. Triage software runs on the computer that generates and displays a symptom screen display comprising a pictorial image of the body containing selectable regions that may be affected by patient symptoms. The patient selects a generally affected area or region on the displayed anatomical picture of the body using the selection device. Then the triage software displays a subsequent anatomical picture which is an enlarged more detailed view of the affected area. The patient selects a more specific region of the affected area shown in the enlarged view. The triage software then displays symptom selection screens that permit comparison of groups of symptoms experienced by the patient. The selected symptoms and data derived from the one or more databases are processed to determine an appropriate course of action that should be taken by the patient. The appropriate course of action is displayed to the patient.

Claims

1. A medical self-screening system comprising:

a computer comprising a selection device and a display;

a storage device containing one or more databases coupled to the computer, and

triage software that runs on the computer that is operable to generate and display one or more anatomical pictures of the body containing areas that may be affected with the patient'"'"'s symptoms, to allow selection of a generally affected area on the displayed anatomical picture using the selection device, to display a subsequent anatomical picture which is an enlarged view of the affected area, to allow selection of a specific affected area on the enlarged view of the affected area using the selection device, to display one or more symptom screens that allow additional symptoms to be identified relating to the specifically affected area using the selection device, and that processes the selected symptoms and interfaces with the one or more databases to determine an appropriate course of action that should be taken by the patient, and that displays the appropriate course of action to the patient.

2. The system recited in claim 1 wherein the one or more symptom screens permit comparison of groups of symptoms by the patient which most efficiently allows identification of the correct set of symptoms.

3. The system 10 recited in claim 1 wherein the appropriate course of action selectively comprises the immediate use of emergency medical services, recommended tests that should be performed, and an appropriate physician that should be consulted.

4. The system recited in claim 1 wherein the triage software comprises triage protocols that evaluate the data to determine the appropriate course of action that should be taken by the patient.

5. The system recited in claim 1 wherein the triage protocols are selected from the group consisting of the nervous system;

ears, nose and throat;

cardiac;

pulmonary;

gastrointestinal;

urological;

sexual;

psychiatric;

musculoskeletal; and

blood.

6. The system recited in claim 1 further comprising a printer coupled to the computer that generates a printed output of the appropriate course of action that should be taken by the patient determined by the triage software.

7. The system recited in claim 1 further comprising one or more databases that selectively store personal information, insurance information, health provider information, referral physician information, test laboratory information, and data relating to symptoms and evaluation.

8. The system recited in claim 1 wherein the triage software displays an initial data entry screen that allows the patient to enter biographic and provider information.

9. The system recited in claim 1 wherein the computer is coupled by way of the Internet to a remote server that interfaces to one or more remotely-located databases, and wherein the triage software retrieves, processes and displays data stored on the one or more remotely-located databases.

10. The system recited in claim 9 wherein the triage software retrieves and displays the location and telephone number of a test location, and a name, address and telephone number of a physician that is to be consulted.

11. The system recited in claim 9 wherein the triage software forwards prescriptions to testing laboratories to order recommended tests.

12. The system recited in claim 9 wherein the triage software forwards an electronic medical file that includes patient biographical information, medical history, and results of the interactive triage of the patient to the physician that is to see the patient.

13. A medical self-screening method for use in triaging a patient, comprising the steps of:

launching triage software on a computer having a selection device and a display, and which is coupled to a storage device containing one or more databases;

displaying a symptom screen display comprising a pictorial image of the body, containing selectable regions that may be affected by patient symptoms;

selecting a generally affected area or region on the displayed anatomical picture of the body;

displaying a subsequent anatomical picture which is an enlarged more detailed view of the affected area;

selecting a more specific region of the affected area shown in the enlarged view;

displaying symptom selection screens that permit comparison of groups of symptoms experienced by the patient;

processing the selected symptoms and data derived from the one or more databases to determine an appropriate course of action that should be taken by the patient; and

displaying the appropriate course of action to the patient.

14. The method recited in claim 13 wherein the selectable regions are highlighted.

15. The method recited in claim 13 further comprising the step of printing the appropriate course of action that should be taken by the patient determined by the triage software.

16. The method recited in claim 13 wherein the appropriate course of action selectively includes the immediate use of emergency medical services, recommended tests that should be performed, and an appropriate physician that should be consulted.

17. The method recited in claim 13 wherein the triage software comprises triage protocols that evaluate the data to determine the appropriate course of action that should be taken by the patient.

18. The method recited in claim 17 wherein the triage protocols are selected from the group consisting of the nervous system;

ears, nose and throat;

cardiac;

pulmonary;

gastrointestinal;

urological;

sexual;

psychiatric;

musculoskeletal; and

blood.