Automated diagnostic system and method including synergies

• US 6,468,210 B2
• Filed: 02/14/2001
• Issued: 10/22/2002
• Est. Priority Date: 02/14/2000
• Status: Expired due to Term

• Current Assignee: Healthways SC, LLC (Warner Bros. Discovery, Inc.)
• Original Assignee: First Opinion Corporation (Tivity Health, Inc.)
• Inventors: Iliff, Edwin C.
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): ASTORINO, MICHAEL C
• Application Number:
  US09/785,037
• Publication Number:
  US 20020002325A1
• Time in Patent Office: 615 Days
• Field of Search: 705/2-4, 702/19, 600/300-301, 128/904, 128/920-925, 706/62
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• 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 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
• CPC Class Codes: Y10S 128/904 Telephone telemetry
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

Structure-based processing includes a method of diagnosing diseases that works by arranging diseases, symptoms, and questions into a set of related disease, symptom, and question structures, such as objects or lists, in such a way that the structures can be processed to generate a dialogue with a patient. A structure-based processing system organizes medical knowledge into formal structures and then executes those structures on a structure engine to automatically select the next question. Patient responses to the questions lead to more questions and ultimately to a diagnosis. An object-oriented embodiment includes software objects utilized as active, intelligent agents where each object performs its own tasks and calls upon other objects to perform their tasks at the appropriate time to arrive at a diagnosis. Alternative symptoms, synergies, encoding of patient responses, multiple diagnostic modes, disease profiles or timelines, and the reuse of diagnostic objects enhance the processing of the system and method.

Claims

1. A computerized diagnostic method, comprising:

repetitively asking questions to elicit responses from a patient, the responses establishing symptoms, each established symptom contributing a weight to a disease;

generating one or more synergistic weights based on the established symptoms;

accumulating established symptom weights and synergistic weights for the disease; and

determining whether the cumulative weight for the disease reaches or passes a threshold so as to declare a diagnosis.

2. The method defined in claim 1, wherein generating synergistic weights includes establishing a synergistic symptom.

3. The method defined in claim 2, wherein the synergistic symptom is based on a type of an onset or an offset of a one of the established symptoms.

4. The method defined in claim 2, wherein the synergistic symptom is based on an onset slope or an offset slope of a one of the established symptoms.

5. The method defined in claim 2, wherein the synergistic symptom is based on an onset trend or an offset trend of a one of the established symptoms.

6. The method defined in claim 1, wherein a selected set of established symptoms occurring in a specified sequence over time lends an extra diagnostic weight to the disease.

7. The method defined in claim 1, wherein one or more of the established symptoms having onset or offset characteristics matching a predefined template of symptom characteristics lends an extra diagnostic weight to the disease.

8. The method defined in claim 1, wherein a selected set of established symptoms occurring in a specified sequence over time and having onset or offset characteristics matching a predefined template of symptom characteristics lends an extra diagnostic weight to the disease.

9. A computerized diagnostic method, comprising:

repetitively asking questions over time to elicit responses from a patient, the responses establishing time varying symptoms, each established symptom contributing a weight to a disease;

generating one or more synergistic weights based on the symptoms established over time;

accumulating established symptom weights and synergistic weights for the disease; and

determining whether the accumulated weights for the disease reach or pass a threshold so as to declare a diagnosis.

10. The method defined in claim 9, wherein generating synergistic weights includes establishing a synergistic symptom.

11. The method defined in claim 9, wherein the time varying symptoms are stored in a patient medical record.