System and method for creating a clinical resume

• US 6,938,206 B2
• Filed: 01/19/2001
• Issued: 08/30/2005
• Est. Priority Date: 01/19/2001
• Status: Expired due to Fees

• Current Assignee: Transolutions, Inc. (BF Argentina SA)
• Original Assignee: Transolutions, Inc. (BF Argentina SA)
• Inventors: Navin, David James, Ingle, David Blakeman, Pierzchala, Dayna Sue, Snell, Mark Phillip
• Primary Examiner(s): Feild, Joseph
• Assistant Examiner(s): Huynh, Thu V.
• Application Number:
  US09/766,047
• Publication Number:
  US 20020138524A1
• Time in Patent Office: 1,684 Days
• Field of Search: 715/530, 715/522, 715/503, 715/505, 715512-513, 715/517, 705 2- 3, 705/51, 707/102, 707/3, 707 9- 10
• US Class Current: 715/254
• CPC Class Codes: G06F 16/30 of unstructured textual data document management systems G06F16/93
• 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 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: Y10S 707/99943 Generating database or data structure, e.g. via user interface

Abstract

A system and method are provided for automatically generating a summary document with information mined from a data repository. The database stores information garnered from a plurality of sources. The information includes the type of data which can be easily organized into fields, as well as less definable data such as transcribed dictation. The information is converted into a markup language for parsing and storage as tagged data and marked up data objects. The summary document is created from the tagged and marked up data objects. Specific examples are also provided for the generation of a clinical resume type summary document.

Claims

1. A system for creating a summary document from stored data, the system comprising:

a database having an input to accept information from a plurality of sources, store the information in an electronic format as data objects, and supply the data objects at an output;

an assembly engine having a first input connected to the database output, a second input to accept a trigger signal for creating a clinical resume, and an output to supply a summary document generated by mining the data objects in the database, wherein the assembly engine generates the clinical resume from the mined data objects automatically within a first number of days of receiving the trigger signal;

a file converter having an input to accept input information including coding data, discharge instructions, laboratory results, pharmacy records, audio and graphical records, and physician transcription information as untagged data, and an output connected to the input of the parsing engine to supply the input information in a format suitable for marking up;

a validator having an input connected to the output of the file converter, the validator checking the converted input information for errors, including inconsistent data, and incompletely entered data, the validator having a first output connected to the parsing engine input to supply accepted input information and a second output to supply unaccepted input information with notated errors, the validator having a second input to accept correction procedures including permitting error overrides, correcting errors, returning the entered information for correction, and supplying the input information to the parsing engine after correction; and

a parsing engine having an input to accept data and an output connected to the database input, the output supplying the coding data, discharge instructions, laboratory results, and pharmacy records as tagged data, and supplying the audio and graphical records, and the physician transcription information as marked up data, the physician transcription information including information concerning present illness, history of present illness, impressions on admission, impressions and plans on admission, admitting diagnosis, diagnosis on admission, consultation data, impression and plan at consultation, impression from consultation, and diagnosis from consultation;

the parsing engine generating the marked up data according to a protocol selected from the group including HTML, XML, SGML, and equivalent protocols;

wherein the database stores the tagged data and the marked up data as the data objects;

wherein the file converter accepts patient admission, discharge date, transfer information, and attending physician information as untagged data in an ADT file and converts the ADT file into a format suitable for marking up;

wherein the parsing engine marks up the untagged data in the converted ADT file;

wherein the database accepts the tagged data and the marked up data from the parsing engine; and

wherein the assembly engine generates the clinical resume with information including information mined from the ADT file.

2. The system of claim 1 wherein the validator has a third input connected to the output of the assembly engine to check the clinical resume for errors, inconsistent data, and incompletely entered data, the validator supplying accepted clinical resumes at a third output and unaccepted clinical resumes with notated errors the second output, and wherein the second input of the validator accepts correction procedures including permitting error overrides, correcting errors, returning the entered information for correction, and reentering the clinical resume after correction.

3. The system of claim 2 wherein the parsing engine accepts coding data, discharge instructions, laboratory results, and pharmacy records including patient identity fields, account number, worktype ID, job number, transcriptionist ID, dictation date, creation date, facility identity fields, physician identity fields, discharge diagnosis coding fields, procedure coding fields, discharge coding fields , laboratory result fields, and radiation result fields.

4. The system of claim 3 wherein the parsing engine marks and stores a plurality of physician transcriptions identified as Reasons for Admission, Impression on Admission, and Consultations;

and

wherein the assembly engine automatically generates a clinical resume with a plurality of Reasons for Admission, Impressions on Admission, and Consultations transcriptions mined from the database.

5. The system of claim 4 wherein the parsing engine accepts modifications and corrections to the originally entered coding data, descriptive information, laboratory results, pharmacy records, audio and graphical records, and physician transcriptions, an stores the modifications as data objects in the database;

and

wherein the assembly engine tracks the original and modified data objects.

6. The system of claim 1 wherein the database stores the up data objects as binary large objects (BLOBs).

7. The system of claim 1, wherein the database supplies the discharge date to the assembly engine;

and

wherein the assembly engine automatically generates the clinical resume in response to receiving the discharge date.