Standing order database search system and method for internet and internet application

• US 7,028,049 B1
• Filed: 02/18/1998
• Issued: 04/11/2006
• Est. Priority Date: 02/17/1996
• Status: Expired due to Term

• Current Assignee: Wound Management Technologies, Inc.
• Original Assignee: Allcare Health Management System, Inc.
• Inventors: Shelton, Robert H.
• Primary Examiner(s): Breene, John
• Assistant Examiner(s): FLEURANTIN, JEAN B
• Application Number:
  US09/025,279
• Time in Patent Office: 2,974 Days
• Field of Search: 707 1- 10, 707100-1041, 707200-206, 705 2- 3, 705/4, 709/225, 713200-202
• US Class Current: 705/3
• CPC Class Codes: G06F 16/951 Indexing; Web crawling techniques
• CPC Class Codes: G06F 16/9535 Search customisation based on user profiles and personalisation
• CPC Class Codes: G06F 16/9538 Presentation of query results
• CPC Class Codes: G06F 21/6245 Protecting personal data, e.g. for financial or medical purposes
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: H04L 63/10 for controlling access to devices or network resources
• CPC Class Codes: Y10S 707/941 Human sciences
• CPC Class Codes: Y10S 707/99931 Database or file accessing
• CPC Class Codes: Y10S 707/99939 Privileged access
• CPC Class Codes: Y10S 707/99945 Object-oriented database structure processing

Abstract

An internet and/or intranet based database search system and method for conducting searches of highly confidential records such as individual patient medical records and to automate the process of securing required approvals to make such records available to a properly authorized and authenticated requesting party. The system'"'"'s central premise is that the patient has a fundamental right to the confidentiality of their personal medical records and should control that right through specific, informed consent each time that a party requests to receive them. It reinforces the widely held conception of privacy in general as well as of the sanctity of the doctor/patient relationship by granting the doctor the right, subject to the patient'"'"'s express permission, to initiate a search request. At the same time, it provides an expedited and cost-efficient means for transfer of such records as demanded by many healthcare reform proposals and gives the repositories where these records are held the right to stipulate the specific terms and conditions that must be fulfilled before they will release documents entrusted to their care, thereby substantially reducing the risk of litigation alleging breaches of patient confidentiality. And it carries out all of these legitimate interests in a way that is fast, simple to use and easy to audit. The system optionally includes a billing mechanism to pay for any added cost associated with providing this additional protection; and in its preferred embodiment, is applicable to both digital as well as non-digital records.

Claims

1. A medical data base supervisory control system comprising:

(a) at least one data base including medical data individually relating to each of a plurality of patients,

(b) means including interconnected computers for requesting and accessing said medical data,

(c) means for identifying medical data for each of said patients with conditions required for accessing said medical data, and

(d) data processing means responsive to a request for patient medical data for comparing said request with said conditions required for access to said data and, when said request fails to comply with said conditions, for denying access to said data.

2. A system of claim 1 further including means for authenticating the identity of the requesting party.

3. The system of claim 2 further including means to prevent access to information concerning medical records by any party without the prior authorization of the patient about whom such records pertain.

4. The system of claim 1 further including means for tentatively identifying records fulfilling criteria specified in said request for medical data.

5. The system of claim 4 further including means for authenticating identity of said patients.

6. The system of claim 1 wherein said means for requesting said medical data includes means for indicating what part of said records is desired.

7. The system of claim 1 wherein said means for requesting access to said medical records includes means for indicating the reason said records are being requested.

8. The system of claim 1 further including means for identifying records fulfilling said request with data symbolic of patient identity.

9. The system of claim 8 wherein said means for identifying records fulfilling said request further include data symbolic of medical symptoms or reason for patient visit.

10. The system of claim 8 wherein said means for identifying records fulfilling said request further include data symbolic of types of diagnostic tests performed.

11. The system of claim 10 wherein said means for identifying records fulfilling said request further include data symbolic of the attributes, levels or findings indicated within said diagnostic tests.

12. The system of claim 8 wherein said means for identifying records fulfilling said request further include data symbolic of modes of treatment or medical services rendered.

13. The system of claim 8 wherein said means used for identifying records fulfilling said request further include data symbolic of any ancillary services rendered.

14. The system of claim 8 wherein said means used for identifying records fulfilling said request further include data symbolic of attending physician identity.

15. The system of claim 8 wherein said means for identifying records fulfilling such request further include data symbolic of date of care.

16. The system of claim 1 wherein said means for requesting and accessing said medical data includes means for indicating a “

standing order”

that will automatically initiate an attempt to retrieve certain predetermined types of medical data under specific pre-specified circumstances.

17. The system of claim 1 wherein said conditions required for accessing said medical data includes an indication of the names of each of the parties who'"'"'s permission must be obtained prior to the release of the medical data.

18. The system of claim 17 wherein said conditions required for accessing said medical data further includes an indication of the charge that will be assessed by the holder of such medical data for the part, or in the form, specified by the requesting party.

19. The system of claim 17 wherein said conditions for accessing said medical data includes means indicating the time following the receipt of all approvals that will be required for the delivery of such medical data to the requesting party.

20. The system of claim 1 wherein said at least one data base includes a firewall limiting access to searching such data base solely to those parties who are authorized to do so.

21. The system of claim 1 wherein said means for identifying medical data fulfilling criteria specified in a request include means for producing an indicia of the degree to which patient data match said criteria specified in said request.

22. The system of claim 1 including means for a patient to grant permission for the release of his/her medical data.

23. The system of claim 22 wherein said at least one data base includes billing means having access to said medical data.

24. The system of claim 22 wherein said means for a patient to grant permission includes data symbolic of the identity of said patient and data symbolic of the preferred means for contacting said patient to request access to and release of said patient'"'"'s medical data.

25. The system of claim 23 wherein said means for a patient to grant permission includes data symbolic of rules to be followed in the event time elapses before such permission is granted in the case of predetermined types of requests for said medical data.

26. The system of claim 1 further including means for identifying the party requesting access to said medical data.

27. The system of claim 26 further including means for authenticating the identity of each party having right of approval for release of said medical data.

28. The system of claim 27 further including means for producing an indicia that all required approvals for the release of said medical data have been secured.

29. The system of claim 28 further including means for producing an indicia of the required approvals for the release of said medical data that have not been secured or that have been specifically declined.

30. The system of claim 20 further including data index means and on-line memory cache means for physically disconnecting said at least one data base from said data index means, online memory cache means and all other outside parties except during batch process of uploading pre-designated and fully-approved requests for medical data.

31. The system of claim 30 further including interface engine means enabling a search agent means to index said at least one data base of medical data.

32. The system of claim 1 further including means for billing said requesting party for a charge related to access to the medical data.

33. The system of claim 1 further including online memory cache means and means for delivering medical data to a requesting party including means for transmitting requested medical data held in digital form to said online memory cache means.

34. The system of claim 33 wherein said online memory cache means includes a firewall limiting access to said memory cache means exclusively to authorized users.

35. The system of claim 33 further including means for producing an indicia that said requested medical data have been received in said online memory cache means and are being held there for download by said requesting party.

36. The system of claim 34 further including means for said requesting party to enter through said firewall and download said medical data from said memory cache means.

37. The system of claim 1 including means for delivering medical data to a requesting party.

38. The system of claim 37 further including means for informing said requesting party when medical data is in a non-digital form and the mode of available delivery.

39. The system of claim 1 further including means for encrypting all communications within the system.

40. The system of claim 1 further including security log means for retaining an audit trail with regard to all of the communications within said system.

41. The system of claim 1 further including public portions, and comprising means for allowing parties to advertise in said public portions of said system.

42. A method of controlling access to medical data in a medical data base comprising:

(a) maintaining at least one data base including medical data individually relating to each of a plurality of patients,

(b) identifying medical data for each of said patients with indicia indicative of conditions required for access to said medical data,

(c) selectively introducing requests for access to said data through an interconnected computer input terminal,

(d) comparing said requests with said conditions; and

, when said requests fail to comply with said conditions, automatically denying access to said data.

43. The method of claim 42 further including a step of authenticating identities of parties making said requests.

44. The method of claim 43 further includes the step of rejecting requests for information concerning medical records by any party without the prior authorization of the patient about whom such records pertain.

45. The method of claim 42 further including the step of tentatively identifying records fulfilling criteria specified in said requests for medical data.

46. The method of claim 45 further including a step of authenticating identities of said patients.

47. The method of claim 42 further including steps of requesting said medical data and indicating what part of said data is desired by said requesting party.

48. The method of claim 42 further including steps of requesting access to said medical records and indicating a reason said records are being requested.

49. The method of claim 42 including a step of ensuring that records fulfilling said requests include data symbolic of patient identities.

50. The method of claim 49 wherein said step of identifying records fulfilling said requests further include data symbolic of medical symptoms or reason for patient visit.

51. The method of claim 49 wherein said step of identifying records fulfilling said requests further include data symbolic of types of diagnostic tests performed.

52. The method of claim 51 wherein said step of identifying records fulfilling said requests further include data symbolic of the attributes, levels or findings indicated within said diagnostic tests.

53. The method of claim 49 wherein said step of identifying records fulfilling said requests further include data symbolic of modes of treatment or medical services rendered.

54. The method of claim 49 wherein said step of identifying records fulfilling said requests further include data symbolic of the ancillary services rendered.

55. The method of claim 49 wherein said step of identifying records fulfilling said requests further include data symbolic of attending physician identity.

56. The method of claim 49 wherein said step of identifying records fulfilling said requests further include data symbolic of date of care.

57. The method of claim 42 wherein said step of selectively introducing requests for access to said medical data includes a step of indicating a “

standing order”

that will automatically initiate an attempt to retrieve certain predetermined types of medical data under specific pre-specified circumstances.

58. The method of claim 42 wherein said conditions required for accessing said medical data include a step of indicating names of each party who'"'"'s permission must be obtained prior to release of said medical data.

59. The method of claim 58 wherein said conditions required for accessing said medical data include an indication of the charge that will be assessed by the holder of such medical data for the part, or in the form, specified by the requesting party.

60. The method of claim 58 wherein said conditions for accessing said medical data include a step of indicating the time following the receipt of all approvals that will be required for the delivery of such medical data to the requesting party.

61. The method of claim 42 wherein maintaining said at least one data base includes maintaining a firewall limiting access to searching said data base solely to those parties who are authorized to do so.

62. The method of claim 42 further including providing a data index, and wherein identifying medical data fulfilling criteria specified in a request includes a step of producing an indicia of the degree to which data listed in said data index match said criteria specified in said request.

63. The method of claim 42 including a step of providing for a patient to grant permission to release of such medical data.

64. The method of claim 63 wherein said step of identifying medical data includes a step of billing for access to said medical data.

65. The method of claim 63 wherein said step of providing for a patient to grant permission includes data symbolic of the identity of said patient and data symbolic of a preferred means for contacting said patient to request access to and to release of said patient'"'"'s medical data.

66. The method of claim 64 wherein said step of providing for a patient to grant permission includes providing data symbolic of rules to be followed in the event time elapses before said permission is granted in the case of pre-determined types of requests for said medical data.

67. The method of claim 42 further including a step of identifying a party requesting access to said medical data.

68. The method of claim 67 further including a step of authenticating identity of each party with a right of approval to release of said medical data.

69. The method of claim 68 further including a step of producing an indicia that all required approvals for release of said medical data have been secured.

70. The method of claim 69 further including a step of producing an indicia of approvals required for release of said medical data that have not been secured, or that have been specifically declined.

71. The method of claim 61 further including steps of providing a data index and online memory cache, and physically disconnecting said at least one data base from said data index, said online memory cache and all other outside parties except during batch process of uploading pre-designated and fully-approved requests for medical data.

72. The method of claim 71 further including a step of providing an interface engine for search agent means to index said at least one data base of medical data.

73. The method of claim 42 further including a step of billing a requesting party for a charge related to delivery of medical data.

74. The method of claim 42 further including steps of providing an online memory cache and delivering medical data to a requesting party and transmitting records in digital form to said online memory cache.

75. The method of claim 72 further including providing a firewall limiting access to said memory cache exclusively to authorized users.

76. The method of claim 72 further including a step of producing an indicia that requested medical data have been received in said online memory cache and are being held there for download by a requesting party.

77. The method of claim 75 further including a step of permitting a properly credentialed requesting party to enter through said firewall and download said medical data from said memory cache.

78. The method of claim 42 including a step of delivering records to the requesting party.

79. The method of claim 78 further including a step of informing a requesting party when medical data is in a non-digital form and the mode of such delivery.

80. The method of claim 42 further including a step of encrypting selected communications within said system.

81. The method of claim 42 further including a step of creating a security log and retaining an audit trail with regard to all of the communications between parties using said system.