Claim assessment model
First Claim
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1. A computerized method for assessing medical conditions affecting medically impaired person, said method comprising the steps of:
- a) inputting into a computer a plurality of profiles relating predetermined transient medical conditions to human body parts, each said profile estimating a time progression of a dysfunction level or a capacity of at least one said body part from a time of injury over a specific progressive time scale into the future, due to at least one said condition;
b) identifying one or more said predetermined transient medical conditions that currently affect said person;
c) selecting a said profile corresponding to each said transient medical condition;
d) relating said selected profile'"'"'s time dimension to an occurrence of its said transient medical condition; and
e) generating and outputting on an output device an assessment of an impact of said medical conditions on said person, wherein said assessment is based on said profiles related to said medical conditions at step (d).
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Abstract
A method for modeling medical conditions in a person includes providing a plurality of profiles relating predetermined medical conditions to human body parts. Each profile describes an estimated capacity of at least one body part, due to at least one condition, over time. One or more of the medical conditions are identified that affect the person. A profile corresponding to each medical condition is selected, and the selected profile'"'"'s time dimension is related to the occurrence of the medical condition.
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Citations
83 Claims
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1. A computerized method for assessing medical conditions affecting medically impaired person, said method comprising the steps of:
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a) inputting into a computer a plurality of profiles relating predetermined transient medical conditions to human body parts, each said profile estimating a time progression of a dysfunction level or a capacity of at least one said body part from a time of injury over a specific progressive time scale into the future, due to at least one said condition; b) identifying one or more said predetermined transient medical conditions that currently affect said person; c) selecting a said profile corresponding to each said transient medical condition; d) relating said selected profile'"'"'s time dimension to an occurrence of its said transient medical condition; and e) generating and outputting on an output device an assessment of an impact of said medical conditions on said person, wherein said assessment is based on said profiles related to said medical conditions at step (d). - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A computerized method for assessing an impact of medical conditions and impairments affecting a person, said method comprising the steps of:
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a) inputting into a computer a plurality of profiles relating predetermined transient medical conditions to human body parts, each said profile estimating a time progression of a dysfunction level or a capacity of at least one said body part from a time of injury over a specific progressive time scale into the future, due to at least one said condition; b) identifying one or more said body parts that affect performance of a job by said person; c) determining what capacity level of each said one or more body parts inhibits said person from performing said job; d) identifying one or more said predetermined transient medical conditions that currently affect said person; e) selecting a said profile corresponding to each said one or more transient medical conditions; f) relating each said selected profile'"'"'s time dimension to an occurrence of its said transient medical condition; g) for each said selected profile applicable to a said body part determined at step (b), determining a date for said applicable selected profile upon which said estimated capacity profiled by said applicable selected profile first moves beyond said capacity level determined at step (c) for its said body part so that said transient medical condition to which said applicable selected profile corresponds does not inhibit said job; h) determining the latest said date determined at step (g); and i) generating and outputting said latest date on an output device. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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29. A computerized method for assessing an impact of medical conditions and impairments affecting a person, said method comprising the steps of:
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a) inputting into a computer a model of a human body, said model including multi-level hierarchy of body parts that, in combination with each other, form the human body; b) inputting into a computer, for each transient medical condition of a plurality of predetermined transient medical conditions, a severity value that estimates a time progression of a dysfunction level produced by said transient medical condition on at least one said body part from a time of injury over a specific progressive time scale into the future; c) identifying one or more said predetermined transient medical conditions that currently affect said person; d) combining said severity values for said transient medical conditions identified at step (c) to a combined severity value; and e) generating and outputting on an output device an assessment an assessment of an impact of said medical conditions on said person, wherein said assessment is based on said combined severity value. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65)
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66. A method for assessing an impact of medical conditions and impairments affecting a person, said method comprising the steps of
a) inputting into a computer a model of a human body, said model including body parts that, in combination with each other, form the human body, wherein said human body parts are classified into a multi-level hierarchy, each said body part in each level of said hierarchy below a highest level of said hierarchy being a component body part of a composite body part in a higher level in said hierarchy; -
b) inputting into a computer, for each transient medical condition of a plurality of predetermined transient medical conditions, a severity value that estimates a time progression of a dysfunction level produced by said transient medical condition on at least one said body part; c) identifying one or more said predetermined transient medical conditions that currently affect said person; d) for each said body part having multiple said transient medical conditions identified at step (c), combining said severity values corresponding to said identified transient medical conditions to a total severity value for said body part based on a time at which said transient medical conditions to which said severity values correspond occurred; e) for each said composite body part up to a composite body part corresponding to the human body as a whole, combining said severity value of each said component body part of said composite body part up to a composite body part severity value for said composite body part based on a spatial relationship among said component body parts within the human body; f) where said person has spent time in a hospital as a patient, providing a severity value that describes an impact on said person from a time of injury over a specific progressive time scale into the future; g) where said person has received convalescent care, providing a severity value that describes an impact on said person of time spent by said person under convalescent care; h) where said person is predicted to suffer a transient medical condition in the future, providing a severity value, arranged in a progressive time line into the future, that describes an impact on said person of said transient medical condition; i) where said person has suffered post traumatic stress syndrome, providing a severity value that describes an impact on said person of said post traumatic stress syndrome; j) where said person has suffered a temporary loss of ability to enjoy life, providing at least one severity value that describes an impact on said person of said loss; k) where said person has suffered a permanent loss of ability to enjoy life, providing at least one severity value that describes an impact on said person of said loss; l) where said person has suffered a permanent dysfunction, providing a severity value that describes an impact on said person of said permanent dysfunction; and m) generating and outputting an assessment of the impact of said medical conditions on said person, wherein said assessment is based on said whole body severity value determined at step (e) and on any said severity values provided at steps (f)-(l). - View Dependent Claims (67, 68, 69, 70, 71, 72)
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73. A method for modeling medical conditions and impairments affecting a person, said method comprising the steps of:
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a) where said person is subject to a workers'"'"' compensation system, i) providing a plurality of profiles relating predetermined transient medical conditions to human body parts, each said profile estimating a time progression of a dysfunction level or a capacity of at least one said body part from a time of injury over a specific progressive time scale into the future, due to at least one said condition; ii) identifying one or more said predetermined transient medical conditions that currently affect said person, iii) selecting a said profile corresponding to each said transient medical condition, and iv) relating said selected profile'"'"'s time dimension to an occurrence of its said transient medical condition; b) where said person is subject to a common law compensation system, i) providing a model of a human body, said model including body parts that, in combination with each other, form the human body, ii) providing, for each transient medical condition of a plurality of predetermined transient medical conditions, a severity value that estimates the dysfunction level produced by said transient medical condition on at least one said body part, iii) identifying one or more said predetermined transient medical conditions that affect said person, and iv) combining said severity values for said transient medical conditions identified at step (b,iii) to a combined severity value; and c) displaying an assessment of an impact of said transient medical condition identified at steps (a,ii) or (b,iii) on said person, wherein said assessment is based on said profiles related to said transient medical conditions at step (d) or on said combined severity value at step (b,iv), respectively.
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74. A method for assessing an impact of medical conditions and impairments affecting a person, said method comprising the steps of:
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a) where said person is subject to a workers'"'"' compensation system, i) providing a plurality of profiles relating predetermined transient medical conditions to human body parts, each said profile estimating a time progression of a dysfunction level or a capacity of at least one said body part from a time of injury over a specific progressive time scale into the future, due to at least one said condition; ii) identifying one or more said body parts that affect performance of a job by said person, iii) determining what capacity level of each said one or more body parts inhibits said person from performing said job, iv) identifying one or more said predetermined transient medical conditions that currently affect said person, v) selecting a said profile corresponding to each said one or more transient medical conditions, vi) relating each said selected profile'"'"'s time dimension to an occurrence of its said transient medical condition, vii) for each said selected profile applicable to a said body part determined at step (a,ii), determining a date for said applicable selected profile upon which said estimated capacity profiled by said applicable selected profile first moves beyond said capacity level determined at step (a,iii) for its said body part so that said transient medical condition to which said applicable selected profile corresponds does not inhibit said job, and viii) determining a latest said date determined at step (a,vii); b) where said person is subject to a common law compensation system, i) providing a model of a human body, said model including body parts that, in combination with each other, form the human body, wherein said human body parts are classified into a multi-level hierarchy, each said body part in each level of said hierarchy below a highest level of said hierarchy being a component body part of a composite body part in a higher level in said hierarchy, ii) providing, for each transient medical condition of a plurality of predetermined transient medical conditions, a severity value that estimates a dysfunction level produced by said transient medical condition on at least one said body part, iii) identifying one or more said predetermined transient medical conditions that currently affect said person, iv) for each said body part having multiple said transient medical conditions identified at step (b,iii), combining said severity values corresponding to said identified transient medical conditions to a total severity value for said body part based on a time at which said transient medical conditions to which said severity values correspond occurred, v) for each said composite body part up to a composite body part corresponding to the human body as a whole, combining said severity value of each said component body part of said composite body part up to a composite body part severity value for said composite body part based on a spatial relationship among said component body parts within the human body, vi) where said person has spent time in a hospital as a patient, providing a severity value that describes an impact on said person from a time of injury in a progressive time line into the future, vii) where said person has received convalescent care, providing a severity value that describes an impact on said person of time spent by said person under convalescent care, viii) where said person is predicted to suffer a transient medical condition in the future, providing a severity value that describes an impact on said person of said transient medical condition, ix) where said person has suffered post traumatic stress syndrome, providing a severity value that describes an impact on said person of said post traumatic stress syndrome, x) where said person has suffered a temporary loss of ability to enjoy life, providing at least one severity value that describes an impact on said person of said loss, xi) where said person has suffered a permanent loss of ability to enjoy life, providing at least one severity value that describes an impact on said person of said loss, and xii) where said person has suffered a permanent dysfunction, providing a severity value that describes an impact on said person of said permanent dysfunction; and c) displaying an assessment of an impact of said transient medical conditions identified at steps (a,ii) or (b,iii) on said person, wherein said assessment is based on said latest date at step (a,viii) or on said whole body severity at step (b,v) and any said severities provided at steps (b,vi)-(b,xii), respectively. - View Dependent Claims (75, 76, 77, 78, 79, 80, 81, 82)
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83. A method for assessing insurance compensation stemming from medical conditions affecting a medically impaired person, said method comprising:
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a) connecting to one or more databases comprising; i) a multiple-level hierarchical model of the human body, including a plurality of body parts that make up the human body, wherein each body part is associated as a component of one or more other body parts and wherein each body part has associated component functionality values that indicate the body parts'"'"' importance to each of the one or more other body parts of which the body part is a component; and ii) a plurality of medical condition profiles each medical condition profile associating a transient medical condition, one or more body parts affected by the transient medical condition and one or more temporally variable dysfunction values indicating the relative affect of the transient medical condition on each of the one or more body parts over a range of times into the future; b) receiving information indicating one or more patient transient medical conditions affecting the medically impaired person; c) searching the one or more databases to identify medical condition profiles that associate transient medical conditions matching each of the one or more patient transient medical conditions received in step (b); d) for each medical condition profile identified in step (c); i) identifying the one or more body parts associated with the medical condition profile; ii) identifying the temporally variable dysfunction value associated with each of the one or more body parts associated with the medical condition profile; and iii) using the model of (a, i) identify any body parts for which the one or more body parts of identified in (d, i) are a component; e) generating a first capacity level for each of the one or more body parts of identified in (d, i) based on the associated temporally variable dysfunction value identified in (d, ii); f) generating a second capacity level for any of the body parts identified in (d, iii) based on the capacity levels generated in (e) and the associated component functionality values; and g) generating and outputting an insurance compensation value based on the results of steps (e) and/or (f).
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Specification