Method and system to offer and to acquire clinical knowledge using a centralized knowledge server

• US 7,685,001 B2
• Filed: 12/14/2005
• Issued: 03/23/2010
• Est. Priority Date: 12/14/2005
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens AG
• Inventors: Wetekam, Volker, Haider, Sultan
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): Patel; Neha
• Application Number:
  US11/302,852
• Publication Number:
  US 20070179804A1
• Time in Patent Office: 1,560 Days
• Field of Search: 705/2, 705/3, 600/300
• US Class Current: 705/2
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

In a method and system for providing clinical knowledge from a provider to a medical user based on one or more diagnostic questions submitted by the user to the provider, a clinical knowledge communication server is provided with an associated knowledge database. The at least one or more diagnostic questions are sent by the user to the server. With the server, an initial examination of the at least one or more diagnostic questions is conducted. Examination steps are associated with the at least one or more diagnostic questions and placed in a sequence. The sequence of examination steps are then sent to the medical user. The provider may also request clinical knowledge from the medical user such as, for example, relating to the diagnostic questions submitted by the user.

Claims

1. A method for providing clinical knowledge from a provider to a medical user, comprising the steps of:

providing a clinical knowledge communication server with an associated knowledge data base of said provider;

said user having a user interface for communicating with said communication server of said provider;

providing an authentication, authorization, and encryption device associated with said user interface and providing an authentication, authorization, and encryption device associated with said communication server;

said user obtaining patient symptoms for a specific patient;

said user creating a plurality of diagnostic questions based on said patient symptoms representing a plurality of potential diagnoses for a medical problem causing said symptoms in said patient;

said user sending said plurality of diagnostic questions along with said patient symptoms to said server;

with the server conducting an initial examination of the plurality of diagnostic questions and patient symptoms;

with the server associating for each of the diagnostic questions a corresponding set of examination steps to create a corresponding sequence of examination steps for each of the diagnostic questions, at least one of said sequences comprising use of a medical imaging machine, and providing a respective examination protocol for said imaging machine including sequences, and a post-processing software for use with an image created by said imaging machine; and

encrypting and then sending said sequence of examination steps for each of said diagnostic questions to said medical user interface where they are decrypted.

2. A method of claim 1 wherein after the step of associating the examination steps, said server:

determines an economic combination of the examination steps that answer said diagnostic questions;

optimizes a sequence of the examination steps; and

sends said optimized sequence of examination steps to said medical user.

3. A method of claim 2 wherein attributes are generated for association of examination steps with said at least one or more diagnostic questions, and said attributes are used for determining said economic combination of the examination steps that answer said diagnostic questions.

4. A method of claim 2 including the further step of after optimizing the sequence of the examination steps, said server harmonizes the examination steps.

5. A method of claim 1 wherein a marking is performed of examination results of the individual examination steps with the diagnostic questions that substantiate the examination step.

6. A method of claim 1 including the step of providing a business logic of said medical user to said clinical knowledge server for determining kinds of information exchange between said user and said provider.

7. A method of claim 6 wherein said business logic of the user is sent to the server at the time that the diagnostic questions are sent.

8. A method of claim 1 wherein in addition to the patient symptoms, the user also sends patient demographic data.

9. A method of claim 1 wherein the clinical knowledge server has a business logic component associated therewith.

10. A method of claim 9 wherein said business logic component performs a step of making use of system utilization data from customers of the provider.

11. A method of claim 10 wherein the clinical knowledge server also has a decision support system associated therewith, and the server processes the system utilization data for extracting information about best protocols or best processing tools used for answering certain of said diagnostic questions.

12. A method of claim 1 wherein said provider requests clinical knowledge from said medical user and said medical user sends clinical knowledge to said provider based on said request from said provider.

13. A method of claim 12 wherein said clinical knowledge sent by said medical user relates to said diagnostic questions from said user.

14. A method of claim 12 wherein a business logic of said provider associated with said clinical knowledge communication server contains information for exchange of clinical knowledge for particular medical users.

15. A system for providing clinical knowledge from a provider to a medical user, comprising:

a clinical knowledge communication server with an associated knowledge data base of said provider;

a user interface of said user for communicating with said communication server of said provider;

an authentication, authorization, and encryption device associated with said user interface and an authentication, authorization, and encryption device associated with said communication server;

said user interface sending to said server symptoms for a specific patient and a plurality of alternative diagnostic questions based on said patient symptoms representing a plurality of potential alternative diagnoses for a medical problem causing said symptoms in said patient;

said server conducting an initial examination of the plurality of diagnostic questions and patient symptoms;

said server associating for each of the diagnostic questions a corresponding set of examination steps to create a corresponding sequence of examination steps for each of the diagnostic questions, at least one of said sequences comprising use of a medical imaging machine and a respective examination protocol for said imaging machine including sequences, and a post-processing software for use with an image created by said imaging machine; and

said encryption device associated with said server encrypting, and said server sending, said sequence of examination steps for each of said diagnostic questions after encrypting to said medical user interface; and

said encryption device associated with said user interface decrypting the sequences of examination steps.

16. A system of claim 15 wherein after the step of associating the examination steps, said server:

determines an economic combination of the examination steps that answer said at least one or more diagnostic questions;

optimizes a sequence of the examination steps; and

sends said optimized sequence of examination steps to said medical user.

17. A system of claim 16 wherein said server generates attributes for association of examination steps with said diagnostic questions, and said attributes are used for determining said economic combination of the examination steps that answer said at least one or more diagnostic questions.

18. A system of claim 15 including the further step of after optimizing the sequence of the examination steps, said server harmonizes the examination steps.

19. A system of claim 15 including providing a business logic of said medical user to said clinical knowledge server for determining kinds of information exchange between said user and said provider.

20. A system of claim 19 wherein said business logic of the user is sent to the server at the time that the diagnostic questions are sent.

21. A system of claim 15 wherein a business logic component associated with said server makes use of system utilization data from customers of the provider.

22. A system of claim 21 wherein the clinical knowledge server also has a decision support system associated therewith, and the server processes the system utilization data for extracting information about best protocols or best processing tools used for answering certain of said diagnostic questions.

23. A system of claim 15 wherein said server also requests clinical knowledge from said clinical user and said medical user and receives responsive clinical knowledge from said user.

24. A system of claim 15 wherein a business logic associated with said clinical knowledge server provides information allowing for a clinical knowledge exchange between said medical user and said provider.