Method and system for generating personal/individual health records

• US 7,707,047 B2
• Filed: 10/30/2007
• Issued: 04/27/2010
• Est. Priority Date: 10/11/2000
• Status: Expired due to Fees

• Current Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Original Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Inventors: Wallen, J. Dominic, Peterson, John C., Hasan, Malik M.
• Primary Examiner(s): Morgan; Robert W
• Assistant Examiner(s): SEREBOFF, NEAL
• Application Number:
  US11/928,305
• Publication Number:
  US 20090177492A1
• Time in Patent Office: 910 Days
• Field of Search: 705 2- 4
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A system and method for generating and/or updating a personal/individual health record. Inputs of data to the system may come from diverse sources including, but not limited to, patient questionnaires, insurance company (or other payor) claims data, hospitals, clinics and other institutional providers, and individual physicians and physicians'"'"' offices.

Claims

1. A message facility on a PHR server configured to establish a secure connection with a first set of computer systems of multiple health care providers of a patient, wherein the messaging facility is adapted to obtain electronic health care data of the patient from the first set of computer systems of the multiple health care providers, wherein the patient is identified in the electronic health care data using a master patient identification that is unique to the patient across the multiple health care providers, wherein the master patient identification is not a social security number;

a PHR population engine on the PHR server configured to communicate with a second computer system using the master patient identification to obtain claims data of the patient,

wherein the PHR population engine is configured to extract encounter data indicative of an encounter between the patient and at least one of the multiple health care providers from the claims data, wherein the encounter data is extracted from more than one type of universal healthcare concept code;

wherein the PHR population engine is configured to assemble a personal/individual/electronic health record of the patient keyed to the master patient identification based on both the electronic health care data received from the messaging facility and encounter data extracted from the claims data; and

a web based portal configured to provide at least one of a health care provider or a patient with access to the patient'"'"'s personal/individual/electronic health record over the Internet.

2. The PHR system of claim 1, wherein the PHR population engine assembles the personal/individual/electronic health record of the patient based on both the electronic health care data received from the messaging facility and universal healthcare concept codes including at least one diagnostic code and at least one procedure code extracted from the claims data.

3. The PHR system of claim 2, wherein the diagnostic code is an International Classification of Diseases (“

ICD”

) code.

4. The PHR system of claim 2, wherein the procedure code is a Current Procedural Terminology (“

CPT”

) code.

5. The PHR system of claim 2, wherein the PHR population engine is configured to use the diagnostic code and the procedure code extracted from the claims data to structure the personal/individual/electronic health record for population of the electronic health care data received from the messaging facility.

6. The PHR system of claim 1, wherein the web-based portal is configured to receive supplemental information from the patient for storage in the personal/individual/electronic health record.

7. The PHR system of claim 6, wherein the web-based portal is configured to receive information from the patient concerning one or more of over-the-counter medications, allergies, and immunizations of the patient.

8. The PHR system of claim 1, wherein the web-based portal is configured to allow the patient to view one or more of a diagnosis and laboratory results of the patient.

9. The PHR system of claim 1, wherein the health care provider'"'"'s access to the personal/individual/electronic health care record of the patient is granted by the patient via the web-based portal.

10. The PHR system of claim 9, wherein the web-based portal is configured to present a graphical user interface to the patient that allows selection of one or more security settings associated with the personal/individual/electronic health record.

11. The PHR system of claim 10, wherein the security settings are configured to restrict access of the health care provider to the personal/individual/electronic health care record of the patient based on selections of the patient on the web-based portal.

12. The PHR system of claim 1, wherein the web-based portal is configured to present the health care provider with a graphical user interface to order tests for the patient over the Internet.

13. The PHR system of claim 1, wherein the web-based portal is configured to present the health care provider with a graphical user interface to order treatment for the patient over the Internet.

14. The PHR system of claim 1, wherein the PHR population engine is configured to organize the personal/individual/electronic health record of the patient based on universal health care concept codes.

15. The PHR system of claim 1, wherein the PHR population engine assembles the personal/individual/electronic health record of the patient based on both the electronic health care data received from the messaging facility and universal healthcare concept codes including at least one National Drug Code (“

NDC”

) code.

16. The PHR system of claim 1, wherein the PHR population engine assembles the personal/individual/electronic health record of the patient based on both the electronic health care data received from the messaging facility and universal healthcare concept codes including at least one Systemized Nomenclature of Medicine (“

SNOMED”

) code.

17. The PHR system of claim 1, wherein the encounter data includes at least one of:

(1) a date for a visit to at least one of the multiple health care providers, (2) a diagnosis of the patient made by at least one of the multiple health care providers, (3) a prescription of the patient made by at least one of the multiple health care providers, (4) a medically-related test of the patient ordered by at least one of the multiple health care providers, or (5) a referral of the patient by at least one of the health care providers to a specialist.