System for managing healthcare data including genomic and other patient specific information

• US 7,788,040 B2
• Filed: 12/17/2004
• Issued: 08/31/2010
• Est. Priority Date: 12/19/2003
• Status: Active Grant

• Current Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Naraghi, Mohammad, Bartsch, Ernst, Haskell, Robert Emmons, Comaniciu, Dorin
• Primary Examiner(s): Zhou; Shubo (Joe)
• Application Number:
  US11/016,038
• Publication Number:
  US 20050158767A1
• Time in Patent Office: 2,083 Days
• Field of Search: None
• US Class Current: 702/19
• CPC Class Codes: G16B 20/00 ICT specially adapted for functional genomics or proteomics, e.g. genotype-phenotype associations
• CPC Class Codes: G16B 20/20 Allele or variant detection, e.g. single nucleotide polymorphism [SNP] detection
• CPC Class Codes: G16B 50/00 ICT programming tools or database systems specially adapted for bioinformatics
• CPC Class Codes: G16B 50/30 Data warehousing; Computing architectures
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

A system, for processing patient medical information for storage in an electronic patient medical record repository, includes an interface, a repository, and a data processor. The interface receives data representing genomic information of a patient. The repository includes a patient record incorporating data representing genomic information specific to a particular patient. A data processor compares the genomic information specific to a particular patient with the received genomic information. The data processor identifies a genomic match in response to the comparison and predetermined matching criteria. The data processor initiates processing of patient record information specific to the particular patient in response to an identified match.

Claims

1. A system for processing patient medical information for storage in an electronic patient medical record repository and suitable for use in a hospital information system, comprising:

an interface for receiving electronic transaction data including data representing genomic information indicating identity of a first patient, the received genomic information being associated with medical data of said first patient;

a repository including a record of a particular patient incorporating medical data and data representing genomic information indicating identity of said particular patient; and

a data processor, electronically coupled to said interface and said repository, for,

comparing said genomic information indicating identity of said particular patient with the received genomic information associated with medical data of said first patient,

automatically identifying a genomic match indicating said first patient and said particular patient are the same patient in response to the comparison and predetermined matching criteria, and

initiating storage of said medical data of said first patient in said record of said particular patient in response to said genomic match and merging of at least a portion of said record of said particular patient with another record of said particular patient in response to said genomic match and using terms, codes, or identifiers that are predefined in the system and that facilitate the integration of clinical and genetic data, to provide a merged record.

2. A system according to claim 1, wherein

said data processor integrates genetic data with existing administrative, clinical, and financial data sets,

said electronic transaction data comprises at least one of, (a) an HL7 compatible message and (b) a DICOM compatible message and

said data processor authorizes access by a user to said record of said particular patient in response to said genomic match.

3. A system according to claim 1, wherein

said data processor authorizes access by said particular patient to his or her own record in response to said genomic match.

4. A system according to claim 1, wherein

said data processor identifies a second record of said particular patient replicating information in said record of said particular patient in response to said genomic match.

5. A system according to claim 1, wherein

said genomic information comprises at least one of, (a) DNA information, (b) RNA information, (c) complementary DNA or RNA information, (d) transfer RNA (tRNA) information (e) messenger RNA (mRNA) information, and (f) Expressed Sequence Tags (EST).

6. A system according to claim 1, wherein

said electronic transaction data is an HL7 compatible transaction and said genomic information is associated with medical data of said first patient in said HL7 compatible transaction.

7. A system according to claim 1, wherein

said electronic transaction data is a DICOM compatible transaction and said genomic information is associated with medical data of said first patient in said DICOM compatible transaction.

8. A system for managing patient healthcare data suitable for use in a hospital information system, comprising:

a first database including mapping information supporting conversion of genomic information in a first data format to a different second data format;

an interface for receiving electronic transaction data including data representing genomic information indicating identity of a first patient in a first data format, said genomic information being associated with medical data of said first patient;

a repository including a record of a particular patient incorporating medical data and data representing genomic information indicating identity of said particular patient in a second data format different to said first data format; and

a data processor, electronically coupled to said interface and said repository, for,

applying said mapping information in converting said genomic information indicating identity of said first patient to said second data format,

comparing said genomic information indicating identity of said particular patient with converted received data representing genomic information associated with medical data of said first patient,

identifying a genomic match indicating said first patient and said particular patient are the same patient in response to the comparison and predetermined matching criteria, and

initiating storage of said medical data of said first patient in said record of said particular patient in response to said genomic match and merging of at least a portion of said record of said particular patient with another record of said particular patient in response to said genomic match patient in response to said genomic match to provide a merged record by employing terms, codes, or identifiers that are predefined in the system and that facilitate the integration of clinical and genetic data.

9. A system according to claim 8, wherein

said electronic transaction data comprises at least one of, (a) an HL7 compatible message and (b) a DICOM compatible message and

said mapping information includes at least one of, (a) codes, (b) terms, and (c) identifiers derived from a plurality of different sources and supporting interpretation of genomic information derived from different sources and facilitating the integration of person, clinical, and genetic data.

10. A system according to claim 8, wherein

said electronic transaction data is an HL7 compatible transaction and said genomic information is associated with medical data of said first patient in said HL7 compatible transaction.

11. A system according to claim 8, wherein

said electronic transaction data is a DICOM compatible transaction and said genomic information is associated with medical data of said first patient in said DICOM compatible transaction.

12. A system for managing patient healthcare data suitable for use in a hospital information system, comprising:

a first database including mapping information supporting conversion of genomic information in a first data format to a different second data format;

an interface for receiving HL7 or DICOM compatible electronic transaction message data including data representing genomic information indicating identity of a first patient in a first data format, said genomic information being associated with medical data of said first patient by said electronic transaction message data;

a repository including a record of a particular patient incorporating medical data and data representing genomic information indicating identity of said particular patient in a second data format different to said first data format; and

a data processor, electronically coupled to said interface and said repository, for,

applying said mapping information in converting said genomic information indicating identity of said first patient to said second data format,

comparing said genomic information indicating identity of said particular patient with converted received data representing genomic information associated with medical data of said first patient,

identifying a genomic match indicating said first patient and said particular patient are the same patient in response to the comparison and predetermined matching criteria, and

initiating storage of said medical data of said first patient in said record of said particular patient in response to said genomic match and merging of at least a portion of said record of said particular patient with another record of said particular patient in response to said genomic match patient in response to said genomic match using terms, codes, or identifiers that are predefined in the system and that facilitate the integration of clinical and genetic data, to provide a merged record.