Rule management method and system

• US 8,155,977 B2
• Filed: 04/15/2004
• Issued: 04/10/2012
• Est. Priority Date: 04/15/2004
• Status: Active Grant

• Current Assignee: Cognizant Trizetto Software Group Incorporated (Cognizant Technology Solutions Corp.)
• Original Assignee: Trizetto Group Incorporated (Cognizant Technology Solutions Corp.)
• Inventors: Schoenberg, Roy
• Primary Examiner(s): KOPPIKAR, VIVEK D
• Application Number:
  US10/825,352
• Publication Number:
  US 20050234739A1
• Time in Patent Office: 2,917 Days
• Field of Search: 705 2- 4, 600300-301
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A rule processing method includes defining a target group of patients chosen from a group of existing patients. An action to be taken concerning one or more patients within the target group of patients is defined, and an execution time for the action is scheduled.

Claims

1. A computer program product residing on a computer readable medium having a plurality of instructions stored thereon which, when executed by the processor, cause that processor to:

receive user input from a medical service provider for defining a computer-executable rule for identifying one or more patients of said medical service provider who satisfy said rule;

receive user input from said medical service provider for defining a computer-executable action to be taken concerning the identified one or more patients of said medical service provider who satisfy said rule;

determine, for the computer-executable rule, an execution time for the action;

process a plurality of computer-based medical records of patients for whom said medical service provider has an access key that grants the medical service provider access to said computer-based medical records against said computer-executable rule to identify one or more of said patients whose medical records satisfy the rule; and

initiate, on or after the execution time, the action concerning the one or more patients whose medical records satisfy the rule.

2. The computer program product of claim 1 wherein the action includes one or more of:

posting a HTML link for a patient;

posting a message for a patient;

providing a tool to a patient;

transmitting an email to a patient;

updating a patient'"'"'s medical record;

transmitting a pop-up message to a patient;

recommending that a patient join a discussion board;

providing a patient with medical information;

providing a medical report to a patient;

providing a medical report to a third party;

executing a program; and

notifying a third party.

3. The computer program product of claim 1 wherein the execution time is a single, non-recurring, execution time.

4. The computer program product of claim 1 wherein the execution time is a plurality of non-recurring execution times.

5. The computer program product of claim 1 wherein the execution time is a recurring execution time.

6. The computer program product of claim 1 wherein the instructions for processing the medical records against said rule comprises instructions for determining which of the medical records define the existence of a condition specified by said rule.