Electronic health record system utilizing disparate record sources

• US 8,249,895 B2
• Filed: 02/23/2009
• Issued: 08/21/2012
• Est. Priority Date: 02/22/2008
• Status: Active Grant

• Current Assignee: Epic Systems Corporation
• Original Assignee: Epic Systems Corporation
• Inventors: Faulkner, Judith R., Dvorak, Carl D., Weisberger, Brian M., Campbell, Janet L., Escher, Timothy W., Gage, Dustin L., Conrad, Sean, Shah, Bhavik, Kantor, Michael J., Sidney, Matthew D.
• Primary Examiner(s): O'Connor, Gerald J.
• Assistant Examiner(s): Ng, Jonathan K
• Application Number:
  US12/391,120
• Publication Number:
  US 20090228303A1
• Time in Patent Office: 1,275 Days
• Field of Search: 705/2, 705/3, 705/8, 705/51, 705/555, 715/733, 707/770, 726/27
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

A system for facilitating patient ownership of his or her medical data through the use of third-party health repositories that preserves the maximum information content of the medical records by displaying information relevant to the authority of the medical data as reflected by its source and types of modification as it has moved between institutions, as well as the data itself. In this way, improved use of this data is made possible.

Claims

1. A health record system comprising:

a first clinical record system associated with a first medical institution comprising at least one computer communicating with a set of data terminals and a first database and executing a first stored program to collect, organize, and display physician-generated medical data for given patients, the first clinical record system including an authentication protocol limiting access by non-healthcare professionals;

a medical record repository comprising at least one computer communicating with a set of data terminals and a repository database and executing a repository program to collect, organize, and display medical data controlled by given patients, the medical record repository including an authentication protocol limiting access by others than the given patients, the repository program operating to;

(a) accept into the repository database patient-generated medical data from a given patient;

(b) accept into the repository database patient-collected medical data from a second clinical record system of a second medical institution in a manner to be separately identified from the patient-generated data; and

(c) respond to authorization by the given patient to transmit at least some of the patient-generated data and patient-collected data to the first clinical record system;

wherein the first stored program further operates to provide a display output providing medical data for the given patient visually linked to a visual indication of an authority of the data based on its identification as physician-generated having a high level of authority, patient-generated having a low level of authority, or patient-collected having a medium level of authority, wherein the display output further displays a numerical ranking indicating the level of authority associated with the medical data,

further wherein the first stored program is configured to identify data as physician-generated where the data has not been collected or generated by a patient and where the data was not received at the first clinical record system in the transmittal of the patient-generated data and patient collected data transmitted from the medical record repository.

2. The health record system of claim 1 wherein the repository program further stores an identification of the second medical institution.

3. The health record system of claim 2 wherein the visual indication of authority indicates the second health institution.

4. The health record system of claim 1 wherein the repository program further stores an indication of the importance of at least one record as assigned by a health care professional of the second medical institution.

5. The health record system of claim 4 wherein the display output provides medical data for the given patient visually linked to a visual indication of an importance of the data assigned by a health care professional of the second medical institution.

6. The health record system of claim 1 wherein the medical data has a data type related to a medical character of the data and independent of a source of the data and the first stored program further operates to display physician-generated, patient-generated and patient-collected data sorted according to data types, so that similar data types are proximate to each other in the display.

7. The health record system of claim 1 wherein the first stored program may further receive authority filter parameters from the physician to suppress the display of medical data based on its identification as physician-generated, patient-generated, or patient-collected.

8. The health record system of claim 1 wherein the first stored program may further receive authority filter parameters from the physician to suppress the display of selected visual indications of authority.

9. The health record system of claim 1 wherein the repository program accepts health record documents from the second health institution comprised of multiple medical data and allows the given patient to selectively authorize a subset of the medical data of the document for transmission to the first clinical record system,

wherein the repository program separately identifies medical data associated with a document in which some medical data was not authorized for transmission to the first clinical record system from medical data associated with a document in which all medical data was authorized for transmission to the first clinical record system.

10. The health record system of claim 1 wherein the repository program allows editing of the patient-collected medical data by the given patient and wherein the repository program identifies such edited medical data in a manner to be separately identified from medical data unedited by the given patient.

11. The health record system of claim 10 wherein patient-collected data edited by the given patient is identified as patient-generated data by the repository program.

12. The health record system of claim 1 wherein the repository program accepts health record documents of medical data from the second health institution and evaluates a digital watermark in the documents to ensure the documents have not been edited after release by the second health institution before identifying them as patient-collected data.

13. The health record system of claim 1 wherein the repository program communicates electronically directly with the second health institution to obtain patient-collected data.

14. The health record system of claim 1 wherein the repository program communicates with the first program to provide a display output of the physician-generated data for the given patient to the give patient.

15. The health record system of claim 1 wherein the repository program further operates to:

(d) accept into the repository database patient-collected medical data from the first clinical record system in a manner to be separately identified from the patient-generated data; and

(e) respond to authorization by the given patient to transmit at least some of the patient-generated data and patient-collected data to the second clinical record system.

16. The health record system of claim 1 wherein the repository program further operates to:

(d) respond to authorization by the given patient to transmit at least some of the patient-generated data to the second clinical record system.

17. A health record system comprising:

a first clinical record system associated with a first medical institution comprising at least one computer communicating with a set of data terminals and a first database and executing a first stored program to collect, organize, and display physician-controlled medical data for given patients, the first clinical record system including an authentication protocol limiting access by non-healthcare professionals;

a medical record repository comprising at least one computer communicating with a set of data terminals and a repository database and executing a repository program to collect, organize, and display medical data controlled by given patients, the medical record repository including an authentication protocol limiting access by others than the given patients, the repository program operating to;

(a) accept into the repository database patient-generated medical data from a given patient;

(b) accept into the repository database patient-collected medical data from a second clinical record system of a second medical institution in a manner to be separately identified from the patient-generated data; and

(c) respond to authorization by the given patient to transmit patient controlled medical data, including at least some of the patient-generated data and patient-collected data, to the first clinical record system;

wherein the first stored program is configured to receive medical data directly from the second clinical record system of a second medical institution in a manner to be identified as physician-controlled data, and

wherein the first stored program further operates to provide a display output providing medical data for the given patient visually linked to a visual indication of an authority of the data based on its identification as physician-controlled medical data having a high level of authority, patient-generated having a low level of authority, or patient-collected having a medium level of authority,

further wherein the display output displays a numerical ranking indicating the level of authority associated with the medical data.