Electronic health record system utilizing disparate record sources

• US 8,521,565 B2
• Filed: 08/20/2012
• Issued: 08/27/2013
• 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.
• Primary Examiner(s): O'Connor, Gerald J.
• Assistant Examiner(s): Ng, Jonathan K
• Application Number:
  US13/589,790
• Publication Number:
  US 20120310674A1
• Time in Patent Office: 372 Days
• Field of Search: 705/2, 705/3
• 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 computer-implemented method for use in a medical record repository, the computer-implemented method comprising:

(a) storing patient-generated medical data from a patient in a medical record repository database on a first computer system;

(b) storing patient-collected medical data relating to the patient from a clinical record system in the medical record repository database;

(c) storing physician-generated medical data relating to the patient from at least one clinical record system in the medical record repository database;

(d) storing an indicator in the medical record repository database identifying stored medical data as patient-generated, patient-collected or physician-generated, wherein physician-generated medical data is identified as medical data that has not been collected or generated by a patient;

(e) displaying, via a processor, at least one of the patient-generated, patient-collected, and physician-generated medical data for the patient;

wherein the at least one of the patient-generated, patient-collected, and physician-generated medical data is 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-collected having a medium level of authority, and patient-generated having a low level of authority;

(f) displaying a numerical ranking indicating the level of authority associated with the medical data.

2. The method of claim 1, further including storing an identification of a medical institution associated with each clinical record system.

3. The method of claim 2, wherein the visual indication of authority identifies a medical institution.

4. The method of claim 1, further including storing an indication of the importance of at least one physician-generated medical data as assigned by a health care professional.

5. The method of claim 4, further including displaying medical data for the given patient visually linked to a visual indication of an importance of the data assigned by the health care professional.

6. The method 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 displaying the numerical ranking includes displaying 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 method of claim 1, further including receiving 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 method of claim 1, further including receiving authority filter parameters from the physician to suppress the display of selected visual indications of authority.

9. The method of claim 1, further including accepting health record documents comprised of multiple medical data from a second health institution and allowing the given patient to selectively authorize a subset of the medical data of the document for transmission to the first clinical record system,

including separately identifying 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 method 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 method of claim 10, wherein patient-collected data edited by the given patient is identified as patient-generated data by the repository program.

12. The method of claim 1, further including accepting health record documents of medical data from a second health institution and evaluating 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 method of claim 12, further including communicating electronically directly with the second health institution to obtain patient-collected data.

14. The method of claim 1, further including providing a display output of the physician-generated data for the given patient to the given patient.

15. The method of claim 1, further including:

(h) accepting into the medical record 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

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

16. The method of claim 1, further including:

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

17. A health record system, comprising:

a medical record repository including 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) store patient-generated medical data from a patient in a medical record repository database on a first computer system;

(b) store patient-collected medical data relating to the patient from a clinical record system in the medical record repository database;

(c) store physician-generated medical data relating to the patient from at least one clinical record system in the medical record repository database;

(d) store an indicator in the medical record repository database identifying stored medical data as patient-generated, patient-collected or physician-generated, wherein physician-generated medical data is identified as medical data that has not been collected or generated by a patient;

(e) display at least one of the patient-generated, patient-collected, and physician-generated medical data for the patient;

wherein the at least one of the patient-generated, patient-collected, and physician-generated medical data is 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-collected having a medium level of authority, and patient-generated having a low level of authority; and

(f) display a numerical ranking indicating the level of authority associated with the medical data.

18. The system of claim 17, wherein the operating program further stores an indication of the importance of at least one physician-generated medical data as assigned by a health care professional.

19. The system of claim 17, wherein the operating program further receives 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.

20. The system of claim 17, wherein the operating program further receives authority filter parameters from the physician to suppress the display of selected visual indications of authority.