Individual health record system and apparatus

• US 8,560,348 B2
• Filed: 03/15/2010
• Issued: 10/15/2013
• Est. Priority Date: 09/26/2006
• Status: Active Grant

• Current Assignee: CentrifyHealth, Inc.
• Original Assignee: Cindy A. Post, Clegg W. Randal, Ralph A. Korpman, Rudy R. Hilado
• Inventors: Korpman, Ralph A., Post, Cindy A., Hilado, Rudy R., Clegg, W. Randal
• Primary Examiner(s): Holcomb, Mark
• Application Number:
  US12/723,753
• Publication Number:
  US 20100169263A1
• Time in Patent Office: 1,310 Days
• Field of Search: 705 2- 4, 707/E17.055, 707/E17.099, 707/955, 707/960, 707999103-999107, 717/108, 717/116, 717/165
• US Class Current: 705/3
• 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

Abstract

A system, apparatus, and related methods for the collection, processing, evaluation, transformation, and reporting of individual health care information from diverse information systems and sources. An individual health record (IHR) of the present invention provides a structure for individuals to participate in, and manage, their health and their medical care, while still meeting the needs of health care organizations and caregivers. An IHR object may be formed by obtaining information from diverse health care information systems and sources, and transforming and re-purposing into a coherent account of the individual'"'"'s overall health and care using a comprehensive health care ontology. As information from various sources is updated or available, the IHR is dynamically updated on a continuous or periodic basis. In one embodiment, the IHR system is contained in a self-contained package or “appliance” designed to “plug and play” in existing health care information technology systems and networks, with minimal effort and intervention.

Claims

1. A machine for processing, storing and handling health care information, comprising:

at least one appliance device adapted to implement an individual-centric health information model, said appliance device adapted to be incorporated into an existing network or information technology system, said appliance device comprising the following components;

a persistent data storage device;

an information input component, adapted to receive health care information from one or more health care information sources, wherein at least a portion of said health care information is received from preexisting external electronic data records; and

a central health record component, adapted to transform said health care information to create or modify one or more separate health care objects from that information, wherein each health care object is an object-oriented software environment object subject to an object hierarchy associated with said health information model;

wherein the creation or modification of each health care object comprises the steps of;

automatically validating the health care information;

automatically parsing the health care information;

automatically transforming the health care information using a central health care ontology comprising a specific set or hierarchy of concepts and relationships related to health care;

automatically assigning one or more ontology concept codes to the transformed information;

automatically determining whether to create a new health care object or modify an existing health care object based upon whether the transformed information is matched to any entity already existing in a record in said persistent data storage device; and

automatically creating or modifying said health care object or objects using said transformed information,

wherein the health care object or objects after creation or modification each comprise a Single Best Record object containing the best composite information taken from multiple sources known about a health care condition, service, result, product, test, care relationship, or event for an individual.

2. The machine of claim 1, further comprising a content repository for the storage of non-object-oriented data.

3. The machine of claim 1, further comprising a user interface whereby users can access one or more of said health care objects through a Web browser utilizing one or more portlets or portals over the Internet.

4. The machine of claim 3, further comprising a security custodial component, wherein access to health care objects is based upon a user'"'"'s relationship or role with respect to that object, with respect to other entities, or both.

5. The machine of claim 1, further wherein the information received may include clinical, financial, personal, health, or administrative information, or some combination thereof.

6. The machine of claim 1, further wherein the health care object or objects can be modified or extended by modifying the specific set or hierarchy of concepts and relationships related to health care.

7. The machine of claim 6, wherein the modification is done without modifying the object hierarchy.

8. The machine of claim 1, wherein multiple appliance devices can be incorporated into an existing network or information technology system.

9. The machine of claim 1, wherein a confidence indicator is determined for each health care object, wherein said confidence indicator is a value in a non-binary range.

10. The machine of claim 9, wherein the confidence indicator is based at least in part upon the health care information source or sources used to derive, create or modify the health care object.

11. The machine of claim 9, wherein the confidence indicator is based at least in part on the reliability of the derivation, creation or modification of the health care object.

12. The machine of claim 1, further comprising a rules engine, wherein said health care object or objects are subjected to a rules evaluation using said rules engine each time the health care object or objects are created or modified.

13. The machine of claim 12, further wherein a plurality of said health care objects are subjected to the application of a plurality of rules in a centrification process to repurpose the information contained in said health care objects.

14. The machine of claim 1, wherein the health care objects are highly abstracted objects oriented to an individual, and not specific to a particular health care setting.

15. The machine of claim 1, wherein the list of possible health care objects comprises health conditions, health services, health results, health products, health care relationships, individual entities, and organizational entities.

16. The machine of claim 9, wherein said confidence indicator is a value in a range from 0% to 100%.