Contextual assessment of current conditions

• US 9,779,611 B1
• Filed: 11/21/2016
• Issued: 10/03/2017
• Est. Priority Date: 05/18/2015
• Status: Active Grant

• Current Assignee: C-HCA, Inc.
• Original Assignee: HCA Holdings Incorporated (HCA Healthcare, Inc.)
• Inventors: Krayer, Christian, Gregg, William Michael, Doyle, Thomas Andrew, Brient, Paul, Wobensmith, Christopher, Jirjis, Jim Najib, Weaver, Victoria, Perlin, Jonathan, Paslick, Paul Martin, Jackson, Edmund, Buta, Sarah Hume, Jospe, Erin S., Phirke, Umesh P.
• Primary Examiner(s): Feild, Joseph
• Assistant Examiner(s): Casillashernandez, Omar
• Application Number:
  US15/357,745
• Time in Patent Office: 316 Days
• Field of Search: 3405731
• CPC Class Codes: G06F 11/3027 where the computing system component is a bus
• CPC Class Codes: G08B 21/182 Level alarms, e.g. alarms responsive to variables exceeding a threshold
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

In some examples, systems, methods, and devices are described that generate exposure evaluations for dependent users. First data associated with a user and including objective values is accessed. Second data associated with the user and including subjective observations is accessed. The first data and the second data is used as input to evaluate one or more evaluation rules. Based on the evaluation, an exposure evaluation is generated. A notification is generated to include the exposure evaluation, which is provided to one or more destination entities.

Claims

1. A system for generating exposure evaluations, the system comprising:

memory that stores computer-executable instructions; and

a processor configured to access the memory and execute the computer-executable instructions to collectively;

receive a plurality of monitoring requests identifying a plurality of users, each monitoring request of the plurality of monitoring requests requesting;

periodic monitoring of a plurality of data streams to identify data corresponding to a respective user; and

generation of an exposure evaluation for the respective user based on the monitoring, the exposure evaluation indicating at least one of a possibility of the respective user having an abnormal condition or a possibility of the respective user developing the abnormal condition;

for each user, access a first data stream of the plurality of data streams to retrieve clinical record data from a clinical data warehouse that is communicatively coupled to a network, at least a portion of the clinical record data corresponding to the respective user and comprising historical clinical record data that includes;

a set of objective clinical values corresponding to the respective user and measured over a time period; and

a set of subjective observations corresponding to health of the respective user as recorded by a professional user during the time period;

for each user, access a second data stream of the plurality of data streams to retrieve machine output data that is output from a plurality of clinical equipment devices that are communicatively coupled to the network, the machine output data comprising data that includes clinical results data corresponding to one or more clinical tests performed on the respective user or on behalf of the respective user;

for each user, select the abnormal condition from a set of abnormal conditions, the abnormal condition associated with one or more evaluation rules, each evaluation rule of the one or more evaluation rules indicating a condition corresponding to at least one of an absence of the abnormal condition or a presence of the abnormal condition;

for each user, evaluate, using the clinical record data and the machine output data as input, a set of evaluation rules associated with the abnormal condition to determine a set of evaluation outputs, the set of evaluation outputs indicating fulfillment of a set of conditions of the set of evaluation rules based on the clinical record data and the machine output data;

for each user, generate, based on the set of evaluation outputs, the exposure evaluation for the respective user;

for each user, generate, based on the exposure evaluation, a notification that at least identifies the respective user and the abnormal condition; and

provide the notification to one or more destination entities.

2. The system of claim 1, wherein:

the user is a dependent user; and

the first data stream or the second data stream is generated in connection with the professional user who, in responding to one or more conditions of the dependent user, makes one or more adjustments to a record associated with the dependent user.

3. The system of claim 1, wherein:

the system further comprises a monitoring agent associated with the clinical data warehouse; and

the processor is further configured to access the memory and execute the computer-executable instructions collectively to, prior to accessing the first data stream, instruct, based on the monitoring request, the monitoring agent to;

monitor data defined by a data attribute to identify data to include in the first data stream; and

add the identified data to the first data stream.

4. The system of claim 1, wherein:

the system further comprises a messaging bus that monitors messages that flow across the messaging bus;

the processor is further configured to access the memory and execute the computer-executable instructions collectively to, prior to accessing the second data stream, send a subscription request to the messaging bus, the subscription request requesting data defined by a data attribute corresponding to the second data stream; and

accessing the second data stream comprises receiving the machine output data from the messaging bus in response to the messaging bus detecting the machine output data based on the subscription request.

5. The system of claim 1, wherein:

the processor is further configured to access the memory and execute the computer-executable instructions collectively to;

access a third data stream of the plurality of data streams to retrieve geographic data corresponding to the abnormal condition; and

evaluate, using data from the third data stream as input, an additional evaluation rule of the set of evaluation rules to determine an additional evaluation output, the additional evaluation output indicating fulfillment of an additional condition of the set of evaluation rules based on the data from the third data stream; and

determining the exposure evaluation for the user is further based on the additional evaluation output.

6. The system of claim 1, wherein:

the exposure evaluation indicates, as an exposure score, at least one of the possibility of the user having the abnormal condition or the possibility of the user developing the abnormal condition; and

the processor is further configured to access the memory and execute the computer-executable instructions collectively to identify the one or more destination entities for the notification based on the exposure score.

7. The system of claim 1, wherein each notification is formatted for the respective destination entity and comprises a respective payload specific to the respective destination entity.

8. The system of claim 1, wherein the one or more destination entities comprise at least one of a first computing device executing a user attention management application associated with a first professional user who is authorized to attend to the user, a mobile device executing a mobile user attention management application associated with the first professional user, or a second computing device executing a user population management application associated with a second professional user who is authorized to manage spreading of the abnormal condition within a user population.

9. The system of claim 1, wherein:

the processor is further configured to access the memory and execute the computer-executable instructions collectively to;

access a particular exposure evaluation;

generate a suggestion notification based on the particular exposure evaluation, the suggestion notification comprising a set of suggestions for consideration by a particular professional user as part of responding to the abnormal condition of the user; and

determine a destination entity associated with the professional user; and

provide the suggestion notification to the destination entity.

10. A computer-implemented method for generating exposure evaluations, the method comprising:

receiving, by a computer system, a plurality of monitoring requests identifying a plurality of users, each monitoring request of the plurality of monitoring requests requesting;

periodic monitoring of a plurality of data streams to identify data corresponding to a respective user; and

generation of an exposure evaluation for the respective user based on the monitoring, the exposure evaluation indicating at least one of a possibility of the respective user having an abnormal condition or a possibility of the respective user developing the abnormal condition;

for each user, accessing, by the computer system, a first data stream of the plurality of data streams to retrieve clinical record data from a clinical data warehouse that is communicatively coupled to a network, at least a portion of the clinical record data corresponding to the respective user and comprising historical clinical record data that includes;

a set of objective clinical values corresponding to the respective user and measured over a time period; and

a set of subjective observations corresponding to health of the respective user as recorded by a professional user during the time period;

for each user, accessing a second data stream of the plurality of data streams to retrieve machine output data that is output from a plurality of clinical equipment devices that are communicatively coupled to the network, the machine output data comprising data that includes clinical results data corresponding to one or more clinical tests performed on the respective user;

for each user, selecting the abnormal condition from a set of abnormal conditions, the abnormal condition associated with one or more evaluation rules, each evaluation rule of the one or more evaluation rules indicating a condition corresponding to at least one of an absence of the abnormal condition or a presence of the abnormal condition;

for each user, evaluating, by the computer system and using the clinical record data and the machine output data as input, a set of evaluation rules associated with the abnormal condition to determine a set of evaluation outputs, the set of evaluation outputs indicating fulfillment of a set of conditions of the set of evaluation rules based on the clinical record data and the machine output data;

for each user, generating, by the computer system and based on the set of evaluation outputs, the exposure evaluation for the respective user;

for each user, generating, based on the exposure evaluation, a notification that at least identifies the respective user and the abnormal condition; and

providing the notification to one or more destination entities.

11. The computer-implemented method of claim 10, wherein generating the exposure evaluation for each user comprises:

determining an exposure score that indicates at least one of the possibility of the respective user having the abnormal condition or the possibility of the respective user developing the abnormal condition; and

generating the exposure evaluation when the exposure score falls within a threshold.

12. The computer-implemented method of claim 10, wherein:

a monitoring agent is associated with the clinical data warehouse; and

the method further comprises, prior to accessing the first data stream, instructing, based on the monitoring request, the monitoring agent to;

monitor data defined by a data attribute to identify data to include in the first data stream; and

add the identified data to the first data stream.

13. The computer-implemented method of claim 10, wherein selecting the abnormal condition from the set of abnormal conditions is based on at least one of clinical record data or the machine output data.

14. The computer-implemented method of claim 10, wherein:

the exposure evaluation indicates at least one of the possibility of the respective user having the abnormal condition or the possibility of the respective user developing the abnormal condition as an exposure score; and

the method further comprises identifying the one or more destination entities for the notification based on the exposure score.

15. One or more computer-readable storage devices for storing computer-executable instructions that, when executed by one or more computer systems, configure the one or more computer systems to perform operations for generating exposure evaluations, the operations comprising:

receiving a plurality of monitoring requests identifying a plurality of users, each monitoring request of the plurality of monitoring requests requesting;

periodic monitoring of a plurality of data streams to identify data corresponding to a respective user; and

generation of an exposure evaluation for the respective user based on the monitoring, the exposure evaluation indicating at least one of a possibility of the respective user having an abnormal condition or a possibility of the respective user developing the abnormal condition;

for each user, accessing a first data stream of the plurality of data streams to retrieve clinical record data from a clinical data warehouse that is communicatively coupled to a network, at least a portion of the clinical record data corresponding to the respective user and comprising historical clinical record data that includes;

a set of objective clinical values corresponding to the respective user and measured over a period of time; and

a set of subjective observations corresponding to health of the respective user as recorded by a professional user during the time period;

for each user, accessing a second data stream of the plurality of data streams to retrieve machine output data that is output from a plurality of clinical equipment devices that are communicatively coupled to the network, the machine output data comprising data that includes clinical results data corresponding to one or more clinical tests performed on the respective user;

for each user, selecting the abnormal condition from a set of abnormal conditions, the abnormal condition associated with one or more evaluation rules, each evaluation rule of the one or more evaluation rules indicating a condition corresponding to at least one of an absence of the abnormal condition or a presence of the abnormal condition;

for each user, evaluating, using the clinical record data and the machine output data as input, a set of evaluation rules associated with the abnormal condition to determine a set of evaluation outputs, the set of evaluation outputs indicating fulfillment of a set of conditions of the set of evaluation rules based on the clinical record data and the machine output data;

for each user, generating, based on the set of evaluation outputs, the exposure evaluation for the respective user;

for each user, generating, based on the exposure evaluation, a notification that at least identifies the respective user and the abnormal condition; and

providing the notification to one or more destination entities.

16. The one or more computer-readable storage devices of claim 15, wherein:

the exposure evaluation indicates, as an exposure score, at least one of the possibility of the respective user having the abnormal condition or the possibility of the respective user developing the abnormal condition; and

the operations further comprise identifying the one or more destination entities for the notification based on the exposure score.

17. The one or more computer-readable storage devices of claim 15, wherein each notification is formatted for the respective destination entity and comprises a respective payload specific to the respective destination entity.

18. The one or more computer-readable storage devices of claim 15, wherein:

the operations further comprise;

accessing a third data stream of the plurality of data streams to retrieve geographic data corresponding to the abnormal condition; and

evaluating, using data from the third data stream as input, an additional evaluation rule of the set of evaluation rules to determine an additional evaluation output, the additional evaluation output indicating fulfillment of an additional condition of the set of evaluation rules based on the data from the third data stream; and

determining the exposure evaluation for the user is further based on the additional evaluation output.