Dynamically determining risk of clinical condition

• US 10,483,003 B1
• Filed: 01/06/2014
• Issued: 11/19/2019
• Est. Priority Date: 08/12/2013
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: McNair, Douglas S., Murrish, John Christopher, Kailasam, Kanakasabha
• Primary Examiner(s): Chng, Joy
• Assistant Examiner(s): Barr, Evangeline
• Application Number:
  US14/147,978
• Time in Patent Office: 2,143 Days
• Field of Search: None
• CPC Class Codes: G06F 3/0484 for the control of specific functions or operations, e.g. selecting or manipulating an object, an image or a displayed text element, setting a parameter value or selecting a range
• 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
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Systems, methods and computer-readable media are provided for facilitating clinical decision support and managing patient population health by health-related entities including caregivers, health care administrators, insurance providers, and patients. Embodiments of the invention provide decision support services including providing timely contextual patient information including condition risks, risk factors and relevant clinical information that are dynamically updatable; imputing missing patient information; dynamically generating assessments for obtaining additional patient information based on context; data-mining and information discovery services including discovering new knowledge; identifying or evaluating treatments or sequences of patient care actions and behaviors, and providing recommendations based on this; intelligent, adaptive decision support services including identifying critical junctures in patient care processes, such as points in time that warrant close attention by caregivers; near-real time querying across diverse health records data sources, which may use diverse clinical nomenclatures and ontologies; improved natural language processing services; and other decision support services.

Claims

1. One or more computer-readable hardware devices having computer-executable instructions embodied thereon that when executed by at least a processor, facilitate at least an apparatus to:

receive a portion of patient health data for a patient, the portion of patient health data including a first set of clinical concepts encoded in a first nomenclature associated with a healthcare entity;

convert the first set of clinical concepts encoded in the first clinical nomenclature to a second set of clinical concepts encoded in a second nomenclature;

determine, from the second set of clinical concepts encoded in the second nomenclature, a current state of the patient;

accessing a library of clinical condition programs that are encoded in the second nomenclature to construct a clinical condition computer program routine for the patient based on the determined current state of the patient;

use the clinical condition computer program routine to determine a set of risk factors specifically associated with a combination of at least two concurrent clinical conditions, the set of risk factors having one or more clinical concepts encoded in the second nomenclature;

convert the one or more clinical concepts associated with the set of risk factors encoded in the second nomenclature to respective one or more clinical concepts encoded in the first nomenclature; and

cause for display the set of risk factors having the respective one or more clinical concepts encoded in the first nomenclature to a healthcare provider of the patient.

2. The one or more computer-readable hardware devices of claim 1, further comprising facilitate the apparatus to present a clinical conditions menu presenting one or more clinical conditions for which the patient is at risk.

3. The one or more computer-readable hardware devices of claim 2, further comprising presenting a condition risk area, responsive to selection of one of the one or more respective clinical conditions for which the patient may be at risk, the condition risk area comprising:

a computed likelihood of the selected clinical condition;

a set of risk factors for the selected clinical condition, and

a clinical value for at least a portion of the set of risk factors for the selected clinical condition.

4. The one or more computer-readable hardware devices of claim 3, further facilitate the apparatus to present a clinical information area for displaying a set of clinical information elements associated with the selected clinical condition from the portion of patient health data.

5. The one or more computer-readable hardware devices of claim 1, wherein the first set of clinical concepts comprise lab results, test results, patient conditions, patient health history, patient demographic information, or other discretized health-related information.

6. The one or more computer-readable hardware devices of claim 1, wherein the one or more clinical concepts include a disease, diagnoses, medical issue, or medical event.

7. The one or more computer-readable hardware devices of claim 1, further facilitate the apparatus to determine a likelihood of the patient having each of the at least two concurrent clinical conditions, wherein the likelihood is a calculated probability that the patient has or will develop a clinical condition.

8. The one or more computer-readable hardware devices of claim 1, wherein the set of risk factors comprise one or more clinical variables of health data from a population of patients.

9. The one or more computer-readable hardware devices of claim 3, wherein the clinical value comprises a patient-specific value corresponding to a clinical variable.

10. The one or more computer-readable hardware devices of claim 4, wherein the set of clinical information elements comprises specific lab results, tests, health-related findings, patient conditions, patient history, or other clinical-information component of a patient'"'"'s health data.

11. The one or more computer-readable hardware devices of claim 1, wherein the clinical condition computer program routine is constructed by one or more software agents operating on a distributed computing platform.

12. The one or more computer-readable hardware devices of claim 3, wherein a presented computed likelihood of the selected clinical condition and set of risk factors are dynamically responsive to changes in the clinical condition computer program routine.

13. The one or more computer-readable hardware devices of claim 1, further facilitate the apparatus to present a condition assessment area for presenting a contextually-driven assessment based on patient information relevant to diagnosing or treating a clinical condition, and for receiving patient information in response to presenting the contextually-driven assessment, wherein the received patient information includes one or more clinical concepts encoded in the first nomenclature.

14. The one or more computer-readable hardware devices of claim 1, further facilitate the apparatus to present a condition assessment area for presenting a contextually-driven assessment based on patient information relevant to diagnosing or treating a clinical condition and determining whether the patient information is absent or stale.

15. The one or more computer-readable hardware devices of claim 3, further facilitate the apparatus to:

receive patient health information relevant to the at least two concurrent clinical conditions;

update a likelihood of the patient having each of the at least two concurrent clinical conditions based on the received patient health information.

16. The one or more computer-readable hardware devices of claim 15, further facilitate the apparatus to:

in response to the updated likelihood, determine the computed likelihood of the selected clinical condition presented in the condition risk area.

17. The one or more computer-readable hardware devices of claim 3, further facilitate the apparatus to:

receive an indication of a change in the set of risk factors for a condition; and

based on the indication, dynamically update the set of risk factors presented in the condition risk area.

18. One or more computer-readable hardware devices having computer-executable instructions embodied thereon that when executed by at least a processor, facilitate at least an apparatus to:

receive a portion of patient health data for a patient, the portion of patient health data including a first set of clinical concepts encoded in a first clinical nomenclature;

determine, from the portion of patient health data, a current state of the patient in a second clinical nomenclature;

access a library of clinical condition programs that are encoded in the second clinical nomenclature to construct a clinical condition computer program routine for the patient based on the determined current state of the patient;

use the clinical condition computer program routine to determine a set of risk factors relevant to the determined current state of the patient, wherein the set of risk factors include one or more clinical concepts encoded in the second clinical nomenclature; and

cause for display the set of risk factors in the first clinical nomenclature after the one or more clinical concepts of the set of risk factors are converted from the second clinical nomenclature to the first clinical nomenclature.

19. The one or more computer-readable hardware devices of claim 18, further facilitate the apparatus to:

present a clinical conditions menu presenting at least two concurrent clinical conditions; and

present a condition risk area, responsive to selection of one of the at least two concurrent clinical conditions, the condition risk area comprising;

a determined likelihood of the patient having the selected clinical condition;

a set of risk factors associated with the selected clinical condition, and a clinical value for at least a portion of the set of risk factors associated with the selected clinical condition.

20. The one or more computer-readable hardware devices of claim 18, wherein the set of risk factors includes at least one clinical condition with a positive indicator.