System and method for assisting medical diagnosis using an anatomic system and cause matrix

• US 20050010444A1
• Filed: 06/04/2004
• Published: 01/13/2005
• Est. Priority Date: 06/06/2003
• Status: Abandoned Application

• Current Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Original Assignee: Clinical Decision Support, LLC (Tivity Health, Inc.)
• Inventors: Iliff, Edwin C.
• Application Number:
  US10/862,116
• Publication Number:
  US 20050010444A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A computerized system and method having a visual display for use in medical diagnosis is disclosed. One embodiment of the system includes a user interface operable to transmit data to the visual display of a computing device, where the user interface substantially simultaneously receives multiple identified attribute values representative of a medical condition of a patient. A data structure is stored in a memory in communication with a processor in the computing device. When the data structure is accessed by the multiple attribute values, it provides a list of one or more selected medical diagnoses of the patient for display via the user interface. The multiple attributes includes at least a first attribute corresponding to a cause of disease and a second attribute corresponding to an anatomic system of the patient.

Claims

1. A computerized system having a visual display for use in medical diagnosis, the system comprising:

a user interface operable to transmit data to the visual display of a computing device, the user interface configured to substantially simultaneously receive a plurality of identified attribute values representative of a medical condition of a patient; and

a data structure stored in a memory in data communication with a processor in the computing device, the data structure being configured, such that when accessed by the plurality of attribute values, to provide a list of one or more selected medical diagnoses of the patient for display via the user interface,

wherein the plurality of attributes includes at least a first attribute corresponding to a cause of disease and a second attribute corresponding to an anatomic system of the patient.

2. The system of claim 1, wherein the provided data is identified as being located within the data structure based on the plurality of attribute values.

3. The system of claim 1, wherein the memory is included in the computing device.

4. The system of claim 3, wherein the memory is removable.

5. The system of claim 1, wherein the memory is updated via data received from a global computing network.

6. The system of claim 1, wherein the computing device is portable.

7. The system of claim 1, wherein the computing device connects wirelessly to a global computing network.

8. The system of claim 1, wherein the user interface displays a representation of at least a portion of the data structure for a user.

9. The system of claim 8, wherein the representation includes a matrix having symbols indicative of the values of the first attribute along one axis of the matrix and symbols indicative of the values of the second attribute along the other axis of the matrix.

10. The system of claim 9, wherein the intersection of the identified attribute values on the matrix identifies the list of one or more selected medical diagnoses for the patient.

11. The system of claim 9, wherein the representation includes symbols indicative of a subclassification of the values of the first attribute and symbols indicative of a subclassification of the values of the second attribute when an input signal is received from the user.

12. The system of claim 9, wherein the intersection of the identified attribute values on the matrix identifies a list of one or more possible chief complaints for the patient.

13. The system of claim 1, wherein the list of one or more selected medical diagnoses for the patient includes a confidence level associated with each diagnosis.

14. The system of claim 13, wherein the list of one or more selected medical diagnoses for the patient comprises a rank-ordered differential diagnosis.

15. The system of claim 1, wherein the anatomic system attribute values include cardiovascular, respiratory, nervous, digestive/gastrointestinal, ear/nose/throat (ENT), ophthalmologic, gynecologic/obstetric, urologic, blood/hematological, skin/dermatological, bones/orthopedic, and endocrine.

16. The system of claim 1, wherein the cause of disease attribute values include allergy, environment, infection, mental, poison, trauma, vascular, genetic, nutritional/metabolic/endocrine, and tumor.

17. The system of claim 1, wherein each cause of disease is subdivided into subcauses of disease.

18. The system of claim 1, wherein each anatomic system is subdivided into anatomic subsystems.

19. The system of claim 9, wherein the intersection of the identified attribute values on the matrix identifies a list of one or more potential medical diagnoses for the patient and a list of one or more possible chief complaints for the patient.

20. The system of claim 19, wherein the list of one or more selected medical diagnoses for the patient is identified based on the list of one or more potential medical diagnoses for the patient and a user-selected subset of the list of possible chief complaints for the patient when an input signal is received from the user.

21. The system of claim 12, wherein the list of one or more selected medical diagnoses for the patient is identified based on a user-selected subset of the list of possible chief complaints for the patient and one or more criteria when an input signal is received from the user.

22. The system of claim 21, wherein one of the criteria comprises the gender of the patient.

23. The system of claim 21, wherein one of the criteria comprises the country or region of the country in which the patient resides.

24. The system of claim 21, wherein the list of one or more selected medical diagnoses for the patient is sorted based on the one or more criteria.

25. The system of claim 21, wherein one of the criteria comprises the age of the patient.

26. The system of claim 21, wherein one of the criteria comprises risk factors of the patient.

27. The system of claim 21, wherein one of the criteria comprises a travel history of the patient.

28. The system of claim 21, wherein one of the criteria comprises the race of the patient.

29. The system of claim 21, wherein one of the criteria comprises a seriousness of the disease of the patient.

30. The system of claim 21, wherein the criteria are dynamically changed.

31. The system of claim 1, wherein the data structure comprises a list of diseases of the human body.

32. The system of claim 1, wherein a user of the computing device comprises a physician or other health care professional.

33. The system of claim 1, additionally comprising an electronic medical record for the patient, the electronic medical record storing the cause of disease, the anatomic system and at least one of the one or more selected medical diagnoses.

34. The system of claim 33, wherein the electronic medical record is provided to at least one of a patient'"'"'s physician, an emergency room physician, a patient'"'"'s insurance company, and a managed health organization.

35. The system of claim 20, additionally comprising an electronic medical record for the patient, the electronic medical record storing the cause of disease, the anatomic system, at least one of the one or more selected medical diagnoses, and the user-selected subset of the list of possible chief complaints.

36. The system of claim 21, additionally comprising an electronic medical record for the patient, the electronic medical record storing the cause of disease, the anatomic system, at least one of the one or more selected medical diagnoses, and the user-selected subset of the list of possible chief complaints.

37. The system of claim 1, wherein the user interface displays a representation of an indicator of the potential seriousness or danger level of the selected medical diagnoses to a healthcare worker.

38. The system of claim 1, wherein the user interface displays a representation of an indicator of the potential seriousness or danger level of the selected medical diagnoses to the patient.

39. The system of claim 1, wherein the user interface displays a representation of a work-up based on the selected medical diagnoses.

40. The system of claim 39, wherein the work-up comprises a laboratory test of choice and an imaging modality of choice.

41. The system of claim 39, wherein the work-up comprises a special study of choice and a treatment of choice.

42. The system of claim 1, wherein the user interface displays a representation of at least one of a history, physical signs, tests, and treatments associated with the patient.

43. A computerized method used in medical diagnosis, the method comprising:

displaying a user interface on a computing device to a user;

corresponding a first attribute of a medical condition to a cause of disease and a second attribute of the medical condition to an anatomic system of a patient;

substantially simultaneously receiving a plurality of identified attribute values representative of the medical condition of the patient via the interface;

accessing, via the computing device, a data structure based on the plurality of attribute values; and

providing a list of one or more selected medical diagnoses associated with a diagnosis of the patient to the user interface based on the accessing.

44. The method of claim 43, additionally comprising storing the data structure in a memory of the computing device.

45. The method of claim 43, additionally comprising storing the data structure on a computing network having at least intermittent communication with the computing device.

46. The method of claim 43, additionally comprising providing the list of the one or more selected medical diagnoses for the patient from the data structure.

47. The method of claim 43, wherein displaying the user interface comprises displaying a representation of at least a portion of the data structure.

48. A computerized method used in medical diagnosis, the method comprising:

displaying a user interface on a computing device to a user;

substantially simultaneously receiving a plurality of identified attribute values representative of a medical condition of a patient via the interface, wherein a first attribute of the medical condition corresponds to a cause of disease and a second attribute of the medical condition corresponds to an anatomic system of the patient;

accessing, via the computing device, a data structure based on the plurality of attribute values; and

providing a list of one or more selected medical diagnoses associated with a diagnosis of the patient to the user interface based on the accessing.

49. A computerized medical diagnosis system, the system comprising:

means for displaying a user interface on a computing device to a user;

means for substantially simultaneously receiving a plurality of identified attribute values representative of a medical condition of a patient via the interface, wherein a first attribute of the medical condition corresponds to a cause of disease and a second attribute of the medical condition corresponds to an anatomic system of the patient;

means for accessing a data structure via the computing device based on the plurality of attribute values; and

means for providing a list of one or more selected medical diagnoses associated with a diagnosis of the patient to the user interface based on the accessing.

50. The system of claim 49, additionally comprising means for storing the data structure in a memory of the computing device.

51. The system of claim 49, additionally comprising means for storing the data structure on a computing network having at least intermittent communication with the computing device.

52. The system of claim 49, additionally comprising means for providing the list of the one or more selected medical diagnoses for the patient from the data structure.

53. The system of claim 49, wherein the means for displaying the user interface comprises means for displaying a representation of at least a portion of the data structure.