Medical data display

• US 20070179347A1
• Filed: 03/15/2005
• Published: 08/02/2007
• Est. Priority Date: 03/15/2004
• Status: Abandoned Application

• Current Assignee: E-San Limited (Obs Medical Limited)
• Original Assignee: E-San Limited (Obs Medical Limited)
• Inventors: Tarassenko, Lionel, Hayton, Paul, George, Alastair
• Application Number:
  US10/592,802
• Publication Number:
  US 20070179347A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

A method of displaying medical data, particularly data representative of the condition of patients suffering from chronic medical conditions such as asthma, diabetes and hypertension. The display consists of two graphical elements, one of which indicates the current value of a parameter indicative of the patient'"'"'s condition, this being displayed against another graphical element which represents a model of normality for that patient. The graphical element indicating the current condition may be, for example, a needle, against a scale which is constructed according to the patient-specific model of normality. This is particularly advantageous in the case of displays which have a small display area, such as mobile telephones and PDAs. Other forms of display are disclosed, such as histograms with the display being dynamically colour-coded and auto-scaled, or displays including limits which may vary. Another form of display is also disclosed which illustrates administrations of a pharmacological agent and corresponding measurements of the patient'"'"'s condition, with a visual link such as colour-coding linking the administration to the corresponding condition measurement. For example several days of insulin administration dosages may be displayed alongside several days of blood glucose measurements, with the administrations colour-coded to the corresponding blood glucose measurement, to assist the patient in determining whether the insulin administration is stably controlling their condition.

Claims

1. A method of displaying values of a parameter indicative of a medical condition, comprising displaying a first graphical device indicating values of the parameter representative of a patient-specific model of normality for that parameter, and displaying a second graphical device against the first graphical device at a display position representative of a current value of the parameter.

2. A method according to claim 1 wherein the patient-specific model of normality is dynamic, varying with patient condition.

3. A method according to claim 2 wherein the patient-specific model of normality varies with changes in patient condition over a period of two or more months.

4. A method according to claim 1 wherein the patient-specific model of normality is based on values of the parameter over a first time period, the second graphical device is displayed at a display position representative of values of the parameter over a second time period, the second time period being shorter and more recent than the first.

5. A method according to claim 1, wherein the current value of the parameter is derived from a plurality of closely repeated measurements of the parameter.

6. A method according to claim 5 wherein the plurality of closely repeated measurements are averaged to produce the current value.

7. A method according to claim 1 wherein patient-specific model of normality is based on Kalman filtered measurements of said parameter.

8. A method according to claim 1 wherein the first graphical device represents a scale against which said second graphical device is displayed.

9. A method according to claim 1 wherein the first graphical device comprises a colour-coded scale against which said second graphical device is displayed.

10. A method according to claim 8 wherein the first graphical device comprises a numerical scale against which said second graphical device is displayed.

11. A method according to claim 8 wherein the second graphical device represents pointer displayed against the scale.

12. A method according to claim 1 wherein the second graphical device is a histogram.

13. A method according to claim 12 wherein the histogram plots values of the parameter, the first graphical device comprising a colour-coding of values of the parameter forming one axis of the histogram.

14. A method according to claim 1 wherein the second graphical device represents values of said parameter over a time period selected in accordance with the medical condition.

15. A method according to claim 14 wherein said time period depends on the frequency of measurement of said parameter.

16. A method according to claim 1 wherein the second graphical device comprises upper and lower threshold values of said parameter.

17. A method according to claim 1 wherein the patient-specific model of normality is calculated from measured values of the parameter.

18. A method according to claim 1 wherein the patient-specific model of normality is learnt from measured values of the parameter.

19. A method according to claim 1 wherein the patient-specific model of normality is based on clinician assessment of the patient condition.

20. A method according to claim 1 wherein the parameter is one of:

Peak Expired Flow Rate (PEFR), Forced Expired Volume (FEV1), a blood glucose measurement;

a blood pressure measurement.

21. A method according to claim 1 further comprising the steps of displaying geographically-based information relevant to the patient'"'"'s condition and location.

22. A method according to claim 1 wherein the patient-specific model of normality takes into account environmental conditions.

23. A method according to claim 22 wherein the environmental factors comprise at least one of the local weather, pollen count and air quality.

24. A method according to claim 1 further comprising displaying an interactive patient guide for guiding the patient to adopt a predetermined workflow in monitoring their condition by measuring said parameter.

25. A method according to claim 1 further comprising displaying an aspect of an agreed treatment plan, said aspect being selected in accordance with the value of said parameter.

26. Apparatus for displaying values of a parameter indicative of a medical condition, the apparatus comprising a display and a display controller, the display controller being adapted to control the display in accordance with the method of claim 1.

27. Apparatus according to claim 26 further comprising a meter for measuring the current value of the parameter.

28. Apparatus according to claim 26 further comprising a wireless communications device for communicating with a remote database storing values of said first and second parameter and for receiving therefrom the values to display.

29. Apparatus according to claim 26 wherein the wireless communications device is a mobile telephone.

30. Apparatus according to claim 28 wherein the wireless communications device automatically transmits the measured value of the second parameter to the remote database.

31. A method of displaying data indicative of the control of a medical condition by administration of a pharmacologically active agent, comprising:

acquiring as said data a plurality of sets of measured values of a parameter indicative of said medical condition, each set comprising a plurality of measured values of said parameter during a predetermined time period, and a plurality of sets of values of administration of said pharmacologically active agent, each set comprising a plurality of administration values during each of said predetermined time periods;

displaying in a first display area a plot of the measured values of the parameter from all of said sets against a time axis representing a single predetermined time period;

displaying in a second, adjacent display area a time plot of the values of administrations of said pharmacologically active agent from all of said sets against a time axis representing a single predetermined time period;

displaying a visual link between each pair of displayed values formed by an administration value and the measured value of the parameter corresponding to response of the medical condition to that administration, said visual link being common for corresponding pairs from each of the sets and visually-distinguishing the different pairs in each set from each other.

32. A method according to claim 31 wherein the visual link comprises colour coding of said plotted values.

33. A method according to claim 31 wherein the time axes in the two display areas are aligned.

34. A method according to claim 31, wherein the predetermined time period is a day.

35. A method according to claim 34 wherein the corresponding pairs from each set are pairs that temporally correspond.

36. A method according to claim 34 wherein the corresponding pairs from each set are pairs that are at the same time of day.

37. A method according to claim 34 wherein the corresponding pairs from each set are pairs that correspond to the same respective activities during each of the days.

38. A method according to claim 34 wherein the corresponding pairs from each set are pairs that correspond to the same meals and to bedtime during each of the days.

39. Apparatus for displaying data indicative of the control of a medical condition by administration of a pharmacologically active agent, comprising:

a display;

a data acquisition device for acquiring as said data a plurality of sets of measured values of a parameter indicative of said medical condition, each set comprising a plurality of measured values of said parameter during a predetermined time period, and a plurality of sets of values of administration of said pharmacologically active agent, each set comprising a plurality of administration values during each of said predetermined time periods;

a display controller for controlling the display to display the measured values of the parameter, the values of administrations of said pharmacologically active agent, and the visual link in accordance with the method of claim 31.