METHOD AND SYSTEM FOR GENERATING A MEDICAL REPORT AND COMPUTER PROGRAM PRODUCT THEREFOR

• US 20100114598A1
• Filed: 03/27/2008
• Published: 05/06/2010
• Est. Priority Date: 03/29/2007
• Status: Active Grant

• Current Assignee: Microsoft Technology Licensing LLC (Microsoft Corporation)
• Original Assignee: Nuance Communications, Inc. (Microsoft Corporation)
• Inventors: Oez, Mehmet M.
• Granted Patent: US 8,930,210 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G10L 15/26 Speech to text systems G10L15/08 takes precedence
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A method and a system for generating, with the assistance of a computer system(12), a medical report (18) suitable for automatic billing, wherein an electronic template (39) suited for a specific patient'"'"'s condition is selected out of a plurality of given electronic templates stored in storage means (15); personal data of the specific patient'"'"'s and previously stored in storage means (11) are automatically entered into the selected electronic template; and medical report text passages and instructions are entered into the selected template by dictating and using a speech recognition system (13); additionally, condition data are automatically entered on the basis of condition information as far as stored in storage means (7 ) into the selected template, and code data associated with these condition information are automatically embedded in the selected template; and when entering medical report text passages, at least one predetermined voice macro stored in storage means (16) together with code data embedded therein is called in; the code data thus embedded in the medical report (18) being applicable when coding the medical report for automatic billing.

Claims

1. A method for generating, with the assistance of a computer system, a medical report suitable for automatic billing, said method comprising:

selecting an electronic template suited for a specific patient'"'"'s condition out of a plurality of given electronic templates stored in storage means;

automatically entering personal data of the specific patient and previously stored in storage means into the selected electronic template; and

entering medical report text passages and instructions into the selected template by dictating and using a speech recognition system;

wherein condition data on the basis of condition information as far as stored in storage means are automatically entered into the selected template, and code data associated with these condition information are automatically embedded in the selected template; and

when entering medical report text passages, at least one predetermined voice macro stored in storage means together with code data embedded therein is called in;

the code data thus embedded in the medical report being applicable when coding the medical report for automatic billing.

2. The method of claim 1, wherein the code data are embedded in the medical report with hidden tags.

3. The method of claim 1 , wherein an ambiguity as to the code data which are to be entered into the medical report is ruled out by automatically checking the patient'"'"'s personal data and excluding code data which are not consistent with said personal data.

4. The method of claim 1 , wherein an ambiguity as to the code data which are to be entered into the medical report is ruled out by automatically checking previously stored condition information available in the computer system and accepting code data which are more likely than others in view of said previously stored condition information.

5. The method of claim 1 , wherein an ambiguity as to the code data which are to be entered into the medical report is ruled out by automatically checking actual medical examination information entered during dictating and excluding code data which are not consistent with such actual medical examination information.

6. The method of claim 1, wherein the embedded code data are temporary code data which may be transformed to final code data according to a prescribed coding system to be used for automatic billing.

7. The method of claim 1, wherein the embedded code data are final code data according to a prescribed coding system to be used for automatic billing.

15. A computer program product comprising a computer-recordable medium bearing computer executable instructions for carrying out the method of claim 1.

8. A system for generating a medical report suitable for automatic billing, said system comprising:

storage means for storing personal data;

storage means for condition information of patients;

storage means for storing a plurality of predetermined electronic templates;

means for selecting an electronic template suited for a specific patient'"'"'s condition;

means for automatically entering personal data of a specific patient as stored in the storage means into the selected electronic template; and

means for entering medical report text passages into the selected template by dictating and using a speech recognition system;

wherein the system further comprises means for automatically entering condition data on the basis of condition information of the specific patient as far as stored in the storage means into the selected template, and for automatically embedding code data associated with these condition information in the selected template; and

storage means for storing predetermined voice macros having code data embedded therein, at least one of said voice macros together with code data being called in when entering medical report text passages;

the code data thus embedded in the medical report being applicable when coding the medical report for automatic billing.

9. The system of claim 8, wherein the code data are embedded in the medical report with hidden tags.

10. The system of claim 8, further comprising computing means for ruling out possible ambiguities as to the code data by automatically checking the patient'"'"'s personal data and excluding code data which are not consistent with said personal data.

11. The system of claim 8, further comprising computing means for ruling out possible ambiguities as to the code data by automatically checking previously stored condition information available in the system and accepting code data which are more likely than others in view of said previously stored condition information.

12. The system of claim 8, further comprising computing means for ruling out possible ambiguities as to the code data by automatically checking actual medical examination information entered into the selected template during dictating, and excluding code data which are not consistent with such actual medical examination information.

13. The system of claim 8, wherein the embedded code data are temporary code data which may be transformed to final code data according to a prescribed coding system to be used for automatic billing.

14. The system of claim 8, wherein the embedded code data are final code data according to a prescribed coding system to be used for automatic billing.