Computerized medical diagnostic and treatment advice system including list based processing

• US 5,935,060 A
• Filed: 07/11/1997
• Issued: 08/10/1999
• Est. Priority Date: 07/12/1996
• Status: Expired due to Term

• Current Assignee: Healthways SC, LLC (Warner Bros. Discovery, Inc.)
• Original Assignee: First Opinion Corporation (Tivity Health, Inc.)
• Inventors: Iliff, Edwin C.
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/893,402
• Time in Patent Office: 760 Days
• Field of Search: 600/300, 600/301, 128/897, 128/898, 364/413.01, 364/413.02, 364/413.29
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/63 for local operation
• 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 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: H04M 2201/40 using speech recognition speech recognition per se G10L15/00
• CPC Class Codes: H04M 2203/355 Interactive dialogue design tools, features or methods
• CPC Class Codes: H04M 3/493 Interactive information services, e.g. directory enquiries ; Arrangements therefor, e.g. interactive voice response [IVR] systems or voice portals
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A system and method for providing computerized, knowledge-based medical diagnostic advice. The medical advice is provided to the general public over a network, such as a telephone network with the use of a telephone or the Internet with the use of an Internet access device. Alternatively, the medical advice can be provided to a patient in a stand-alone mode by use of a computer. The invention utilizes a list-based processing method of generating and executing diagnostic scripts. For the purpose of diagnosing a health problem of a patient, medical knowledge is organized into a list of the diseases to be considered. Each disease on the disease list includes a list of symptoms that is checked in a patient. Each symptom on the symptom list is then further described as a response to a list of one or more questions asked of the patient about the symptom. This triply-nested list structure is converted by suitable data structure transformations into a script that is stored. When a patient requires diagnosis, the script is played back as a sequence of questions. The responses of the patient are analyzed and converted into symptoms. The symptoms are accumulated into diseases. Finally the diseases are selected and reported as a diagnosis.

Claims

1. A computerized diagnostic method, comprising:

providing to a computer a list of diseases, each disease associated with a list of symptoms, and each symptom associated with a list of questions;

repetitively asking questions to elicit responses, the responses establishing symptoms, each established symptom contributing a weight to an accumulated total weight for a disease; and

determining whether the accumulated total weight for a disease reaches or passes a threshold so as to declare a diagnosis.

2. The method defined in claim 1, wherein the symptom is established based on a presence or absence of one or more other symptoms.

3. The method defined in claim 1, wherein a presence of a selected set of symptoms adds additional weight to the accumulated total weight of at least one of the diseases.

4. The method defined in claim 1, wherein a symptom at a first selected time of the diagnostic method is weighted differently than the symptom at a second selected time of the diagnostic method.

5. The method defined in claim 1, wherein the weight of a symptom established at a first severity is different than the weight of the symptom established at a second severity.

6. The method defined in claim 1, wherein a selected set of symptoms occurring in a specified sequence over time lends a different accumulated weight to the total weight than an accumulation of the individual weights of the selected set of symptoms not occurring in the specified sequence.

7. The method defined in claim 1, wherein a sequence of an onset or ending of a selected set of symptoms lends a different accumulated weight to the total weight than an accumulation of individual weights of the selected symptoms alone.

8. The method defined in claim 1, wherein the disease is ruled-in for further diagnostic inquiry based on the accumulated total weight.

9. The method defined in claim 1, wherein the disease is ruled-out for further diagnostic inquiry based on the accumulated total weight.

10. The method defined in claim 1, wherein questions for diseases deemed urgent are asked before questions for non-urgent diseases.

11. The method defined in claim 1, additionally comprising determining whether the accumulated total weight for a disease reaches or passes a rule-out threshold so as to eliminate a possible diagnosis.

12. The method defined in claim 8, wherein a degree of certainty of ruling-in the disease is provided.

13. The method defined in claim 9, wherein a degree of certainty of ruling-out the disease is provided.

14. The method defined in claim 1, wherein a plurality of diagnoses, each diagnosis having a degree of certainty, are accumulated into a patient specific differential diagnosis list.