Diagnostic enhancement method and apparatus

• US 6,149,585 A
• Filed: 10/28/1998
• Issued: 11/21/2000
• Est. Priority Date: 10/28/1998
• Status: Expired due to Term

• Current Assignee: Sage Health Management Solutions, Inc. (Document Storage Systems, Inc.)
• Original Assignee: Sage Health Management Solutions, Inc. (Document Storage Systems, Inc.)
• Inventors: Gray, V. Katherine
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): ASTORINO, MICHAEL C
• Application Number:
  US09/181,294
• Time in Patent Office: 755 Days
• Field of Search: 600/300-301, 600/481-486, 600/500-504, 600/544-545, 128/897-898, 128/904, 128/905, 128/920-925, 128/903, 128/900, 705/2-3, 705/4, 705/26-27, 705/35, 395/709, 707/104, 700/90, 340/286.7, 345/169
• US Class Current: 600/300
• 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 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: Y10S 128/904 Telephone telemetry

Abstract

A medical diagnostic enhancement method and system for determining diagnostic tasks to fine-tune a patient diagnosis based upon a possible diagnosis and acquired data for the patient. With this method, a presenting problem is received. Responsive to the presenting problem, particular patient data is then collected. Next, based on predetermined criteria, a plurality of possible diagnoses are presented for selection by a user. The user is then provided with a recommended diagnostic task based on the selected possible diagnosis. The system is a repository of the results of the diagnostic task or it can continue to process the patient data for other suspected diagnoses.

Claims

1. A method for selecting a diagnostic task for a patient, comprising:

(a) receiving for a patient a presenting problem and related data points involving a patient history and a physical examination for the patient;

(b) selecting and presenting a guideline-based data collection procedure based upon the presenting problem. and the data points, and receiving acquired data on the patient as a result of the procedure;

(c) providing for display a plurality of possible diagnoses, for selection by a first user, based on criteria applied to the acquired data on the patient;

(d) receiving a selection of a possible diagnosis from the plurality of displayed possible diagnoses; and

(e) presenting an appropriate recommended diagnostic task for the patient based on the selected possible diagnosis and a cost-effectiveness of the diagnostic task as related to the selected possible diagnosis for use in acquiring additional data related to the possible diagnosis.

2. The method of claim 1, wherein the method further includes the act of posting the appropriate recommended diagnostic task if accepted by the first user.

3. The method of claim 1, wherein the step of providing for display includes providing at least one possible diagnosis based on the presenting problem and the acquired patient data.

4. The method of claim 3, wherein the acquired patient data include symptoms that relate to the presenting problem.

5. The method of claim 1, wherein the step of providing for display includes the act of conveying to the first user information on a relationship between the acquired data and the at least one possible diagnosis.

6. The method of claim 1, wherein the step of providing for display includes the step of making available to the first user additional information.

7. The method of claim 6, wherein the additional information includes a list of associated symptoms.

8. The method of claim 7, wherein the additional information further includes indicating for a requested possible diagnosis the associated symptoms that are reported in the acquired data on a patient.

9. The method of claim 8, wherein the method further includes indicating a relative value of a symptom hit for a selected possible diagnosis.

10. The method of claim 1, wherein the method further includes presenting a display for use in selecting the presenting problem.

11. The method of claim 1, wherein the method further includes presenting an on-line questionnaire for use in obtaining the acquired data.

12. The method of claim 1, wherein the method further includes presenting a screen displaying the guideline-based data collection procedure.

13. The method of claim 1, wherein the method further includes presenting a screen for the first user to select the appropriate recommended diagnostic task.

14. The method of claim 1, wherein the method further includes presenting a screen displaying a work queue compiling identification of a plurality of patients and associated presenting problems.

15. The method of claim 1, wherein the method further includes presenting a screen displaying an on-line case summary including an identification of the patient, an identification of the presenting problem, and the acquired patient data.

16. A method for selecting a diagnostic task for a patient comprising:

(a) receiving for a patient a presenting problem and related data points involving a patient history and a physical examination for the patient;

(b) selecting and presenting a guideline-based data collection procedure based upon the presenting problem and the data points, and receiving acquired data on the patient as a result of the procedure;

(c) providing for display at least one possible diagnosis for selection by a first user based on criteria applied to the acquired data on the patient;

(d) presenting an appropriate recommended diagnostic task for the patient based on the selected possible diagnoses and a cost-effectiveness of the diagnostic task as related to the selected possible diagnoses;

(e) posting the recommended diagnostic task if accepted by the first user; and

(f) receiving and storing the results of the posted diagnostic task.

17. The method of claim 16, wherein the results of the posted diagnostic task include indicating whether the selected possible diagnosis is correct.

18. The method of claim 17, wherein the results of the posted diagnostic task further include a status of an alternative diagnosis.

19. A method for selecting a diagnostic task for a patient, comprising:

(a) receiving for a patient a presenting problem and related data points involving a patient history and a physical examination for the patient;

(b) selecting and presenting a guideline-based data collection procedure based upon the presenting problem and the data points, and receiving acquired data on the patient as a result of the procedure;

(c) providing for display at least one possible diagnosis for selection by a first user based on criteria applied to the acquired data on the patient;

(d) presenting an appropriate recommended diagnostic task for the patient based on the selected possible diagnosis and a cost-effectiveness of the diagnostic task as related to the selected possible diagnosis;

(e) posting the recommended diagnostic task if accepted by the first user; and

(f) enabling the first user to self-define a diagnostic task when the first user does not accept the recommended diagnostic task.

20. A computer-based method for diagnosing a patient pathology, comprising:

(a) identifying for a patient a presenting problem and related data points involving a patient history and a physical examination for the patient;

(b) selecting and presenting a guideline-based data collection procedure based upon the presenting problem and the data points, and receiving acquired data on the patient as a result of the procedure;

(c) receiving a selection of a first diagnosis from a list of possible diagnoses, wherein the possible diagnoses are based on the acquired patient data;

(d) performing an appropriate diagnostic task based on the selected first diagnosis and a cost-effectiveness of the diagnostic task as related to the selected first diagnosis for use in acquiring additional data related to the possible diagnosis, wherein the performed task produces a diagnostic task result; and

(e) making a second diagnosis based on the diagnostic task result.

21. A method for managing the performance of a diagnostic task, comprising:

(a) receiving from a first user a selected possible diagnosis for a patient;

(b) providing the first user with an appropriate recommended diagnostic task for use in acquiring additional data related to the possible diagnosis, wherein the appropriate recommended diagnostic task is selected based upon the selected possible diagnosis, data points involving a patient history and a physical examination for the patient, and a cost-effectiveness of the diagnostic task as related to the selected possible diagnosis;

(c) enabling a second user to perform the task if accepted by the first user; and

(d) enabling a self-defined task to be performed if the recommended task is not accepted by the first user.