Method and system for generating personal/individual health records

CAFC
  • US 7,428,494 B2
  • Filed: 07/28/2006
  • Issued: 09/23/2008
  • Est. Priority Date: 10/11/2000
  • Status: Active Grant
First Claim
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1. A method for generating a personal/individual health record, said method comprising a personal health record system server performing the steps:

  • (a) enrolling a patient in a health plan of a payor, wherein the patient undergoes encounters with a plurality of health care providers regarding a health related issue of the patient, wherein the health care providers request payment for at least a portion of the cost for the encounters from the payor, wherein the health care providers submit health related information of the patient to the payor to support the cost of encounters with the patient;

    (b) initially establishing a communication link between a personal health record (“

    PHR) system and the payor, wherein there is no communication between the PHR system and the health care providers and between the PHR system and the patient;

    (c) receiving payor claims data by the personal health record system server regarding the patient from the payor via the communication link;

    (d) analyzing at the PHR system server said payor claims data to determine which portion of said payor claims data is encounter data comprising at least one of a diagnosis, a treatment, a medication, a procedure of said patient, a history of office visits with one or more of the health care providers, and duration of office visits;

    (e) translating at the PHR system server said encounter data into at least one universal health care concept code;

    (f) creating at the PHR system server a personal/individual health record of the patient by storing one or more entries into the personal/individual health record based on the encounter data and associating the universal health care concept code with each entry;

    (g) organizing at the PHR system server the personal/individual health record by grouping together entries in the personal/individual health record as related based on the universal health care concept code associated with the entries;

    (h) subsequent to steps (a), (b), (c), (d), (e), and (f), establishing a communication link between the personal health record system and the patient, wherein said personal/individual health record is viewable by said patient via the communication link; and

    (i) subsequent to steps (a), (b), (c), (d), (e), and (0, supplementing the personal/individual health record with health-related data regarding the patient from one or more of the health care providers.

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