Electronic clinical reference and education system and method of use

• US 7,593,967 B2
• Filed: 11/26/2003
• Issued: 09/22/2009
• Est. Priority Date: 11/27/2002
• Status: Active Grant

• Current Assignee: RELX Intellectual Properties SA (RELX PLC)
• Original Assignee: Amirsys, Inc. (RELX PLC)
• Inventors: Harnsberger, Hugh, Osborn, Anne
• Primary Examiner(s): Ali; Mohammad
• Assistant Examiner(s): FILIPCZYK, MARCIN R
• Application Number:
  US10/723,018
• Publication Number:
  US 20040107118A1
• Time in Patent Office: 2,127 Days
• Field of Search: 707 1- 6, 707/10, 707100-102, 707/200, 705/2
• US Class Current: 1/1
• CPC Class Codes: G06F 40/166 Editing, e.g. inserting or deleting
• 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 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• 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: Y10S 707/99942 Manipulating data structure, e.g. compression, compaction, compilation

Abstract

A clinical reference and education system and method of use, wherein medical condition diagnosis information is gathered, stored, and distributed. More specifically, information regarding clinical/pathological differential analyses, key facts, clinical presentations, pathology features, imaging findings, anatomy information, medical references with abstracts, expert imaging center information, continuing medical education information, and related data is made available in electronic and printed forms via a general infrastructure of the present system.

Claims

1. In a computer system including a computer having a processor and memory, a method of creating a clinical reference material on a desired topic, the method comprising:

receiving a hierarchy of medical data from an author using an electronic authoring tool comprising a user interface including;

a) a master outline authoring tool, which is used by the author to create the hierarchy of medical data,

b) a diagnostic authoring tool, which is used by the author to create the diagnosis information; and

c) a case authoring tool, which is used by the author to enter and edit the plurality of images and text,

wherein the hierarchy of medical data includes;

a plurality of diagnoses;

a plurality of anatomical regions;

a plurality of pathologies; and

relational data describing relationships between the diagnoses, anatomical regions, and pathologies, each diagnosis defining at least one medical condition that is associated with at least one anatomical region and pathology;

storing the hierarchy of medical data in a relational database in the memory of the computer, wherein the hierarchy of medical data is organized according to the relational data;

receiving diagnosis information from the author for each of the plurality of diagnoses, wherein the diagnosis information describes general characteristics of each of the plurality of diagnoses;

storing the diagnosis information of each of the plurality of diagnoses in the relational database with the corresponding diagnosis in the plurality of diagnoses;

receiving a plurality of images and text relating to a particular case from the author, the images and text being associated with a particular diagnosis stored in the relational database;

storing the plurality of images and text relating to the particular case in the relational database such that the images and text are associated with the particular diagnosis;

receiving a first request from a user for medical reference data on a desired topic;

retrieving the requested medical reference data from the relational database, wherein the medical reference data include at least some of the plurality of images and text, diagnosis information, and medical data related to the first request from the relational database stored in the memory of the computer;

presenting the requested medical reference data to the user in a navigable user interface wherein the navigable user interface is presented on a display of a user computer according to the hierarchy of medical data;

receiving a second request for clinical reference material from the user via the navigable user interface, wherein the clinical reference material includes a selected subset of the medical reference data in a requested format;

reformatting the selected subset of the medical reference data received by the author into the requested format requested by the user to form the requested clinical reference material; and

sending the requested clinical reference material to the user in the requested format.

2. The method of claim 1, further including the step of allowing the author or another entity to review the hierarchy of medical data prior to storing it in the relational database.

3. The method of claim 1, wherein the requested clinical reference material is a printed book.

4. The method of claim 1, wherein the requested clinical reference material is an electronic book.

5. The method of claim 1, wherein the medical data is created by the author using one or more graphical user interfaces.

6. The method of claim 1, wherein the diagnosis information is created by the author using one or more graphical user interfaces.

7. The method of claim 1, wherein plurality of images and text relating to a particular case is created by the author using one or more graphical user interfaces.

8. An electronic clinical reference and education system, comprising:

an electronic authoring tool comprising a user interface including;

a) a master outline authoring tool, which is used by the author to create the hierarchy of medical data,

b) a diagnostic authoring tool, which is used by the author to create the diagnosis information; and

c) a case authoring tool, which is used by the author to enter and edit the plurality of images and text,

through which an author creates;

a hierarchy of medical reference data including;

a plurality of diagnoses;

a plurality of anatomical regions;

a plurality of pathologies; and

relational data describing relationships between the diagnosis, anatomical regions, and pathologies, each diagnosis defining at least one medical condition that is associated with at least one anatomical region and pathology;

diagnosis information for each of the plurality of diagnoses, wherein the diagnosis information describes general characteristics of each of the plurality of diagnoses;

a plurality of images and text relating to a particular case from the author, the images and text being associated with a particular diagnosis stored in a relational database;

the relational database which receives the hierarchy of medical reference data, diagnosis information, and plurality of images and text and storing the hierarchy of medical reference data, diagnosis information, and plurality of images and text in the relational database in a memory, wherein the diagnosis information and plurality of images and text are stored according to the hierarchy of medical reference data so that they are associated with the corresponding diagnosis in the hierarchy of medical reference data; and

a diagnostic reference system including a processor connected to the relational database, which;

retrieves and presents the medical reference data stored in the relational database in to a user connected to the reference system via a navigable user interface;

receives a request from the user for clinical reference material on a desired subset of the medical reference data in a requested format;

retrieves the requested medical reference data from the relational database;

reformats the selected subset of the medical reference data received by the author into the requested format in order to form the requested clinical reference material; and

sends the requested clinical reference material to the user in the requested format.

9. The system of claim 8 wherein the diagnostic reference system comprises an expert imaging center protocol advisor for providing imaging protocols to imaging technician.

10. The system of claim 8, further comprising a continuing medical education system connected to the diagnostic reference system tracks the amount of time the user spends accessing medical reference data using the navigable user interface.

11. The system of claim 10, wherein the continuing medical education system also includes a testing module which tests the user knowledge of the medical reference data that the user has accessed, storing the results of the testing, and granting the user continuing medical education credits when the user has passed the testing.

12. The system of claim 8, wherein the relational database comprises a server connected to the Internet and wherein the electronic authoring tool and diagnostic reference system are connected to the relational database via the Internet.

13. An electronic clinical reference and education system including a computer having a processor and memory, the system comprising:

an electronic authoring tool comprising a user interface including;

a) a master outline authoring tool, which is used by the author to create the hierarchy of medical data,

b) a diagnostic authoring tool, which is used by the author to create the diagnosis information; and

c) a case authoring tool, which is used by the author to enter and edit the plurality of images and text,

through which an author creates;

a hierarchy of medical reference data including;

a plurality of diagnoses;

a plurality of anatomical regions;

a plurality of pathologies;

and relational data describing relationships between the diagnosis, anatomical regions, and pathologies, each diagnosis defining at least one medical condition that is associated with at least one anatomical region and pathology;

diagnosis information for each of the plurality of diagnoses, wherein the diagnosis information describes general characteristics of each of the plurality of diagnoses;

a plurality of images and text relating to a particular case from the author, the images and text being associated with a particular diagnosis stored in a relational database;

the relational database including the memory which receives the hierarchy of reference data, diagnosis information, and plurality of images and text and stores the hierarchy of reference data, diagnosis information, and plurality of images and text in a relational database in the memory, wherein the diagnosis information and plurality of images and text are stored according to the hierarchy of reference data so that they are associated with the corresponding diagnosis in the hierarchy of reference data; and

a product deployment process including the processor connected to the relational database, which;

retrieves and presents the medical reference data stored in the relational database in to a user connected to the reference system via a navigable user interface;

receives a request from the user for clinical reference material on a desired subset of the medical reference data in a requested format;

retrieves the requested medical reference data from the relational database;

reformats the selected subset of the medical reference data received by the author into the requested format in order to form the requested clinical reference material; and

sends the requested clinical reference material to the user in the requested format;

a system management process tracking a user use of the product deployment process and analyzing the user use of the product deployment process.

14. The electronic clinical reference and education system of claim 13, wherein the product deployment process further performs an analysis of the plurality of reference content received from the plurality of authors in order to ensure the integrity and accuracy of the reference content.

15. The electronic clinical reference and education system of claim 14, wherein the analysis of the reference content further comprises sending the plurality of reference content received from the author to one or more editors for analysis.

16. The electronic clinical reference and education system of claim 13, wherein the product deployment process comprises a diagnostic reference system, whereby a user may request and receive reference data from the relational database on a desired topic in order to assist in a diagnosis.

17. The electronic clinical reference and education system of claim 13, wherein the product deployment process comprises an expert imaging center system, whereby a user may request and receive reference data from the relational database on a desired topic in order to identify an appropriate imaging protocols which may be used in a particular imaging process.

18. The electronic clinical reference and education system of claim 13, wherein the product deployment process comprises an continuing education system, whereby the user requests and is presented with educational reference data.