Medical support system

• US 7,783,503 B2
• Filed: 06/15/2009
• Issued: 08/24/2010
• Est. Priority Date: 12/12/2001
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Thompson, John Robert, Lustig, Michael Robert, Janas, John J. III
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): RANGREJ, SHEETAL
• Application Number:
  US12/484,835
• Publication Number:
  US 20090254378A1
• Time in Patent Office: 435 Days
• Field of Search: 705 2- 3
• US Class Current: 705/2
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

A medical support system and method for performing at least one medical support process relating to diagnosis and treatment of a medical condition and that includes or employs medical records relating to patients and medical support databases including medical guidelines for the diagnosis and treatment of a medical condition. A medical support process includes one or more process phases, which may include a data phase, a diagnostic phase and a therapy/treatment recommendation phase. Each process phase includes one or more process operations wherein each of the process operations of a process phase includes one or more process forms providing interfaces between a user and the process operations. Each process form includes fields for passing user inputs to the process operations and for displaying the results of the process operations to the user and the support processes are responsive to user inputs, the medical records and the guidelines to execute an interactive dialogue between the medical support process and the user to provide guidance to the user in performing the medical support process according to the guidelines and dependent upon the user inputs and the medical record.

Claims

1. A medical support system including:

a memory for storing at least one medical support process relating to diagnosis and treatment of a medical condition;

a processor responsive to the medical support process and to user inputs for performing the medical support process;

an input device for user inputs relating to the medical support process;

an output device for displaying the results of the medical support process to a user; and

a bi-directional dialect translator receiving and translating between preferred dialect medical terms entered by a user and corresponding equivalent but different standard medical terms employed in the support process operation, and, conversely, bi-directionally translating the standard medical terms employed by the medical process support operation into the preferred dialect medical terms originally entered and used by the user for display to the user;

wherein the medical support process includes;

at least one process form providing an interface between a user and the process operations of the process phase, each process form including fields for passing user inputs to the process operations and for displaying the results of the process operations to the user; and

at least one support process responsive to user input, the medical record data, and guidelines for performing the process operations, wherein the at least support process executes an interactive dialogue between the medical support process and the user to provide guidance to the user in performing the medical support process according to the guidelines and dependent upon the user inputs and the medical record using the bi-directional translator;

wherein the guidance provided to the user is capable of being overridden by the user and wherein the overridden guidelines are dynamically updated with a patient based guideline for the individual patient based on user input of the patient based guideline for the individual patient.

2. The medical support system of claim 1, wherein a medical support process includes:

a data phase for entering new information and reviewing historical information pertaining to the medical condition of the patient for the purposes of the medical support process; and

an assessment phase for evaluation of the patient'"'"'s present medical condition based upon the information from the data phase and the guidelines for the diagnosis and treatment of the medical condition.

3. The medical support system of claim 2, wherein a medical support process further includes:

a recommendations phase including process operations and guidelines to assist the user in determining a course of treatment for the patient.

4. The medical support system of claim 1, wherein the process form fields include fields for the display and entry of data, text, prompts, messages and user decision options.

5. The medical support system of claim 1, wherein the process form fields include process fields containing process calls invoking corresponding support processes upon corresponding user inputs to the process fields.

6. The medical support system of claim 1, wherein the support operations include first support processes for invoking second support processes dependent upon user inputs.

7. The medical support system of claim 1, wherein the support processes include support processes for displaying a next process form.

8. The medical support system of claim 1, wherein the support processes include support processes for modifying the information displayed in a present process form.

9. The medical support system of claim 1, wherein the medical support databases reside within the support processes.

10. The medical support system of claim 1, wherein user input used to override the guidance is entered in the medical record.

11. An article of manufacture comprising:

a computer readable storage medium; and

executable program instructions embodied in the computer readable storage medium that when executed by a programmable system cause the system to perform functions that implement a medical support system, the functions comprising;

a bi-directional dialect translator receiving and translating between preferred dialect medical terms entered by a user and corresponding equivalent but different standard medical terms employed in a medical support process and, conversely, bi-directionally translating the standard medical terms employed by the medical support process into the preferred dialect medical terms originally entered and used by the user for display to the user;

at least one process form providing an interface between a user and medical support process operations, each process form including fields passing user input to the medical support process operations and displaying the results of the process operations to the user; and

at least one support process responsive to user input, patient medical record data, and guidelines for performing the process operations, wherein the at least support process executes an interactive dialogue between the medical support process and the user to provide guidance to the user in performing the medical support process according to the guidelines and dependent upon the user inputs and the medical record using the bi-directional dialect translator

wherein the guidance provided to the user can be overridden by the user and wherein the guidelines are dynamically updated with a patient based guideline for the individual patient based on user input and a medical record for the individual patient.

12. A method for providing interactive support for a medical practitioner during a patient encounter based on best current recommendations/guidelines, the method comprising:

selecting a problem or disease to be the subject of a guidance-assisted medical support process;

reviewing evidence-based studies and clinical practice guidelines to develop guidelines to support the medical support process;

mapping information entry, information display, guidelines, prompts, and clinical decision support to an electronic interface form for user completion based on a review of an existing process workflow;

creating decision-support and workflow processes based on the mapping;

developing a guideline-assisted medical support process using the mapping, clinical decision support, and workflow processes; and

providing the electronic interface form and the guideline-assisted medical support process to a user for evaluation of a patient,

wherein a bi-directional dialect translator receives and translates between preferred dialect medical terms entered by a user and corresponding equivalent but different standard medical terms employed in the guideline-assisted medical support process and, conversely, bi-directionally translating the standard medical terms employed by the guideline-assisted medical process support into the preferred dialect medical terms originally entered and used by the user for display to the user.

13. The method of claim 12, further comprising reviewing at least one of decision support, guidelines, and medical support process workflow based on updated information from the user.

14. The method of claim 12, further comprising developing a recommendations phase for the medical support process including process operations and guidelines to assist the user in determining a course of treatment for the patient.

15. The method of claim 12, wherein the guidance provided to the user is capable of being overridden by the user and wherein the guidelines are dynamically updated based on user input.

16. In a medical support system including an input device for user inputs relating to a medical process and an output device for displaying the results of the medical process to a user, a memory for storing the medical process and medical data, and a processor operating under control of the medical process and the user inputs, a method for providing support for a medical practitioner performing a medical process relating to diagnosis and treatment of a medical condition, the method comprising:

storing at least one medical record relating to a patient;

storing at least one medical support database including medical guidelines for the diagnosis and treatment of the medical condition; and

performing a medical support process including;

providing at least one process form providing an interface between a user and the process operations of the process phase, each process form including fields for passing user inputs to the process operations and for displaying the results of the process operations to the user; and

providing at least one support process responsive to user inputs, the medical record and the guidelines for performing the process operations, wherein

the support processes execute an interactive dialogue between the medical support process and the user to provide guidance to the user in performing the medical support process according to the guidelines and dependent upon the user inputs and the medical record,

wherein the guidance provided to the user is capable of being overridden by the user and wherein the guidelines are dynamically updated based on user input

translating between medical terms displayed to and entered by a user and corresponding equivalent but different medical terms employed in the support operations, wherein the translation is a bi-directional translation between medical terms displayed to and entered by a user and corresponding equivalent but different medical terms employed in the support operations.

17. The method of claim 16 for providing support for a medical practitioner performing the medical process, wherein a medical support process further includes:

a recommendations phase including process operations and guidelines to assist the user in determining a course of treatment for the patient.

18. The method of claim 16 for providing support for a medical practitioner performing the medical process, further comprising the step of translating between medical terms displayed to and entered by a user and corresponding equivalent but different medical terms employed in the support operations, wherein the translation is a bi-directional translation between medical terms displayed to and entered by a user and corresponding equivalent but different medical terms employed in the support operations.

19. The method of claim 16, wherein user input used to override the guidance is entered in the medical record.