CA2299448A1 - Computer system for decision support in the selection of diagnostic and therapeutic tests and interventions for patients - Google Patents

Computer system for decision support in the selection of diagnostic and therapeutic tests and interventions for patients Download PDF

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Publication number
CA2299448A1
CA2299448A1 CA002299448A CA2299448A CA2299448A1 CA 2299448 A1 CA2299448 A1 CA 2299448A1 CA 002299448 A CA002299448 A CA 002299448A CA 2299448 A CA2299448 A CA 2299448A CA 2299448 A1 CA2299448 A1 CA 2299448A1
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Canada
Prior art keywords
study
indications
decision support
studies
ordering physician
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002299448A
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French (fr)
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CA2299448C (en
Inventor
Ramin Khorasani
David W. Bates
Michael Viera
Brian Chiango
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Brigham and Womens Hospital Inc
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Individual
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Publication of CA2299448A1 publication Critical patent/CA2299448A1/en
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Publication of CA2299448C publication Critical patent/CA2299448C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/20—ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Abstract

A decision support system for the selection of a diagnostic or therapeutic test or intervention, herein called studies, is supported by identifying a relative number of cases in which significant results were obtained in studies having the same indications. In particular, an ordering physician requests a study for a patient and specifies indications for the study, such as symptoms and a potential diagnosis. The number of studies performed, including those on other patients, for which results were significant for the same indications out of the total number of studies performed for the same indications is provided as feedback to the ordering physician. This feedback relates actual patient results to the appropriateness of the study. A decision support system in a health care information management system receives, from an ordering physician, an order for a study to be performed on a specified patient and indications for the study. The received indications for the selected study are used to access a database of result codes for previous studies having the same indications, including studies performed on other patients. A result of the comparison of the selected study and specified indications to the result codes database is then sent to the ordering physician. Decision support may be enhanced by using data extracted from existing scientific literature. In one embodiment, the decision support system is part of a health care management system that supports structured order entry for use by the ordering physician and a structured data entry module for entering result codes into the database.
CA002299448A 1997-08-15 1998-08-13 Computer system for decision support in the selection of diagnostic and therapeutic tests and interventions for patients Expired - Lifetime CA2299448C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US08/911,790 1997-08-15
US08/911,790 US6029138A (en) 1997-08-15 1997-08-15 Computer system for decision support in the selection of diagnostic and therapeutic tests and interventions for patients
PCT/US1998/016850 WO1999009506A1 (en) 1997-08-15 1998-08-13 Computer system for decision support in the selection of diagnostic and therapeutic tests and interventions for patients

Publications (2)

Publication Number Publication Date
CA2299448A1 true CA2299448A1 (en) 1999-02-25
CA2299448C CA2299448C (en) 2007-04-03

Family

ID=25430872

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002299448A Expired - Lifetime CA2299448C (en) 1997-08-15 1998-08-13 Computer system for decision support in the selection of diagnostic and therapeutic tests and interventions for patients

Country Status (8)

Country Link
US (1) US6029138A (en)
EP (1) EP1012773B1 (en)
JP (1) JP2001516087A (en)
AT (1) ATE231633T1 (en)
CA (1) CA2299448C (en)
DE (1) DE69810945T2 (en)
DK (1) DK1012773T3 (en)
WO (1) WO1999009506A1 (en)

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DE69810945T2 (en) 2003-11-13
JP2001516087A (en) 2001-09-25
ATE231633T1 (en) 2003-02-15
EP1012773B1 (en) 2003-01-22
EP1012773A1 (en) 2000-06-28

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