US20030181790A1 - Methods and apparatus for facilitated, hierarchical medical diagnosis and symptom coding and definition - Google Patents
Methods and apparatus for facilitated, hierarchical medical diagnosis and symptom coding and definition Download PDFInfo
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- US20030181790A1 US20030181790A1 US10/276,624 US27662402A US2003181790A1 US 20030181790 A1 US20030181790 A1 US 20030181790A1 US 27662402 A US27662402 A US 27662402A US 2003181790 A1 US2003181790 A1 US 2003181790A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/1036—Measuring load distribution, e.g. podologic studies
- A61B5/1038—Measuring plantar pressure during gait
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/112—Gait analysis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1126—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb using a particular sensing technique
- A61B5/1128—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb using a particular sensing technique using image analysis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4005—Detecting, measuring or recording for evaluating the nervous system for evaluating the sensory system
- A61B5/4023—Evaluating sense of balance
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T7/00—Image analysis
- G06T7/20—Analysis of motion
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06V—IMAGE OR VIDEO RECOGNITION OR UNDERSTANDING
- G06V40/00—Recognition of biometric, human-related or animal-related patterns in image or video data
- G06V40/20—Movements or behaviour, e.g. gesture recognition
- G06V40/23—Recognition of whole body movements, e.g. for sport training
- G06V40/25—Recognition of walking or running movements, e.g. gait recognition
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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
- 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
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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
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/40—ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
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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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
- A61B5/0013—Medical image data
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
Definitions
- the present invention relates to techniques for medical diagnosis, symptom coding and definition.
- U.S. Pat. Nos. 5,441,047 and 5,544,649 (“the '047 and '649 patents”), incorporated by reference, disclose an interactive, two-way audio-visual communication system for use in monitoring ambulatory (at home) patients.
- the '047 and '649 patents describe a system wherein a health care worker at a central station monitors and/or examines the patient, while the patient is at a remote location.
- the patient may be a person having a specific medical condition being monitored or may be an elderly person desiring general medical surveillance in the home environment.
- Cameras are provided at the patient's remote location and at the central station such that the patient and the health care worker are in interactive visual and audio communication.
- a communications network such as an interactive cable television is used for this purpose.
- Various medical condition sensing and monitoring equipment are placed in the patient's home, depending on the particular medical needs of the patient.
- the patient's medical condition is measured or sensed in the home and the resulting data is transmitted to the central station for analysis and display.
- the health care worker then is placed into interactive visual communication with the patient concerning the patient's general well being, as well as the patient's medical condition.
- the health care worker can make “home visits” electronically, twenty-four hours a day.
- the present invention provides a technique for facilitating the acquisition of standardized patient medical information through a system of hierarchically linked catalogues, each comprising at least one condition-descriptive entry.
- the hierarchy of linked catalogues is essentially a tree structure in which the content of the lower-level catalogues is dependent upon particular entries in upper-level catalogues.
- the uppermost catalogue comprises a model display of a male or female.
- a user of the system selects a condition-descriptive entry from an uppermost catalogue.
- the selected condition-descriptive entry from the uppermost catalogue determines at least one lower-level catalogue that is subsequently displayed to the user.
- diagnoses arrived at through the hierarchical structure include an ICD-9 code, thereby facilitating implementations of databases.
- FIG. 1 is a more detailed functional block diagram of the data analysis and display center of the central station of FIG. 2;
- FIG. 2 an illustration of one possible arrangement of the health monitoring and telecommunications equipment in the central stations
- FIG. 3 an illustration of one possible arrangement of the medical condition measuring, sensing and telecommunications equipment in a patient's home environment
- FIG. 4 illustrates an exemplary hierarchy in accordance with the present invention
- FIG. 5 illustrates an exemplary first embodiment of a plurality of hierarchically linked catalogues each comprising at least one condition-descriptive entry in accordance with the present invention
- FIGS. 6A and 6B illustrate an exemplary second embodiment of a plurality of hierarchically linked catalogues each comprising at least one condition-descriptive entry in accordance with the present invention.
- FIG. 7 illustrates an exemplary problems/complaints list in accordance with the present invention.
- the system of the present invention may use or incorporate inexpensive home medical monitoring equipment that includes a camera, sensors and measuring devices for the particular medical parameters to be monitored.
- the patient's home equipment is simple to use and modular to allow for the accommodation of the monitoring device to the specific needs of each patient.
- the home unit includes only the sensor part of the measuring device.
- the raw data, including video image data is transmitted to the central station, which includes all of the needed sophistication to allow for the storage, transformation, display and interpretation of the data. The need for expensive equipment in the home is thus avoided. Inexpensive sensors are placed in the patients' homes, and the more costly analytic equipment for all the patients is located at the central station.
- the central station includes a computer-based multi-channel data analysis and display unit that enables the interpretation, display, and storage of the transmitted data.
- This central station is preferably equipped with alarm mechanisms to alert the staff to any aberration from the expected.
- the central station further includes apparatus for the communication of data to all authorities involved in the wide spectrum of the patient's needs, e.g., emergency care agencies, the patient's physician, nursing services, social workers, etc.
- the central station is preferably provided with the capability of automatically scanning predesignated patient home units at predetermined intervals to provide continuous supervision of specific parameters.
- the central station may monitor continuously one or more parameters, e.g., ECG, blood pressure, respiration, etc., for hours or even days, thereby creating a semi-intensive-care capability.
- the embodiment disclosed enables one highly trained nurse or patient monitoring personnel located at the control center to supervise and monitor a multitude of patients either seriatim or substantially simultaneously. Whereas a visiting nurse may only be able to visit 5 or 6 homes per day in person, a nurse at the central station may be able to visit 5 or 6 patients per hour by making electronic “home visits”.
- Cable television provides an already existing, widespread and ideal system for interactive visual communication with most residential units in densely populated urban areas.
- the ambulatory patient monitoring system integrating the latest advances in biomedical technology with cable television provide safe and accurate general and medical supervision for the geriatric/homebound population in their own, natural environment.
- a direct visual uni- or bi-directional contact between the elderly person monitored and the supervision is established at any time, day or night. This contact can be initiated, at will, by the patient monitor or by the patient.
- this communication system is used to transfer general data as well as medical data from sensors to monitor the various medical and non-medical parameters. Further, a health practitioner may be able to have “classes” with many remotely located patients.
- Cable television networks provide a useful mode of communication between the patient's remote location and the central station at the present, and is a presently preferred means for transmission of the audio-visual signal from the patient to the central station and for transmission of the audio-visual signal of a health practitioner to the patient's remote location.
- the measured medical data can be displayed in the patient's remote location and the parameters picked up by the camera.
- the transmission of the measured medical data may also be by cable television, or may be through another communication network such as the telephone system.
- the data transmission could also be by microwave, cable, or other transmission means. It will be appreciated that as advances in telecommunications develop, other techniques for transmission of video signals between a central station and the home may be desirable and economically feasible. For example, satellite and radio transmission of the video signal and/or monitored medical data, or transmission via modem through the telephone lines, may also prove satisfactory.
- Communication between the patient's remote location and the central station can be initiated by a variety of techniques.
- One method is by manually or automatically placing a call on the telephone to the patient's home or to the central station.
- a responsive switch is thrown, turning on the camera in the patient's home or at the central station.
- the patient and central station could agree on times or time intervals in which communication would take place.
- a remote control button on the patient's chair is installed which, when activated, turns on the equipment in the home and alerts the health practitioner at the central station.
- Data indicating the medical condition of the patient is sensed in the patients' remote location and may be sent via the telephone lines to the central station 20 .
- the data is in turn relayed on a data bus 68 into a central computer 70 .
- the central computer 70 has both a data storage center 72 (including volatile and/or non-volatile memory, as known in the art), and a central processing unit (CPU) 74 .
- the data storage center 72 stores incoming patient data for a given period of time, which may be over 24 hours, so that a physician or health practitioner can go back through the patient's medical data, during the previous 24 hours for example, and ascertain what the patient's health or condition was at a certain period of time.
- This capability is important for diagnostic purposes because it allows the physician to monitor and analyze the patient's medical condition prior to a given event such as a cardiac arrest.
- the physician can simply enter commands into the keyboard 76 to access particular data from a particular period of time and display the information.
- the physician may have the patient monitored for electrical activity in the heart.
- the patient will have a set of electrodes attached to his chest and the electrical potentials are measured on the surface of the chest.
- the data analysis and display unit 28 may further include a means for transferring the medical data onto high storage capacity media 77 such as optical disks, which can then be retrieved at a later point in time.
- the diagnostic tools provided by this data analysis and display center significantly enhances the ability to monitor patients in the home and to diagnose precise medical conditions based on the collected data. Because the present invention provides a technique amenable to the use of standardized codes in diagnosing patients and describing their symptoms, the stored data may be readily searched and analyzed in a coherent manner.
- the audio-visual signal from the patient is fed on cable 84 to a video storage unit 86 .
- a health care practitioner or physician may enter commands at the keyboard 76 for the central computer 70 and retrieve the audio-visual signal stored in the video storage unit 86 such that he or she can see the picture of the patient on a TV screen 88 either simultaneous with its transmission from the patients' remote location 10 , or during a previous period of time. For example, if the patient was experiencing chest pains at 3:00 a.m. the previous day, the physician may want to see the picture of the patient at 3:00 a.m.
- the physician enters a command into the keyboard 76 , or manipulates the video data storage device 86 , such as a VCR, to retrieve the video picture of the patient 16 at 3:00 am.
- the picture of the patient 16 is displayed on the screen 88 together with a time field 90 .
- the physician can then have the display units 82 or 78 display the electrocardiograms in a one or two-dimensional image to correspond with the patient's picture at that period of time so he can match up the medical data with the video image of the patient.
- FIG. 1 Also depicted in FIG. 1 is a computer monitor 150 of the type well known in the art.
- the computer monitor 150 is used, in one embodiment of the present invention, as part of a user interface along with a user interface selection device (such as a mouse, touch screen, voice recognition interface, etc.) to allow the health care practitioner to operate software programs stored in memory 72 and executed by the processor 74 .
- a user interface selection device such as a mouse, touch screen, voice recognition interface, etc.
- the healthcare practitioner can use the two-way, audio visual communication capabilities of the present invention to perform medical pre-screening on diagnostic record keeping using software programs running on the computer 70 . As described herein.
- FIG. 2 there is illustrated one possible arrangement of the health monitoring and telecommunications equipment at the central station 20 surrounding the health practitioner or nurse 112 .
- the nurse 112 enters via keyboard 76 of the central computer 70 commands to call up on the TV screen 88 the patient 16 of interest.
- the commands may also include commands to start up the camera in the patients home.
- the central computer 70 is linked with the switching center 34 (FIG. 2) such that any of the subscriber patients can be accessed.
- the patient's medical records and history are entered into the computer 22 such that when the particular patient is selected, the history is displayed either on the display 150 of computer 70 or on a separate screen 152 . This enables the nurse 112 to rapidly familiarize herself with the patient.
- the patient's ECG or cardiac activity can be displayed on displays 78 and 82 , respectively.
- the patient's oximetry data may be displayed for a given period of time on a separate display 154 .
- the nurse 112 also has a camera 22 oriented towards her which generates an audio-visual signal for transmission to the patient's remote location 10 .
- the patient depicted in FIG. 3 may be examined for various ambulatory and other physical characteristics useful in the diagnosis of patient health, for example the predisposition to fall.
- gait and mobility of the patient may be examined and analyzed using the system of the invention.
- the video camera 22 may include a lens having a wide angle vision field.
- the patient 16 can be orally instructed by the health practitioner to position himself at a start position in the vision field, for example, standing erect at the center of the vision field at a specified distance from the camera 22 .
- the practitioner 112 will direct the patient 12 , having been positioned at the start position, to conduct specific physical activities such as specific arm movements, walking, bending, etc.
- the video image data generated in this manner is transmitted to the central station where it can be recorded for subsequent analysis.
- the video image data can then be used to generate motion characteristics data for comparison with previously stored standard data or previously recorded data for that patient.
- the recorded visual signal may be reviewed by the practitioner for purposes of diagnosis and advice to the patient.
- the predisposition of a patient to fall and the potential reasons for a fall can be predicted and preventive intervention can be attempted.
- a change in medication can be prescribed or physical therapy may be instituted.
- the system may then be utilized to monitor the results of the prescribed medication or therapy.
- the video image data alone may be relied upon to provide a medical signal or diagnostic information relating to specific body parts or functions, just as physicians and medical practitioners regularly rely upon visual diagnosis.
- the system of the invention permits such diagnosis.
- a narrow field or angle signal can be utilized to conduct, for example, an eye examination.
- Such an examination could focus on eye movement, pupil size under differing conditions, eye reaction time, eye condition in view of a regimen of medication, and numerous other diagnostic matters.
- the condition and color of skin can also be examined using a narrow field visual technique.
- the visual condition of a patient is an important diagnostic tool and reaction to medication, growth of moles, and skin disturbances can be recorded, compared to standards and prior data in an ongoing manner to facilitate patient treatment.
- FIG. 4 illustrates an exemplary hierarchy 700 in accordance with the present invention.
- the hierarchy 700 comprises a well-known tree structure.
- a topmost element “A” is linked to lower level elements, here labeled “B” and “C”.
- Elements “B” and “C”, in turn, are linked to still-lower elements “D”, “E”, “F” and “G”, respectively.
- Even lower elements “H”, “I”, “J”, “K” and “L” are linked to higher level elements “D” and “F”, respectively.
- An arbitrary number of levels may be provided.
- FIG. 5 an exemplary first embodiment of a plurality of hierarchically linked catalogues 802 - 806 (each comprising at least one condition-descriptive entry) is illustrated.
- the example illustrated in FIG. 5 allows a health care practitioner to arrive at a diagnosis through increasingly specific condition-descriptive entries.
- the plurality of hierarchically linked catalogues is generated using software routines executed by a suitable computing platform and displayed on a monitor or similar device.
- the catalogues are displayed on the monitor 150 based on software executed by the computer 80 .
- catalogues 802 - 806 are illustrated.
- a topmost or uppermost catalogue 802 is logically positioned at the top of the hierarchy.
- the uppermost catalogue 802 generally comprises the most general condition-descriptive entries.
- Successively lower catalogues 804 - 806 comprise correspondingly more specific condition-descriptive entries.
- the catalogues 802 - 806 are organized according to a System-Subsystem-Diagnosis hierarchy, as described below. Although only three catalogues are illustrated in FIG. 5, it is understood that a greater or lesser number of catalogues could be used and arranged in this manner.
- Each condition-descriptive entry within a given catalogue preferably comprises a medically acceptable term or group of terms useful in aiding a health care practitioner to describe a patient's symptoms and/or categorize a portion of the patient's body.
- each condition-descriptive entry preferably describes the symptoms/body portion at a given level of abstraction, with successively lower categories corresponding to successively lower levels of abstraction, i.e., increasingly specific entries.
- a feature of the present invention is the hierarchical linking of the catalogues such that selection of an entry in a given catalogue automatically determines which lower level catalogues are displayed. By asking the patient to describe his or her condition at each catalogue level, a health care practitioner may select a condition-descriptive entry and continually narrow the diagnosis/symptom description until a final level of abstraction or description is achieved.
- the uppermost catalogue 802 in FIG. 5 comprises “Systems” entries descriptive of general body systems, e.g., digestive, respiratory, etc.
- an uppermost condition-descriptive entry 808 in this case “Digestive”
- a lower level catalogue 804 listing various “Organs” logically grouped together underneath the “Digestive” system, is automatically displayed.
- selection of another condition-descriptive entry 812 in this case “Stomach/Duodenum” causes a further lower level catalogue 806 , listing various diagnoses applicable to the “Stomach/Duodenum”, to be automatically displayed.
- selection of a final condition descriptive entry 816 is equivalent to a final diagnosis; in this case, a diagnosis calling for “Diagnostic procedures on stomach (including gastroscopy).”
- selection windows 810 , 814 , 818 display the selected condition-descriptive entries 808 , 812 , 816 thereby allowing the health care practitioner to quickly confirm entries as they are selected.
- specific condition-descriptive entries i.e., ICD-9 codes
- FIG. 5 specific condition-descriptive entries
- specific codes 822 are included with the diagnosis entries in the diagnosis catalogue 806 , which codes are uniquely descriptive of the selected diagnosis.
- the codes 822 comprise ICD-9 codes.
- the use of specific codes provides uniformity across diagnoses and further facilitates database implementations, including efficient searching and data analysis.
- definitions (diagnoses) in the diagnosis catalog 806 are dynamically sorted according to frequency of use. In such doing, most frequent definitions (diagnoses) are always shown on the first panel and are therefore easily accessible.
- An “Add to problems list” button 820 is also illustrated in FIG. 5.
- the problems button 820 allows the health care practitioner, once he or she is satisfied with the completeness and accuracy of the diagnosis, to have data representative of the selected diagnosis 816 (and, optionally, the higher-level condition-descriptive entries 808 , 812 ) stored in a database or other long term memory. Techniques for capturing data in this manner are well-known in the art. By maintaining a list of such data, a complete history of each patient's problems/diagnoses may be provided, as described in greater detail below with reference to FIG. 7.
- FIGS. 6A and 6B an exemplary second embodiment of a plurality of hierarchically linked catalogues 902 , 908 , 914 - 922 (each comprising at least one condition-descriptive entry) is illustrated.
- the example illustrated in FIGS. 6A and 6B allows a health care practitioner to arrive at a symptom description through increasingly specific condition-descriptive entries.
- the plurality of hierarchically linked catalogues is generated using software routines executed by a suitable computing platform and displayed on a monitor or similar device.
- the catalogues are displayed on the monitor 150 based on software executed by the computer 80 .
- the specific number of catalogues shown in FIGS. 6A and 6B are for illustrative purposes only; any number of catalogues may be provided as a matter of design choice.
- FIG. 6A illustrates catalogues 902 , 908 based on model displays 904 , 910 .
- a male model display 904 and a zoom display 910 are shown.
- female model displays may be chosen depending on the gender of the patient under consideration.
- the condition-descriptive entries correspond to predetermined regions of the model display.
- a health care practitioner through a user interface selection device such as a mouse-cursor combination, for example, can select a given region on the model display corresponding to a problem region described by a patient.
- a head region 906 has been selected. Any number of specific regions may be defined as a matter of design choice, which regions can be overlapping or non-overlapping.
- the model display may be rotated around at least one axis (preferably, at least a vertical axis) to provide a complete display of all possible regions. Techniques for providing and manipulating such displays are well known in the art.
- the zoom display 910 may be optionally provided.
- the zoom display 910 corresponds to a lower level catalogue relative to the male model display 904 , with the various sub-regions depicted therein corresponding to lower-level condition-descriptive entries.
- the zoom display 910 allows selection of a sinuses sub-region 912 . Because the contents of the zoom display 910 are dictated by the particular region 906 selected in the larger model display 904 , the hierarchical catalogue structure provided through the use of text-only catalogues is maintained.
- More conventional text-based catalogues 914 - 916 may be provided as an alternative to, or in addition to, the model displays 904 , 910 . Where provided, such catalogues operate in the manner described above relative to FIG. 5. That is, various condition-descriptive entries 924 , 928 may be selected, thereby allowing the user to traverse the hierarchical catalogue structure. Regardless, selection of a given region and, optionally, sub-region automatically causes a further catalogue 918 , in this case a “Symptoms” catalogue, to be displayed.
- the “Symptoms” catalogue 918 list one or more condition-descriptive entries appropriate to the selected region/sub-region combination. In the example illustrated in FIG. 6B, only a single “Pain” entry 932 is displayed.
- Selection of this entry automatically causes additional lower-level catalogues 920 , 922 to be displayed based on the particular entry 932 selected. Where only a single entry 932 is provided in a higher level catalogue, one or more lower level catalogues dependent on the single entry may be provided before the single entry is selected. In the example illustrated in FIG. 6B, a “General Qualifiers” catalogue 920 and a “Special Qualifiers” catalogue 922 are provided relative to the selected entry 932 . Particular condition-descriptive entries 936 , 940 may be selected from the respective qualifiers catalogues 920 , 922 .
- the resulting symptom description is therefore the collection of condition-descriptive entries selected from the various lower level catalogues, in this case “acute sinus pain resulting from an injury.”
- the text-based catalogues 914 - 922 provide selection windows 926 , 930 , 934 , 938 942 such that a user of the catalogues may verify the selections as they are made.
- scroll bars may be used with any of the text-based catalogues 914 - 922 in those instances where the number of condition-descriptive entries is relatively large.
- a “Save Complaints” button 944 is also illustrated in FIG. 6B.
- the complaints button 944 allows the health care practitioner, once he or she is satisfied with the completeness and accuracy of the symptom description, to have data representative of the described symptom stored in a database or other long term memory. Techniques for capturing data in this manner are well-known in the art. By maintaining a list of such data, a complete history of each patient's problems/diagnoses may be provided, as described in greater detail below with reference to FIG. 7.
- the list comprises problems/diagnoses and/or complaints/symptoms generated when a health care practitioner traverses the hierarchically linked catalogues, as described above, and saves the results to a database. The accumulated results can then be displayed as shown in FIG. 7.
- the list comprises a current problems/diagnoses section 1002 and a current complaints/symptoms section 1014 .
- the data shown in the problems/diagnoses section 1002 results from traversal of, for example, catalogues of the type described above relative to FIG. 5.
- the data shown in the complaints/symptoms section 1014 results from the traversal of, for example, catalogues of the type described above relative to FIGS. 6A and 6B.
- the problems/diagnoses section 1002 comprises a problems/diagnosis name field 1004 , an onset data field 1006 , a severity field 1008 , a change severity button 1010 and an old problems display button 1012 .
- the problems/diagnoses name filed 1004 is where textual data descriptive of each particular problem/diagnosis is displayed.
- the textual data for each problem/diagnosis is a predetermined character string selected in accordance with the ICD-9 coding system.
- the corresponding ICD-9 code may also be displayed.
- the onset date field 1006 sets forth the date the particular problem began according to the patient. The dates illustrated in FIG. 7 are shown in a day/month/year format.
- the date data may be entered directly into the onset date field for each problem.
- the severity field 1008 sets forth the severity of the particular problem. In a preferred embodiment, severity of a problem is limited to Chronic, Active and Not Active, as shown. Of course, other severity descriptors may be used as a matter of design choice.
- the severity change button 1010 allows the severity for a given problem to be changed as necessary. In one embodiment, the severity change button 1010 is in the form of a pull down menu, although other embodiments will be readily evident to those having ordinary skill in the art. Alternatively, the severity data may be directly entered directly into to the severity field for each problem. Finally, the old problems display button 1012 allows one or more previously entered, but no longer current, problems to be displayed along with the most recently entered problem. Note that where a relatively large number of problems/diagnoses need to be displayed, scroll bars or similar mechanisms may be employed.
- the complaints/symptoms section 1014 is similarly structured and comprises an onset date field 1016 , a complaint/symptom description field 1018 , a move to old complaints button 1020 and a show old complaints button 1022 .
- the onset date filed 1016 like its counterpart in the complaints/diagnoses section 1002 , sets forth the date, according to the patient, a given symptom first manifested itself.
- the dates illustrated in the date fields 1016 are shown in a month/day/year format.
- the date data for a given complaint/symptom may be entered directly into the onset date fields 1016 .
- the complaint/symptom description field 1018 comprises the descriptions resulting from the traversal of the hierarchically linked catalogues, as described above.
- the descriptions are preferably standardized descriptions according to an accepted standard such as ICD-9, for example.
- complaints/symptoms are alleviated or otherwise go away, they may be archived using the move to old complaints button 1020 . That is, once it is determined that a given complaint/symptom is no longer relevant, it may be selected and, by activating the move to old complaints button 1020 , it is no longer displayed with the current complaints/symptoms, but the data is archived in long term memory.
- the show old complaints button 1022 causes the archived complaint/symptom data to be recalled and displayed.
- the present invention facilitates medical prescreening and coding by providing for the quick, efficient and reliable capture of patient diagnoses and/or symptom descriptions as well as other coding systems and definitions such as procedures, diagnostic tests, medical billing codes (HCFA, Medicare etc.) and more.
- HCFA medical billing codes
- the use of a hierarchy of previously defined catalogues limits reduces and places structure upon the data capture steps. It minimizes the time required to enter information into the system by drastically reducing search time, standardizing the input of data and eliminating the need for writing or typing in the problem description.
- ICD-9 codes a user has no need to worry about looking up or entering the required code. This does away with an important source of conflict among concerned parties: the adequate codification of problems that for billing purposes has to comply with the mentioned code.
- the use of standardized terms to capture patient data makes possible the implementation of database queries for statistical analysis and decision support. Data from years of patient observation acquires renewed significance and relevance, as it becomes available for use by a larger segment of the population. Furthermore, by enabling the physician or medical worker to use a human body model to link regions of the body to the patients' complaint, and by the use of a hierarchy of catalogues, the present invention allows medical workers to pinpoint a patient's complaint more precisely. Further still, the catalogues may be customized to meet the particular requirements of a given practitioner or practice.
Abstract
Description
- Related subject matter is found in U.S. Pat. No. 5,441,047, and U.S. Pat. No. 5,544,649, the teachings of which patents are hereby incorporated by this reference. This is a patent application based upon previously filed U.S. provisional application Serial No. 60/205,186 filed May 18, 2000, for Method and Apparatus for Facilitating Medical Pre-Screening for which priority is claimed.
- The present invention relates to techniques for medical diagnosis, symptom coding and definition.
- Before the advent of electronic data processing, clinical medical records were generally either handwritten or transcribed. This offered almost no ability to search for and analyze clinical information. Further exacerbating this situation, patient complaints often differ widely even when describing the same condition, thus making such complaints most difficult to capture in a structured manner.
- To achieve at least a basic level of commonality, structure and accessibility, codes to be used when performing patient diagnosis, such as the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM, hereinafter “ICD-9”), were established. However, codebooks are long and cumbersome to use, thus making codification a very time-consuming and error-prone task. A system is needed to simplify and expedite their application. Moreover, in the process of monitoring patients and/or interviewing patients for subsequent physician examinations, a method for obtaining more consistent and standardized patient information (i.e., problem definitions and complaint formalizations) is required. Such a technique will be crucial in creating a database that can be used for future statistical analysis and decision support.
- U.S. Pat. Nos. 5,441,047 and 5,544,649 (“the '047 and '649 patents”), incorporated by reference, disclose an interactive, two-way audio-visual communication system for use in monitoring ambulatory (at home) patients. In particular, the '047 and '649 patents describe a system wherein a health care worker at a central station monitors and/or examines the patient, while the patient is at a remote location. The patient may be a person having a specific medical condition being monitored or may be an elderly person desiring general medical surveillance in the home environment. Cameras are provided at the patient's remote location and at the central station such that the patient and the health care worker are in interactive visual and audio communication. A communications network such as an interactive cable television is used for this purpose. Various medical condition sensing and monitoring equipment are placed in the patient's home, depending on the particular medical needs of the patient. The patient's medical condition is measured or sensed in the home and the resulting data is transmitted to the central station for analysis and display. The health care worker then is placed into interactive visual communication with the patient concerning the patient's general well being, as well as the patient's medical condition. Thus, the health care worker can make “home visits” electronically, twenty-four hours a day.
- A technique combining the monitoring techniques of the '047 and '649 patents with an improved method of patient medical diagnosis, consistent, standardized record keeping and symptom coding would be an advancement of the art.
- The present invention provides a technique for facilitating the acquisition of standardized patient medical information through a system of hierarchically linked catalogues, each comprising at least one condition-descriptive entry. The hierarchy of linked catalogues is essentially a tree structure in which the content of the lower-level catalogues is dependent upon particular entries in upper-level catalogues. In one embodiment, the uppermost catalogue comprises a model display of a male or female. In general, a user of the system selects a condition-descriptive entry from an uppermost catalogue. The selected condition-descriptive entry from the uppermost catalogue determines at least one lower-level catalogue that is subsequently displayed to the user. By traversing the linked catalogues in this manner, the user of the system can arrive at a concise diagnosis or symptom description. Because the condition-descriptive entries in each catalogue are predetermined, commonality of problem descriptions is inherent. In one embodiment of the present invention, diagnoses arrived at through the hierarchical structure include an ICD-9 code, thereby facilitating implementations of databases. These and other advantages and features of the subject invention will become apparent from the detailed description of the invention that follows.
- In the detailed description of presently preferred embodiments of the present invention which follows, reference will be made to the drawings comprised of the following figures, wherein like reference numerals refer to like elements in the various views and wherein:
- FIG. 1 is a more detailed functional block diagram of the data analysis and display center of the central station of FIG. 2;
- FIG. 2 an illustration of one possible arrangement of the health monitoring and telecommunications equipment in the central stations;
- FIG. 3 an illustration of one possible arrangement of the medical condition measuring, sensing and telecommunications equipment in a patient's home environment;
- FIG. 4 illustrates an exemplary hierarchy in accordance with the present invention;
- FIG. 5 illustrates an exemplary first embodiment of a plurality of hierarchically linked catalogues each comprising at least one condition-descriptive entry in accordance with the present invention;
- FIGS. 6A and 6B illustrate an exemplary second embodiment of a plurality of hierarchically linked catalogues each comprising at least one condition-descriptive entry in accordance with the present invention; and
- FIG. 7 illustrates an exemplary problems/complaints list in accordance with the present invention.
- The system of the present invention may use or incorporate inexpensive home medical monitoring equipment that includes a camera, sensors and measuring devices for the particular medical parameters to be monitored. The patient's home equipment is simple to use and modular to allow for the accommodation of the monitoring device to the specific needs of each patient. To reduce production costs and to avoid complex maintenance problems, the home unit includes only the sensor part of the measuring device. The raw data, including video image data, is transmitted to the central station, which includes all of the needed sophistication to allow for the storage, transformation, display and interpretation of the data. The need for expensive equipment in the home is thus avoided. Inexpensive sensors are placed in the patients' homes, and the more costly analytic equipment for all the patients is located at the central station.
- The central station includes a computer-based multi-channel data analysis and display unit that enables the interpretation, display, and storage of the transmitted data. This central station is preferably equipped with alarm mechanisms to alert the staff to any aberration from the expected. The central station further includes apparatus for the communication of data to all authorities involved in the wide spectrum of the patient's needs, e.g., emergency care agencies, the patient's physician, nursing services, social workers, etc.
- The central station is preferably provided with the capability of automatically scanning predesignated patient home units at predetermined intervals to provide continuous supervision of specific parameters. In some instances, the central station may monitor continuously one or more parameters, e.g., ECG, blood pressure, respiration, etc., for hours or even days, thereby creating a semi-intensive-care capability. The embodiment disclosed enables one highly trained nurse or patient monitoring personnel located at the control center to supervise and monitor a multitude of patients either seriatim or substantially simultaneously. Whereas a visiting nurse may only be able to visit 5 or 6 homes per day in person, a nurse at the central station may be able to visit 5 or 6 patients per hour by making electronic “home visits”.
- Cable television provides an already existing, widespread and ideal system for interactive visual communication with most residential units in densely populated urban areas. The ambulatory patient monitoring system integrating the latest advances in biomedical technology with cable television provide safe and accurate general and medical supervision for the geriatric/homebound population in their own, natural environment.
- Using such an interactive system, a direct visual uni- or bi-directional contact between the elderly person monitored and the supervision is established at any time, day or night. This contact can be initiated, at will, by the patient monitor or by the patient. Moreover, this communication system is used to transfer general data as well as medical data from sensors to monitor the various medical and non-medical parameters. Further, a health practitioner may be able to have “classes” with many remotely located patients.
- Cable television networks provide a useful mode of communication between the patient's remote location and the central station at the present, and is a presently preferred means for transmission of the audio-visual signal from the patient to the central station and for transmission of the audio-visual signal of a health practitioner to the patient's remote location. Further, the measured medical data can be displayed in the patient's remote location and the parameters picked up by the camera. The transmission of the measured medical data may also be by cable television, or may be through another communication network such as the telephone system. The data transmission could also be by microwave, cable, or other transmission means. It will be appreciated that as advances in telecommunications develop, other techniques for transmission of video signals between a central station and the home may be desirable and economically feasible. For example, satellite and radio transmission of the video signal and/or monitored medical data, or transmission via modem through the telephone lines, may also prove satisfactory.
- Communication between the patient's remote location and the central station can be initiated by a variety of techniques. One method is by manually or automatically placing a call on the telephone to the patient's home or to the central station. When the call is received, a responsive switch is thrown, turning on the camera in the patient's home or at the central station. Alternatively, the patient and central station could agree on times or time intervals in which communication would take place. Ideally, a remote control button on the patient's chair is installed which, when activated, turns on the equipment in the home and alerts the health practitioner at the central station.
- Referring now to FIG. 1. Data indicating the medical condition of the patient is sensed in the patients' remote location and may be sent via the telephone lines to the
central station 20. The data is in turn relayed on adata bus 68 into acentral computer 70. Thecentral computer 70 has both a data storage center 72 (including volatile and/or non-volatile memory, as known in the art), and a central processing unit (CPU) 74. Thedata storage center 72 stores incoming patient data for a given period of time, which may be over 24 hours, so that a physician or health practitioner can go back through the patient's medical data, during the previous 24 hours for example, and ascertain what the patient's health or condition was at a certain period of time. This capability is important for diagnostic purposes because it allows the physician to monitor and analyze the patient's medical condition prior to a given event such as a cardiac arrest. The physician can simply enter commands into thekeyboard 76 to access particular data from a particular period of time and display the information. For example, the physician may have the patient monitored for electrical activity in the heart. The patient will have a set of electrodes attached to his chest and the electrical potentials are measured on the surface of the chest. The data analysis anddisplay unit 28 may further include a means for transferring the medical data onto highstorage capacity media 77 such as optical disks, which can then be retrieved at a later point in time. The diagnostic tools provided by this data analysis and display center significantly enhances the ability to monitor patients in the home and to diagnose precise medical conditions based on the collected data. Because the present invention provides a technique amenable to the use of standardized codes in diagnosing patients and describing their symptoms, the stored data may be readily searched and analyzed in a coherent manner. - Still referring to FIG. 1, the audio-visual signal from the patient is fed on cable84 to a
video storage unit 86. Again, a health care practitioner or physician may enter commands at thekeyboard 76 for thecentral computer 70 and retrieve the audio-visual signal stored in thevideo storage unit 86 such that he or she can see the picture of the patient on aTV screen 88 either simultaneous with its transmission from the patients'remote location 10, or during a previous period of time. For example, if the patient was experiencing chest pains at 3:00 a.m. the previous day, the physician may want to see the picture of the patient at 3:00 a.m. The physician enters a command into thekeyboard 76, or manipulates the videodata storage device 86, such as a VCR, to retrieve the video picture of the patient 16 at 3:00 am. The picture of thepatient 16 is displayed on thescreen 88 together with atime field 90. The physician can then have thedisplay units - Also depicted in FIG. 1 is a
computer monitor 150 of the type well known in the art. The computer monitor 150 is used, in one embodiment of the present invention, as part of a user interface along with a user interface selection device (such as a mouse, touch screen, voice recognition interface, etc.) to allow the health care practitioner to operate software programs stored inmemory 72 and executed by theprocessor 74. In particular, the healthcare practitioner can use the two-way, audio visual communication capabilities of the present invention to perform medical pre-screening on diagnostic record keeping using software programs running on thecomputer 70. As described herein. - Referring now to FIG. 2, there is illustrated one possible arrangement of the health monitoring and telecommunications equipment at the
central station 20 surrounding the health practitioner ornurse 112. Thenurse 112 enters viakeyboard 76 of thecentral computer 70 commands to call up on theTV screen 88 thepatient 16 of interest. The commands may also include commands to start up the camera in the patients home. Thecentral computer 70 is linked with the switching center 34 (FIG. 2) such that any of the subscriber patients can be accessed. Preferably, the patient's medical records and history are entered into thecomputer 22 such that when the particular patient is selected, the history is displayed either on thedisplay 150 ofcomputer 70 or on aseparate screen 152. This enables thenurse 112 to rapidly familiarize herself with the patient. If the patient's data is being simultaneously transmitted to thecentral station 20, the patient's ECG or cardiac activity can be displayed ondisplays separate display 154. Thenurse 112 also has acamera 22 oriented towards her which generates an audio-visual signal for transmission to the patient'sremote location 10. - The patient depicted in FIG. 3 may be examined for various ambulatory and other physical characteristics useful in the diagnosis of patient health, for example the predisposition to fall. For example, gait and mobility of the patient may be examined and analyzed using the system of the invention. Specifically, the
video camera 22 may include a lens having a wide angle vision field. The patient 16 can be orally instructed by the health practitioner to position himself at a start position in the vision field, for example, standing erect at the center of the vision field at a specified distance from thecamera 22. Thepractitioner 112 will direct the patient 12, having been positioned at the start position, to conduct specific physical activities such as specific arm movements, walking, bending, etc. - The video image data generated in this manner is transmitted to the central station where it can be recorded for subsequent analysis. As described in greater detail below, the video image data can then be used to generate motion characteristics data for comparison with previously stored standard data or previously recorded data for that patient. Also the recorded visual signal may be reviewed by the practitioner for purposes of diagnosis and advice to the patient. Thus, the predisposition of a patient to fall and the potential reasons for a fall can be predicted and preventive intervention can be attempted. For example, a change in medication can be prescribed or physical therapy may be instituted. The system may then be utilized to monitor the results of the prescribed medication or therapy.
- Thus, the video image data alone may be relied upon to provide a medical signal or diagnostic information relating to specific body parts or functions, just as physicians and medical practitioners regularly rely upon visual diagnosis. The system of the invention permits such diagnosis. As another, rather than using a wide angle video input to view the entire patient in an ambulatory condition to study gait, etc., a narrow field or angle signal can be utilized to conduct, for example, an eye examination. Such an examination could focus on eye movement, pupil size under differing conditions, eye reaction time, eye condition in view of a regimen of medication, and numerous other diagnostic matters. The condition and color of skin can also be examined using a narrow field visual technique. Again, the visual condition of a patient is an important diagnostic tool and reaction to medication, growth of moles, and skin disturbances can be recorded, compared to standards and prior data in an ongoing manner to facilitate patient treatment.
- Building upon the interactive audio-visual communication system described above, the present invention facilitates patient diagnosis and record keeping through the use of hierarchically linked catalogues comprising condition-descriptive entries. FIG. 4 illustrates an
exemplary hierarchy 700 in accordance with the present invention. In particular, thehierarchy 700 comprises a well-known tree structure. As shown, a topmost element “A” is linked to lower level elements, here labeled “B” and “C”. Elements “B” and “C”, in turn, are linked to still-lower elements “D”, “E”, “F” and “G”, respectively. Even lower elements “H”, “I”, “J”, “K” and “L” are linked to higher level elements “D” and “F”, respectively. An arbitrary number of levels may be provided. If successively lower levels of elements are considered as increasing specific descriptions of medical diagnoses and/or symptoms, it becomes readily evident that the tree structure may be traversed from top to bottom to efficiently arrive at such diagnoses or symptom descriptions. The present invention builds upon this principle, as described in greater detail below. - Referring now to FIG. 5, an exemplary first embodiment of a plurality of hierarchically linked catalogues802-806 (each comprising at least one condition-descriptive entry) is illustrated. In particular, the example illustrated in FIG. 5 allows a health care practitioner to arrive at a diagnosis through increasingly specific condition-descriptive entries. Generally, the plurality of hierarchically linked catalogues is generated using software routines executed by a suitable computing platform and displayed on a monitor or similar device. For example, with reference to FIG. 2, the catalogues are displayed on the
monitor 150 based on software executed by thecomputer 80. - In the example illustrated in FIG. 5, three catalogues802-806 are illustrated. A topmost or
uppermost catalogue 802 is logically positioned at the top of the hierarchy. In accordance with the present invention, theuppermost catalogue 802 generally comprises the most general condition-descriptive entries. Successively lower catalogues 804-806 comprise correspondingly more specific condition-descriptive entries. In particular, the catalogues 802-806 are organized according to a System-Subsystem-Diagnosis hierarchy, as described below. Although only three catalogues are illustrated in FIG. 5, it is understood that a greater or lesser number of catalogues could be used and arranged in this manner. - Each condition-descriptive entry within a given catalogue preferably comprises a medically acceptable term or group of terms useful in aiding a health care practitioner to describe a patient's symptoms and/or categorize a portion of the patient's body. Within a given catalogue, each condition-descriptive entry preferably describes the symptoms/body portion at a given level of abstraction, with successively lower categories corresponding to successively lower levels of abstraction, i.e., increasingly specific entries. A feature of the present invention is the hierarchical linking of the catalogues such that selection of an entry in a given catalogue automatically determines which lower level catalogues are displayed. By asking the patient to describe his or her condition at each catalogue level, a health care practitioner may select a condition-descriptive entry and continually narrow the diagnosis/symptom description until a final level of abstraction or description is achieved.
- For example, the
uppermost catalogue 802 in FIG. 5 comprises “Systems” entries descriptive of general body systems, e.g., digestive, respiratory, etc. By selecting an uppermost condition-descriptive entry 808, in this case “Digestive”, alower level catalogue 804, listing various “Organs” logically grouped together underneath the “Digestive” system, is automatically displayed. Likewise, selection of another condition-descriptive entry 812, in this case “Stomach/Duodenum”, causes a furtherlower level catalogue 806, listing various diagnoses applicable to the “Stomach/Duodenum”, to be automatically displayed. Because the lowest level catalogue comprises the most specific condition-descriptive entries, selection of a final conditiondescriptive entry 816 is equivalent to a final diagnosis; in this case, a diagnosis calling for “Diagnostic procedures on stomach (including gastroscopy).” Throughout this selection process,selection windows descriptive entries - In one embodiment of the present invention,
specific codes 822 are included with the diagnosis entries in thediagnosis catalogue 806, which codes are uniquely descriptive of the selected diagnosis. In a preferred embodiment, thecodes 822 comprise ICD-9 codes. The use of specific codes provides uniformity across diagnoses and further facilitates database implementations, including efficient searching and data analysis. To further facilitate the process, definitions (diagnoses) in thediagnosis catalog 806 are dynamically sorted according to frequency of use. In such doing, most frequent definitions (diagnoses) are always shown on the first panel and are therefore easily accessible. - An “Add to problems list”
button 820 is also illustrated in FIG. 5. Theproblems button 820 allows the health care practitioner, once he or she is satisfied with the completeness and accuracy of the diagnosis, to have data representative of the selected diagnosis 816 (and, optionally, the higher-level condition-descriptive entries 808, 812) stored in a database or other long term memory. Techniques for capturing data in this manner are well-known in the art. By maintaining a list of such data, a complete history of each patient's problems/diagnoses may be provided, as described in greater detail below with reference to FIG. 7. - Referring now to FIGS. 6A and 6B, an exemplary second embodiment of a plurality of hierarchically linked
catalogues monitor 150 based on software executed by thecomputer 80. As before, the specific number of catalogues shown in FIGS. 6A and 6B are for illustrative purposes only; any number of catalogues may be provided as a matter of design choice. - In contrast to the strictly text based catalogues illustrated in FIG. 5, FIG. 6A illustrates
catalogues model displays male model display 904 and azoom display 910 are shown. Of course, female model displays may be chosen depending on the gender of the patient under consideration. When using the model displays 904, 910, the condition-descriptive entries correspond to predetermined regions of the model display. Thus, a health care practitioner, through a user interface selection device such as a mouse-cursor combination, for example, can select a given region on the model display corresponding to a problem region described by a patient. (This mode of data entry is particularly useful where interactive audio-visual communication with the patient is possible, for example, when using the system described above relative to FIGS. 1-3.) In the example shown in FIG. 6A, ahead region 906 has been selected. Any number of specific regions may be defined as a matter of design choice, which regions can be overlapping or non-overlapping. Preferably, the model display may be rotated around at least one axis (preferably, at least a vertical axis) to provide a complete display of all possible regions. Techniques for providing and manipulating such displays are well known in the art. - Once a
region 906 has been selected, thezoom display 910 may be optionally provided. Thezoom display 910 corresponds to a lower level catalogue relative to themale model display 904, with the various sub-regions depicted therein corresponding to lower-level condition-descriptive entries. For example, within thehead region 906, thezoom display 910 allows selection of asinuses sub-region 912. Because the contents of thezoom display 910 are dictated by theparticular region 906 selected in thelarger model display 904, the hierarchical catalogue structure provided through the use of text-only catalogues is maintained. - More conventional text-based catalogues914-916 may be provided as an alternative to, or in addition to, the model displays 904, 910. Where provided, such catalogues operate in the manner described above relative to FIG. 5. That is, various condition-
descriptive entries entry 932 is displayed. Selection of this entry automatically causes additional lower-level catalogues particular entry 932 selected. Where only asingle entry 932 is provided in a higher level catalogue, one or more lower level catalogues dependent on the single entry may be provided before the single entry is selected. In the example illustrated in FIG. 6B, a “General Qualifiers”catalogue 920 and a “Special Qualifiers”catalogue 922 are provided relative to the selectedentry 932. Particular condition-descriptive entries respective qualifiers catalogues selection windows - Finally, a “Save Complaints”
button 944 is also illustrated in FIG. 6B. Thecomplaints button 944 allows the health care practitioner, once he or she is satisfied with the completeness and accuracy of the symptom description, to have data representative of the described symptom stored in a database or other long term memory. Techniques for capturing data in this manner are well-known in the art. By maintaining a list of such data, a complete history of each patient's problems/diagnoses may be provided, as described in greater detail below with reference to FIG. 7. - Referring now to FIG. 7, an exemplary problems/complaints list in accordance with the present invention is illustrated. Generally, the list comprises problems/diagnoses and/or complaints/symptoms generated when a health care practitioner traverses the hierarchically linked catalogues, as described above, and saves the results to a database. The accumulated results can then be displayed as shown in FIG. 7. Techniques for storing and later processing such data for display are well known in the art. In particular, the list comprises a current problems/
diagnoses section 1002 and a current complaints/symptoms section 1014. The data shown in the problems/diagnoses section 1002 results from traversal of, for example, catalogues of the type described above relative to FIG. 5. Similarly, the data shown in the complaints/symptoms section 1014 results from the traversal of, for example, catalogues of the type described above relative to FIGS. 6A and 6B. - A shown, the problems/
diagnoses section 1002 comprises a problems/diagnosis name field 1004, anonset data field 1006, aseverity field 1008, achange severity button 1010 and an oldproblems display button 1012. The problems/diagnoses name filed 1004 is where textual data descriptive of each particular problem/diagnosis is displayed. In a preferred embodiment, the textual data for each problem/diagnosis is a predetermined character string selected in accordance with the ICD-9 coding system. Although not shown, the corresponding ICD-9 code may also be displayed. Theonset date field 1006 sets forth the date the particular problem began according to the patient. The dates illustrated in FIG. 7 are shown in a day/month/year format. The date data may be entered directly into the onset date field for each problem. Theseverity field 1008 sets forth the severity of the particular problem. In a preferred embodiment, severity of a problem is limited to Chronic, Active and Not Active, as shown. Of course, other severity descriptors may be used as a matter of design choice. Theseverity change button 1010 allows the severity for a given problem to be changed as necessary. In one embodiment, theseverity change button 1010 is in the form of a pull down menu, although other embodiments will be readily evident to those having ordinary skill in the art. Alternatively, the severity data may be directly entered directly into to the severity field for each problem. Finally, the oldproblems display button 1012 allows one or more previously entered, but no longer current, problems to be displayed along with the most recently entered problem. Note that where a relatively large number of problems/diagnoses need to be displayed, scroll bars or similar mechanisms may be employed. - The complaints/
symptoms section 1014 is similarly structured and comprises anonset date field 1016, a complaint/symptom description field 1018, a move toold complaints button 1020 and a show old complaints button 1022. The onset date filed 1016, like its counterpart in the complaints/diagnoses section 1002, sets forth the date, according to the patient, a given symptom first manifested itself. Using an alternative representation, the dates illustrated in thedate fields 1016 are shown in a month/day/year format. As before, the date data for a given complaint/symptom may be entered directly into the onset date fields 1016. The complaint/symptom description field 1018 comprises the descriptions resulting from the traversal of the hierarchically linked catalogues, as described above. The descriptions are preferably standardized descriptions according to an accepted standard such as ICD-9, for example. As complaints/symptoms are alleviated or otherwise go away, they may be archived using the move toold complaints button 1020. That is, once it is determined that a given complaint/symptom is no longer relevant, it may be selected and, by activating the move toold complaints button 1020, it is no longer displayed with the current complaints/symptoms, but the data is archived in long term memory. When activated, the show old complaints button 1022 causes the archived complaint/symptom data to be recalled and displayed. - The present invention facilitates medical prescreening and coding by providing for the quick, efficient and reliable capture of patient diagnoses and/or symptom descriptions as well as other coding systems and definitions such as procedures, diagnostic tests, medical billing codes (HCFA, Medicare etc.) and more. The use of a hierarchy of previously defined catalogues limits reduces and places structure upon the data capture steps. It minimizes the time required to enter information into the system by drastically reducing search time, standardizing the input of data and eliminating the need for writing or typing in the problem description. By incorporating the use of ICD-9 codes, a user has no need to worry about looking up or entering the required code. This does away with an important source of conflict among concerned parties: the adequate codification of problems that for billing purposes has to comply with the mentioned code. The use of standardized terms to capture patient data makes possible the implementation of database queries for statistical analysis and decision support. Data from years of patient observation acquires renewed significance and relevance, as it becomes available for use by a larger segment of the population. Furthermore, by enabling the physician or medical worker to use a human body model to link regions of the body to the patients' complaint, and by the use of a hierarchy of catalogues, the present invention allows medical workers to pinpoint a patient's complaint more precisely. Further still, the catalogues may be customized to meet the particular requirements of a given practitioner or practice. Finally, because the hierarchy of catalogues is quickly and easily traversed, the patient is easily and reliably prescreened by a medical worker who does not necessarily need to entire skill set of a physician, thereby allowing physicians to be concentrate their efforts on those patients who are most in need of them.
- While the foregoing detailed description sets forth preferably preferred embodiments of the invention, it will be understood that many variations may be made to the embodiments disclosed herein without departing from the true spirit and scope of the invention. For example, three other embodiments possible in the recognition of body parts for complaint formalization: (1) the patient points to a body part relevant to his/her complaint and the medical worker at the central station recognizes the region by clicking on it in the patients' image on the screen in front of him; (2) the patient points to the part of his body that is relevant to his complaint and image recognition software automatically recognizes the region; and (3) verbally, the patient recognizes the body part relevant to his complaint and the relevant region is recognized automatically using speech recognition methods. Other such modifications within the scope of the present invention may be readily devised by those having ordinary skill in the art. Nevertheless, the scope of the present invention is defined by the appended claims, to be interpreted in light of the foregoing specifications.
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Cited By (34)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20030036686A1 (en) * | 1997-03-13 | 2003-02-20 | Iliff Edwin C. | Disease management system and method including analysis of disease specific changes |
US20030120527A1 (en) * | 2001-12-26 | 2003-06-26 | Andres Palomo | Computer-implemented system and method for productivity enhancement |
US20030163299A1 (en) * | 1993-12-29 | 2003-08-28 | Iliff Edwin C. | Computerized medical diagnostic and treatment advice system |
US20040059200A1 (en) * | 1996-07-12 | 2004-03-25 | Iliff Edwin C. | Computerized medical diagnostic system utilizing list-based processing |
US20050213442A1 (en) * | 2003-01-21 | 2005-09-29 | Sony Corporation | Data recording medium, recording method and recorder, reproducing method and reproducer, and data transmitting method and transmitter |
WO2006092544A1 (en) * | 2004-09-17 | 2006-09-08 | David William Elliott | Method of marking and apparatus |
WO2007050147A1 (en) * | 2005-10-24 | 2007-05-03 | First Opinion Corporation | Matrix interface for medical diagnostic and treatment advice system and method |
US7306560B2 (en) | 1993-12-29 | 2007-12-11 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system including network access |
US20070287894A1 (en) * | 2006-05-01 | 2007-12-13 | Lee Keat J | Diagnostic method including uniform encoding of information |
US20070299652A1 (en) * | 2006-06-22 | 2007-12-27 | Detlef Koll | Applying Service Levels to Transcripts |
US20090048833A1 (en) * | 2004-08-20 | 2009-02-19 | Juergen Fritsch | Automated Extraction of Semantic Content and Generation of a Structured Document from Speech |
US20090327890A1 (en) * | 2008-06-26 | 2009-12-31 | Raytheon Company | Graphical user interface (gui), display module and methods for displaying and comparing skin features |
US20090326334A1 (en) * | 2008-06-26 | 2009-12-31 | Anthony Vallone | Health condition detection, storage, and presentation |
US20100125175A1 (en) * | 2008-11-20 | 2010-05-20 | Anthony Vallone | Icon-based healthcare interfaces based on health condition events |
US7780595B2 (en) | 2003-05-15 | 2010-08-24 | Clinical Decision Support, Llc | Panel diagnostic method and system |
US20100299135A1 (en) * | 2004-08-20 | 2010-11-25 | Juergen Fritsch | Automated Extraction of Semantic Content and Generation of a Structured Document from Speech |
US20110015494A1 (en) * | 2009-07-15 | 2011-01-20 | Microscopes International, Llc | Home healthcare management system and hardware |
US7945462B1 (en) | 2005-12-28 | 2011-05-17 | United Services Automobile Association (Usaa) | Systems and methods of automating reconsideration of cardiac risk |
US8005694B1 (en) | 2005-12-28 | 2011-08-23 | United Services Automobile Association | Systems and methods of automating consideration of low cholesterol risk |
US8019582B2 (en) | 2000-02-14 | 2011-09-13 | Clinical Decision Support, Llc | Automated diagnostic system and method |
US8019628B1 (en) | 2005-12-28 | 2011-09-13 | United Services Automobile Association | Systems and methods of automating determination of hepatitis risk |
US8024204B1 (en) | 2005-12-28 | 2011-09-20 | United Services Automobile Association | Systems and methods of automating determination of low body mass risk |
USRE43433E1 (en) | 1993-12-29 | 2012-05-29 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system |
US20140126770A1 (en) * | 2010-11-30 | 2014-05-08 | France Telecom | PHR/EMR Retrieval System Based on Body Part Recognition and Method of Operation Thereof |
US20140153794A1 (en) * | 2011-01-25 | 2014-06-05 | John Varaklis | Systems and methods for medical use of motion imaging and capture |
US8959102B2 (en) | 2010-10-08 | 2015-02-17 | Mmodal Ip Llc | Structured searching of dynamic structured document corpuses |
US9092697B2 (en) | 2013-02-07 | 2015-07-28 | Raytheon Company | Image recognition system and method for identifying similarities in different images |
US9202012B2 (en) | 2011-06-17 | 2015-12-01 | Covidien Lp | Vascular assessment system |
US9257029B1 (en) | 2012-08-29 | 2016-02-09 | James Robert Hendrick, III | System and method of remote monitoring and diagnostics for health conditions and emergency interventions |
JP2017063844A (en) * | 2015-09-28 | 2017-04-06 | ブラザー工業株式会社 | Information output device |
US20180184964A1 (en) * | 2014-06-30 | 2018-07-05 | Cerora, Inc. | System and signatures for a multi-modal physiological periodic biomarker assessment |
US10468139B1 (en) | 2005-12-28 | 2019-11-05 | United Services Automobile Association | Systems and methods of automating consideration of low body mass risk |
US11282596B2 (en) | 2017-11-22 | 2022-03-22 | 3M Innovative Properties Company | Automated code feedback system |
DE102016101546B4 (en) | 2015-02-10 | 2024-03-07 | Siemens Healthcare Gmbh | Method and system for processing electronic documents |
Families Citing this family (65)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7156809B2 (en) | 1999-12-17 | 2007-01-02 | Q-Tec Systems Llc | Method and apparatus for health and disease management combining patient data monitoring with wireless internet connectivity |
US20070118389A1 (en) | 2001-03-09 | 2007-05-24 | Shipon Jacob A | Integrated teleconferencing system |
EP1450894A4 (en) * | 2001-08-20 | 2006-04-05 | Reuven Sandyk | Method and apparatus for treatment of patients |
DE10146680A1 (en) * | 2001-09-21 | 2003-04-10 | Christian Reuter | Monitoring system for monitoring the course of neurological diseases |
US20030058111A1 (en) * | 2001-09-27 | 2003-03-27 | Koninklijke Philips Electronics N.V. | Computer vision based elderly care monitoring system |
FR2832916B1 (en) * | 2001-11-30 | 2004-11-26 | Marie Madeleine Renee Bernard | AUTOMATED VISION CONFERENCE GONIOMETER |
US7835926B1 (en) * | 2002-08-29 | 2010-11-16 | Telehealth Broadband Llc | Method for conducting a home health session using an integrated television-based broadband home health system |
US10009577B2 (en) | 2002-08-29 | 2018-06-26 | Comcast Cable Communications, Llc | Communication systems |
US7949544B2 (en) * | 2003-04-02 | 2011-05-24 | Starwriter, Llc | Integrated system for generation and retention of medical records |
US7330566B2 (en) * | 2003-05-15 | 2008-02-12 | Microsoft Corporation | Video-based gait recognition |
US7582092B2 (en) | 2003-06-25 | 2009-09-01 | Depuy Products, Inc. | Assembly tool for modular implants and associated method |
US7297166B2 (en) | 2003-06-25 | 2007-11-20 | Depuy Products, Inc. | Assembly tool for modular implants and associated method |
US8998919B2 (en) | 2003-06-25 | 2015-04-07 | DePuy Synthes Products, LLC | Assembly tool for modular implants, kit and associated method |
US8712510B2 (en) * | 2004-02-06 | 2014-04-29 | Q-Tec Systems Llc | Method and apparatus for exercise monitoring combining exercise monitoring and visual data with wireless internet connectivity |
JP2005244502A (en) * | 2004-02-25 | 2005-09-08 | Pioneer Electronic Corp | Optical disk recording apparatus, optical disk reproducing apparatus, and multilayer type optical disk |
US7535368B2 (en) * | 2004-09-10 | 2009-05-19 | General Electric Company | System and method for measuring and reporting changes in walking speed |
JP5118038B2 (en) * | 2005-08-19 | 2013-01-16 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | System and method for analyzing user movement |
US7639782B2 (en) * | 2005-08-23 | 2009-12-29 | Ge Medical Systems Israel, Ltd. | Methods and systems for automatic patient table positioning |
US7555437B2 (en) * | 2006-06-14 | 2009-06-30 | Care Cam Innovations, Llc | Medical documentation system |
CN101489481A (en) * | 2006-07-12 | 2009-07-22 | 皇家飞利浦电子股份有限公司 | Health management device |
DE102006043231A1 (en) * | 2006-09-14 | 2008-03-27 | Siemens Ag Österreich | Information system based on digital television |
US7532126B2 (en) * | 2006-12-19 | 2009-05-12 | National Yang-Ming University | Remote homecare monitoring system and method thereof |
US20080249412A1 (en) * | 2007-04-02 | 2008-10-09 | Doheny Eye Institute | Preoperative and Intra-Operative Lens Hardness Measurement by Ultrasound |
US8117047B1 (en) * | 2007-04-16 | 2012-02-14 | Insight Diagnostics Inc. | Healthcare provider organization |
US8303309B2 (en) | 2007-07-13 | 2012-11-06 | Measured Progress, Inc. | Integrated interoperable tools system and method for test delivery |
US9418470B2 (en) * | 2007-10-26 | 2016-08-16 | Koninklijke Philips N.V. | Method and system for selecting the viewing configuration of a rendered figure |
US8556912B2 (en) | 2007-10-30 | 2013-10-15 | DePuy Synthes Products, LLC | Taper disengagement tool |
US8518050B2 (en) | 2007-10-31 | 2013-08-27 | DePuy Synthes Products, LLC | Modular taper assembly device |
US20090292552A1 (en) * | 2008-05-20 | 2009-11-26 | Chen Jiunn-Rong | Integrated and interactive health-management system |
DE102008036759A1 (en) * | 2008-08-07 | 2010-02-11 | Esg Elektroniksystem- Und Logistik-Gmbh | Apparatus and method for testing systems with visual output |
JP5157753B2 (en) * | 2008-08-27 | 2013-03-06 | カシオ計算機株式会社 | Image processing apparatus, image processing method, and image processing program |
US8344526B2 (en) * | 2009-03-25 | 2013-01-01 | Bhat Nikhil | Energy generating supports |
US20100293132A1 (en) * | 2009-05-15 | 2010-11-18 | Tischer Steven N | Methods, Systems, and Products for Detecting Maladies |
ES2716976T3 (en) * | 2009-07-10 | 2019-06-18 | Koninklijke Philips Nv | Prevention of falls |
US20110032103A1 (en) * | 2009-08-07 | 2011-02-10 | Bhat Nikhil | Motion detection system |
US8521490B2 (en) * | 2009-10-02 | 2013-08-27 | Nova Southeastern University | Statistical model for predicting falling in humans |
US8698888B2 (en) * | 2009-10-30 | 2014-04-15 | Medical Motion, Llc | Systems and methods for comprehensive human movement analysis |
US20110106557A1 (en) * | 2009-10-30 | 2011-05-05 | iHAS INC | Novel one integrated system for real-time virtual face-to-face encounters |
AU2010324658A1 (en) | 2009-11-26 | 2012-05-03 | Quark Pharmaceuticals, Inc. | siRNA compounds comprising terminal substitutions |
NL2004660C2 (en) * | 2010-05-04 | 2011-11-07 | Technologies88 B V | Device and method for motion capture and analysis. |
US8533921B2 (en) | 2010-06-15 | 2013-09-17 | DePuy Synthes Products, LLC | Spiral assembly tool |
US9095452B2 (en) | 2010-09-01 | 2015-08-04 | DePuy Synthes Products, Inc. | Disassembly tool |
EP2619724A2 (en) | 2010-09-23 | 2013-07-31 | Stryker Corporation | Video monitoring system |
US9283429B2 (en) | 2010-11-05 | 2016-03-15 | Nike, Inc. | Method and system for automated personal training |
US9977874B2 (en) | 2011-11-07 | 2018-05-22 | Nike, Inc. | User interface for remote joint workout session |
US9457256B2 (en) | 2010-11-05 | 2016-10-04 | Nike, Inc. | Method and system for automated personal training that includes training programs |
BR112013011083A2 (en) | 2010-11-05 | 2016-08-23 | Nike International Ltd | process and system for automated personal training |
US10420982B2 (en) | 2010-12-13 | 2019-09-24 | Nike, Inc. | Fitness training system with energy expenditure calculation that uses a form factor |
US9597188B2 (en) | 2011-04-06 | 2017-03-21 | DePuy Synthes Products, Inc. | Version-replicating instrument and orthopaedic surgical procedure for using the same to implant a revision hip prosthesis |
US8771206B2 (en) * | 2011-08-19 | 2014-07-08 | Accenture Global Services Limited | Interactive virtual care |
US9811639B2 (en) | 2011-11-07 | 2017-11-07 | Nike, Inc. | User interface and fitness meters for remote joint workout session |
TWI474173B (en) * | 2012-02-21 | 2015-02-21 | Hon Hai Prec Ind Co Ltd | Assistance system and assistance method |
WO2013156633A1 (en) * | 2012-04-16 | 2013-10-24 | Bicave Consulting S.L. | Method for monitoring patients and providing remote assistance |
CN104508669B (en) | 2012-06-04 | 2019-10-01 | 耐克创新有限合伙公司 | A kind of system and method for comprehensive body exercising-sports score |
TWI545964B (en) * | 2012-09-14 | 2016-08-11 | 鴻海精密工業股份有限公司 | Image white balancing method and image capturing device using same |
US20140372443A1 (en) * | 2013-06-12 | 2014-12-18 | John Delaney | Tracking System and Method |
WO2014205420A2 (en) * | 2013-06-21 | 2014-12-24 | Arizona Board Of Regents For The University Of Arizona | System and method for detecting neuromotor disorder |
US10083233B2 (en) * | 2014-09-09 | 2018-09-25 | Microsoft Technology Licensing, Llc | Video processing for motor task analysis |
US20160110593A1 (en) * | 2014-10-17 | 2016-04-21 | Microsoft Corporation | Image based ground weight distribution determination |
WO2016081994A1 (en) * | 2014-11-24 | 2016-06-02 | Quanticare Technologies Pty Ltd | Gait monitoring system, method and device |
CN105147297A (en) * | 2015-07-29 | 2015-12-16 | 昌晓军 | Novel child's excessive action correction system |
US10779733B2 (en) | 2015-10-16 | 2020-09-22 | At&T Intellectual Property I, L.P. | Telemedicine application of video analysis and motion augmentation |
US10765402B2 (en) * | 2015-11-23 | 2020-09-08 | QT Ultrasound LLC | Automatic laterality identification for ultrasound tomography systems |
US10150034B2 (en) | 2016-04-11 | 2018-12-11 | Charles Chungyohl Lee | Methods and systems for merging real world media within a virtual world |
US10485454B2 (en) | 2017-05-24 | 2019-11-26 | Neuropath Sprl | Systems and methods for markerless tracking of subjects |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5471382A (en) * | 1994-01-10 | 1995-11-28 | Informed Access Systems, Inc. | Medical network management system and process |
US5867821A (en) * | 1994-05-11 | 1999-02-02 | Paxton Developments Inc. | Method and apparatus for electronically accessing and distributing personal health care information and services in hospitals and homes |
US5961332A (en) * | 1992-09-08 | 1999-10-05 | Joao; Raymond Anthony | Apparatus for processing psychological data and method of use thereof |
US6177940B1 (en) * | 1995-09-20 | 2001-01-23 | Cedaron Medical, Inc. | Outcomes profile management system for evaluating treatment effectiveness |
US6206829B1 (en) * | 1996-07-12 | 2001-03-27 | First Opinion Corporation | Computerized medical diagnostic and treatment advice system including network access |
Family Cites Families (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4457599A (en) * | 1982-08-11 | 1984-07-03 | Sawicki Walter M | Composite photography apparatus and method |
US4779095A (en) * | 1986-10-28 | 1988-10-18 | H & G Systems, Inc. | Image change detection system |
US5335288A (en) * | 1992-02-10 | 1994-08-02 | Faulkner Keith W | Apparatus and method for biometric identification |
US5469536A (en) * | 1992-02-25 | 1995-11-21 | Imageware Software, Inc. | Image editing system including masking capability |
WO1993018471A1 (en) * | 1992-03-06 | 1993-09-16 | Omron Corporation | Image processor, method therefor and apparatus using the image processor |
US5441047A (en) * | 1992-03-25 | 1995-08-15 | David; Daniel | Ambulatory patient health monitoring techniques utilizing interactive visual communication |
KR100276681B1 (en) * | 1992-11-07 | 2001-01-15 | 이데이 노부유끼 | Video camera system |
US5625410A (en) * | 1993-04-21 | 1997-04-29 | Kinywa Washino | Video monitoring and conferencing system |
US5579026A (en) * | 1993-05-14 | 1996-11-26 | Olympus Optical Co., Ltd. | Image display apparatus of head mounted type |
US5854856A (en) * | 1995-07-19 | 1998-12-29 | Carnegie Mellon University | Content based video compression system |
EP0969901A1 (en) * | 1997-03-12 | 2000-01-12 | Neurocom International, Inc | System and method for monitoring training programs |
US6352517B1 (en) * | 1998-06-02 | 2002-03-05 | Stephen Thomas Flock | Optical monitor of anatomical movement and uses thereof |
US6645147B1 (en) * | 1998-11-25 | 2003-11-11 | Acuson Corporation | Diagnostic medical ultrasound image and system for contrast agent imaging |
US6288753B1 (en) * | 1999-07-07 | 2001-09-11 | Corrugated Services Corp. | System and method for live interactive distance learning |
US6323776B1 (en) * | 1999-12-21 | 2001-11-27 | Snap-On Technologies, Inc. | Method and apparatus of automatically identifying faults in a machine vision measuring system |
-
2001
- 2001-05-18 EP EP01937563.3A patent/EP1305767B1/en not_active Expired - Lifetime
- 2001-05-18 AU AU2001263282A patent/AU2001263282A1/en not_active Abandoned
- 2001-05-18 WO PCT/US2001/016180 patent/WO2001088836A1/en active Application Filing
- 2001-05-18 US US10/276,465 patent/US6816603B2/en not_active Expired - Lifetime
- 2001-05-18 US US10/276,624 patent/US20030181790A1/en not_active Abandoned
- 2001-05-18 ES ES01937563.3T patent/ES2467154T3/en not_active Expired - Lifetime
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5961332A (en) * | 1992-09-08 | 1999-10-05 | Joao; Raymond Anthony | Apparatus for processing psychological data and method of use thereof |
US5471382A (en) * | 1994-01-10 | 1995-11-28 | Informed Access Systems, Inc. | Medical network management system and process |
US5867821A (en) * | 1994-05-11 | 1999-02-02 | Paxton Developments Inc. | Method and apparatus for electronically accessing and distributing personal health care information and services in hospitals and homes |
US6177940B1 (en) * | 1995-09-20 | 2001-01-23 | Cedaron Medical, Inc. | Outcomes profile management system for evaluating treatment effectiveness |
US6206829B1 (en) * | 1996-07-12 | 2001-03-27 | First Opinion Corporation | Computerized medical diagnostic and treatment advice system including network access |
Cited By (71)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9005119B2 (en) | 1993-12-29 | 2015-04-14 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system including network access |
US20030163299A1 (en) * | 1993-12-29 | 2003-08-28 | Iliff Edwin C. | Computerized medical diagnostic and treatment advice system |
US8337409B2 (en) | 1993-12-29 | 2012-12-25 | Clinical Decision Support Llc | Computerized medical diagnostic system utilizing list-based processing |
USRE43548E1 (en) | 1993-12-29 | 2012-07-24 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system |
USRE43433E1 (en) | 1993-12-29 | 2012-05-29 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system |
US7297111B2 (en) | 1993-12-29 | 2007-11-20 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system |
US8015138B2 (en) | 1993-12-29 | 2011-09-06 | Clinical Decision Support, Llc | Computerized medical self-diagnostic and treatment advice system |
US7300402B2 (en) | 1993-12-29 | 2007-11-27 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system |
US7306560B2 (en) | 1993-12-29 | 2007-12-11 | Clinical Decision Support, Llc | Computerized medical diagnostic and treatment advice system including network access |
US7344496B2 (en) | 1996-07-12 | 2008-03-18 | Clinical Decision Support, Llc | Computerized medical diagnostic system utilizing list-based processing |
US20040059200A1 (en) * | 1996-07-12 | 2004-03-25 | Iliff Edwin C. | Computerized medical diagnostic system utilizing list-based processing |
US8727979B2 (en) | 1997-03-13 | 2014-05-20 | Clinical Decision Support, Llc | Disease management system and method including significant symptom filtering |
US8682694B2 (en) | 1997-03-13 | 2014-03-25 | Clinical Decision Support, Llc | Disease management system and method including permission database |
US7993267B2 (en) | 1997-03-13 | 2011-08-09 | Clinical Decision Support, Llc | Disease management system including a no response method |
US8740790B2 (en) | 1997-03-13 | 2014-06-03 | Clinical Decision Support, Llc | Disease management system and method |
US20080052132A1 (en) * | 1997-03-13 | 2008-02-28 | Clinical Decision Support, Llc | Disease management system and method including therapeutic alterations permission level |
US20080052130A1 (en) * | 1997-03-13 | 2008-02-28 | Clinical Decision Support, Llc. | Disease management system and method including therapy optimization |
US8060378B2 (en) | 1997-03-13 | 2011-11-15 | Clinical Decision Support, Llc | Disease management system and method including question version |
US20030036686A1 (en) * | 1997-03-13 | 2003-02-20 | Iliff Edwin C. | Disease management system and method including analysis of disease specific changes |
US8727976B2 (en) | 1997-03-13 | 2014-05-20 | Clinical Decision Support, Llc | Disease management system operating on a network |
US8066636B2 (en) | 1997-03-13 | 2011-11-29 | Clinical Decision Support, Llc | Disease management system and method including pain code |
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US8630875B2 (en) | 1997-03-13 | 2014-01-14 | Clinical Decision Support, Llc | Disease management system and health assessment method |
US7769600B2 (en) | 1997-03-13 | 2010-08-03 | Clinical Decision Support | Disease management system and method |
US7297108B2 (en) | 1997-03-13 | 2007-11-20 | Clinical Decision Support, Llc | Disease management system and method including analysis of disease specific changes |
US8392217B2 (en) | 1997-03-13 | 2013-03-05 | Clinical Decision Support, Llc | Disease management system and method including preview mode |
US8019582B2 (en) | 2000-02-14 | 2011-09-13 | Clinical Decision Support, Llc | Automated diagnostic system and method |
US20030120527A1 (en) * | 2001-12-26 | 2003-06-26 | Andres Palomo | Computer-implemented system and method for productivity enhancement |
US20050213442A1 (en) * | 2003-01-21 | 2005-09-29 | Sony Corporation | Data recording medium, recording method and recorder, reproducing method and reproducer, and data transmitting method and transmitter |
US8301467B2 (en) | 2003-05-15 | 2012-10-30 | Clinical Decision Support, Llc | Panel diagnostic method and system including active and passive strategies |
US8055516B2 (en) | 2003-05-15 | 2011-11-08 | Clinical Decision Support, Llc | Panel diagnostic method and system |
US7780595B2 (en) | 2003-05-15 | 2010-08-24 | Clinical Decision Support, Llc | Panel diagnostic method and system |
US8731968B1 (en) | 2003-05-15 | 2014-05-20 | Clinical Decision Support, Llc | Panel diagnostic method and system including automated diagnostic analysis |
US20100299135A1 (en) * | 2004-08-20 | 2010-11-25 | Juergen Fritsch | Automated Extraction of Semantic Content and Generation of a Structured Document from Speech |
US20090048833A1 (en) * | 2004-08-20 | 2009-02-19 | Juergen Fritsch | Automated Extraction of Semantic Content and Generation of a Structured Document from Speech |
WO2006092544A1 (en) * | 2004-09-17 | 2006-09-08 | David William Elliott | Method of marking and apparatus |
US9081879B2 (en) | 2004-10-22 | 2015-07-14 | Clinical Decision Support, Llc | Matrix interface for medical diagnostic and treatment advice system and method |
WO2007050147A1 (en) * | 2005-10-24 | 2007-05-03 | First Opinion Corporation | Matrix interface for medical diagnostic and treatment advice system and method |
US8019628B1 (en) | 2005-12-28 | 2011-09-13 | United Services Automobile Association | Systems and methods of automating determination of hepatitis risk |
US8005694B1 (en) | 2005-12-28 | 2011-08-23 | United Services Automobile Association | Systems and methods of automating consideration of low cholesterol risk |
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US20070287894A1 (en) * | 2006-05-01 | 2007-12-13 | Lee Keat J | Diagnostic method including uniform encoding of information |
US20100191070A1 (en) * | 2006-05-01 | 2010-07-29 | Keat Jin Lee | Diagnostic method including uniform encoding of information |
US8560314B2 (en) | 2006-06-22 | 2013-10-15 | Multimodal Technologies, Llc | Applying service levels to transcripts |
US20070299665A1 (en) * | 2006-06-22 | 2007-12-27 | Detlef Koll | Automatic Decision Support |
US20070299652A1 (en) * | 2006-06-22 | 2007-12-27 | Detlef Koll | Applying Service Levels to Transcripts |
US20070299651A1 (en) * | 2006-06-22 | 2007-12-27 | Detlef Koll | Verification of Extracted Data |
US7716040B2 (en) | 2006-06-22 | 2010-05-11 | Multimodal Technologies, Inc. | Verification of extracted data |
US20090326334A1 (en) * | 2008-06-26 | 2009-12-31 | Anthony Vallone | Health condition detection, storage, and presentation |
EP2308011A4 (en) * | 2008-06-26 | 2014-05-07 | Raytheon Co | Graphical user interface (gui) for displaying and comparing skin features |
EP2308011A1 (en) * | 2008-06-26 | 2011-04-13 | Raytheon Company | Graphical user interface (gui) for displaying and comparing skin features |
US20090327890A1 (en) * | 2008-06-26 | 2009-12-31 | Raytheon Company | Graphical user interface (gui), display module and methods for displaying and comparing skin features |
US20100125175A1 (en) * | 2008-11-20 | 2010-05-20 | Anthony Vallone | Icon-based healthcare interfaces based on health condition events |
US20110015494A1 (en) * | 2009-07-15 | 2011-01-20 | Microscopes International, Llc | Home healthcare management system and hardware |
US8891851B2 (en) | 2009-07-15 | 2014-11-18 | Glenn F. Spaulding | Home healthcare management system and hardware |
US8959102B2 (en) | 2010-10-08 | 2015-02-17 | Mmodal Ip Llc | Structured searching of dynamic structured document corpuses |
US20140126770A1 (en) * | 2010-11-30 | 2014-05-08 | France Telecom | PHR/EMR Retrieval System Based on Body Part Recognition and Method of Operation Thereof |
US20140153794A1 (en) * | 2011-01-25 | 2014-06-05 | John Varaklis | Systems and methods for medical use of motion imaging and capture |
US9412161B2 (en) * | 2011-01-25 | 2016-08-09 | Novartis Ag | Systems and methods for medical use of motion imaging and capture |
US9202012B2 (en) | 2011-06-17 | 2015-12-01 | Covidien Lp | Vascular assessment system |
US9875450B1 (en) | 2012-08-29 | 2018-01-23 | James Robert Hendrick, III | System and method of automated healthcare assessments and event inferences |
US9257029B1 (en) | 2012-08-29 | 2016-02-09 | James Robert Hendrick, III | System and method of remote monitoring and diagnostics for health conditions and emergency interventions |
US9092697B2 (en) | 2013-02-07 | 2015-07-28 | Raytheon Company | Image recognition system and method for identifying similarities in different images |
US20180184964A1 (en) * | 2014-06-30 | 2018-07-05 | Cerora, Inc. | System and signatures for a multi-modal physiological periodic biomarker assessment |
US10254785B2 (en) | 2014-06-30 | 2019-04-09 | Cerora, Inc. | System and methods for the synchronization of a non-real time operating system PC to a remote real-time data collecting microcontroller |
DE102016101546B4 (en) | 2015-02-10 | 2024-03-07 | Siemens Healthcare Gmbh | Method and system for processing electronic documents |
JP2017063844A (en) * | 2015-09-28 | 2017-04-06 | ブラザー工業株式会社 | Information output device |
US11282596B2 (en) | 2017-11-22 | 2022-03-22 | 3M Innovative Properties Company | Automated code feedback system |
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US6816603B2 (en) | 2004-11-09 |
US20030228033A1 (en) | 2003-12-11 |
EP1305767B1 (en) | 2014-03-19 |
ES2467154T3 (en) | 2014-06-12 |
EP1305767A1 (en) | 2003-05-02 |
AU2001263282A1 (en) | 2001-11-26 |
EP1305767A4 (en) | 2004-05-12 |
WO2001088836A1 (en) | 2001-11-22 |
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