Disease management system and method including therapeutic alterations permission level
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-005/00
G06Q-010/00
G06Q-050/00
출원번호
US-0933205
(2007-10-31)
등록번호
US-8663104
(2014-03-04)
발명자
/ 주소
Iliff, Edwin C.
출원인 / 주소
Clinical Decision Support, LLC
대리인 / 주소
Suiter Swantz pc llo
인용정보
피인용 횟수 :
0인용 특허 :
230
초록▼
A system and method for allowing a patient to access an automated process for managing a specified health problem called a disease. The system performs disease management in a fully automated manner, using periodic interactive dialogs with the patient to obtain health state measurements from the pat
A system and method for allowing a patient to access an automated process for managing a specified health problem called a disease. The system performs disease management in a fully automated manner, using periodic interactive dialogs with the patient to obtain health state measurements from the patient, to evaluate and assess the progress of the patient's disease, to review and adjust therapy to optimal levels, and to give the patient medical advice for administering treatment and handling symptom flare-ups and acute episodes of the disease. The medical records are updated, the progression of the disease is stored and tracked, and the patient's preferences for treatment are stored and then used to offer medical advice based on the current state of the disease. A prestored general disease trend curve is compared against a patient specific disease trend curve, and the system makes an automated response such as adjusting therapy.
대표청구항▼
1. A method of controlling changes to a patient's therapy, the method comprising: storing a plurality of therapy alteration permission levels on a computing device that represent various levels of authority for changing a current therapy of a patient;storing a data item of an electronic medical reco
1. A method of controlling changes to a patient's therapy, the method comprising: storing a plurality of therapy alteration permission levels on a computing device that represent various levels of authority for changing a current therapy of a patient;storing a data item of an electronic medical record, the data item including a field for at least one portion of an electronic medical record of a patient;applying one of the plurality of therapy alteration permission levels to the data item of an electronic medical record of the patient;deciding, via the computing device, whether the patient's current therapy can be modified based on the therapy alteration permission level applied to the data item of the electronic medical record;identifying a new therapy based on at least the electronic medical record;comparing the new therapy to the current therapy; andadjusting one or more parameters associated with at least one of the current therapy or the new therapy to minimize side effects. 2. The method of claim 1, wherein current therapy change comprises modifying a treatment dosage prescribed to the patient. 3. The method of claim 1, wherein the plurality of therapy alteration permission levels comprise a restrictive level that requires approval from a healthcare provider before the patient's current therapy can be modified. 4. The method of claim 1, wherein the plurality of therapy alteration permission levels comprise a restrictive level that allows the computing device to automatically change the patient's current therapy without human intervention. 5. A disease management system, comprising: a disease management module (DMM), implemented as a set of instructions executed by a computing device, for automated therapy modification and health assessment;a therapy alteration permission level (TAPL), the therapy alteration permission level including a field for defining an amount of authority the DMM has to change therapy for a patient;a data item of an electronic medical record, the data item including at least one of a field for a prescribed therapy for the patient or a field for defining a corresponding TAPL;wherein the DMM is configured to: receive at least one of the TAPL or the data item and modify the prescribed therapy according to said definitions;identify a new therapy based on at least the electronic medical record;compare the new therapy to the prescribed therapy; andadjust one or more parameters associated with at least one of the prescribed therapy or the new therapy to minimize side effects. 6. The system of claim 5, wherein the TAPL determines whether the DMM can prescribe an increased dosage of the prescribed therapy. 7. The system of claim 5, wherein the TAPL determines whether the DMM can prescribe a decreased dosage of the prescribed therapy. 8. The system of claim 5, wherein the TAPL determines whether the DMM can recommend that a patient stop taking the prescribed therapy. 9. A disease therapy modification system, the therapy modification system implemented as a set of non-transitory instructions executed by a computing system, the system comprising: receiving, via the computing system, an existing prescribed therapy for the patient;receiving, via the computing system, data from a patient to assess the health of the patient;determining, via the computing system, whether the patient would benefit by modifying the existing prescribed therapy;receiving, via the computing system, a therapy alteration permission level (TAPL) of the existing prescribed therapy for the patient to determine whether a computing device has authority to modify the existing prescribed therapy; andmodifying, via the computing system, the existing prescribed therapy of the patient if the modification is authorized by the TAPL,wherein modifying the existing prescribed therapy comprises: identifying a new therapy;comparing the new therapy to the existing prescribed therapy; andadjusting one or more parameters associated with at least one of the existing prescribed therapy or the new therapy to minimize side effects. 10. The disease therapy modification system of claim 9, wherein the existing prescribed therapy comprises a schedule of treatment originally prescribed by the computing device. 11. The disease therapy modification system of claim 9, wherein the existing prescribed therapy comprises a schedule of treatment previously prescribed by the computing device or a healthcare provider. 12. A computerized therapy alterations method, comprising: storing on a data storage a therapy alteration permission level (TAPL), the therapy alteration permission level including a field corresponding to a particular disease of a patient;automatically computing the therapy adjustment for the patient through an automated interaction with the patient by: identifying a new therapy;comparing the new therapy to current therapy; andadjusting one or more parameters associated with at least one of the current therapy or the new therapy to minimize side effects; andrecommending the therapy adjustment to the patient as allowed by the TAPL. 13. The method of claim 12, wherein the therapy adjustment comprises recommending discontinuing an existing therapy. 14. The method of claim 12, wherein the patient is a human being in need of wellness care. 15. The method of claim 12, wherein the TAPL comprises a restrictive level that requires approval from a healthcare provider before the patient's current therapy can be modified. 16. The method of claim 12, wherein the TAPL comprises a restrictive level that allows a computing device to automatically change the patient's current therapy without human approval. 17. The method of claim 16, wherein the computing device notifies a human that the computing device automatically changed the patient's current therapy without human approval.
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