WO2020215143A1 - Telemedicine system and method - Google Patents

Telemedicine system and method Download PDF

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Publication number
WO2020215143A1
WO2020215143A1 PCT/CA2019/050516 CA2019050516W WO2020215143A1 WO 2020215143 A1 WO2020215143 A1 WO 2020215143A1 CA 2019050516 W CA2019050516 W CA 2019050516W WO 2020215143 A1 WO2020215143 A1 WO 2020215143A1
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WO
WIPO (PCT)
Prior art keywords
telemedicine
consulting
terminal
remote
computer
Prior art date
Application number
PCT/CA2019/050516
Other languages
French (fr)
Inventor
Saleh ALMENAWER
Original Assignee
Ryte Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ryte Corporation filed Critical Ryte Corporation
Priority to PCT/CA2019/050516 priority Critical patent/WO2020215143A1/en
Priority to EP19925936.7A priority patent/EP3959725A1/en
Publication of WO2020215143A1 publication Critical patent/WO2020215143A1/en

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Classifications

    • 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
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • 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

Definitions

  • This disclosure relates to a system and method for providing specialized telemedicine services.
  • Modem communications systems can provide some assistance by allowing individuals to communicate over long distances with audio, video and electronically.
  • a telemedicine computer system has a first remote computer terminal at a first health care facility with telemedicine capabilities operable by a health care professional.
  • the telemedicine computer system may also have a remote
  • administration computer terminal at the first healthcare facility with input functions for adding health information to an electronic medical records database
  • one or more central servers in communication with the first remote computer and remote
  • the telemedicine computer system may also have a consulting remote computer terminal with telemedicine capabilities in communication with the first remote computer, and with access to the electronic medical records database.
  • Figure 1 is a system architecture for an embodiment.
  • a patient at a local hospital seeking additional healthcare or consultation services may request telemedicine services of a telemedicine system 100.
  • an intake terminal 110 as part of the telemedicine system may be used by the patient, either directly or with the services of an attendant or assistant, to request telemedicine services.
  • the intake terminal may be integrated with the local hospital’s intake system.
  • information about the patient may be provided, such as through the use of a computer interface.
  • the patient information may include the particular speciality, or individual with whom they would prefer to receive telemedicine services.
  • the intake terminal 110 and/or telemedicine system 100 may be operated or managed by an organization separate from the local hospital, such as a telemedicine organization.
  • the intake terminal 110 may be part of a reception, booth, or separate facility within or proximate to the local hospital.
  • the local hospital and/or telemedicine company may provide marketing or other awareness tools to patients to make them aware of the telemedicine system in the local hospital and/or in the community. Patients may request telemedicine services, or may be directed to the telemedicine system at the local hospital.
  • the intake terminal 110 may communicate with one or more servers 200, to record the patient information and request for telemedicine services.
  • the one or more servers may match or allow for the matching of the request for telemedicine services with one or more consulting professionals.
  • the matching may be made based on information stored at the one or more servers, such as the availability of the consulting professional, the needs of the patient and the services offered by the consulting professional, the location of the consulting professional as compared to the patient, such as in terms of the time zones, the fees charged by the consulting professional or any fees that may be required to be paid to the consulting professional or other entities.
  • the telemedicine system may maintain, such as in a database on the one or more servers, information on a plurality of consulting professionals, containing information on each consulting professional.
  • the telemedicine system may provide notice to the consulting healthcare professionals of a request from a patient that may match their capabilities, such as by email, text message, phone call, paging or other form of communication. Preferred mode or modes of contacting the consulting professional may be included in the information on each consulting professional.
  • intake terminals 110 there are preferably multiple intake terminals, 110, such as intake terminals at multiple hospitals geographically separate, and/or multiple terminals at single hospital.
  • the patient receive health services at the local hospital, such as being seen and worked up by a local healthcare provider such as by preparing a patient history, conducting a physical examination, and other investigations.
  • This may include diagnostic tests which may include blood work, imaging (computed tomography (CT), magnetic resonance imaging (MRI), X-ray, ultrasound, angiography) and other diagnostics.
  • CT computed tomography
  • MRI magnetic resonance imaging
  • X-ray X-ray
  • ultrasound angiography
  • the results, including from any diagnostic tests, healthcare information and being worked up by the local healthcare provider may be captured, recorded and/or inputted into a medical health record terminal 120.
  • the medical health record terminal may be located within local hospital and be the same terminal as the intake terminal 110 or a separate terminal or terminals.
  • the medical health record terminal may communicate with an electronic health record system of the local hospital. In this way the medical health record terminal may receive diagnostic test results electronically from the electronic health record system of the local hospital.
  • the medical health record terminal 120 may receive results of the diagnostic tests and reports manually and then entered at the medical health record terminal 120.
  • Manual entry may be required if the local hospital does not have an electronic health record system, the electronic health record system is not compatible with the telemedicine system, reduce the risk of privacy or security breaches, or for some other reason, such as the requirement to translate languages and terminology. Manual entry may be done by the telemedicine organization or by staff of the local hospital.
  • the medical health record terminal 120 may communicate patient information, diagnostic test results, including any imaging, received to the one or more servers 200.
  • the patient information and results may be maintained by an EMR, electronic medical record management system.
  • a consulting terminal 310 may also be in communication with the one or more servers 200.
  • the consulting terminal may receive the patient information and the results of the diagnostic tests from the one or more servers 200.
  • the information and results may be displayed at the consulting terminal 310.
  • the consulting terminal 310 may be a computer accessible to a consulting healthcare professional who can operate the consulting terminal 310 in such a way so that the professional can view any of the information and results.
  • the consulting healthcare professional may be a specialist or expert in a particular area applicable to the patient’s and/or local hospital’s needs.
  • the consulting terminal 310 may be remote from the local hospital and from the location of the intake terminal 110 and the medical health record terminal 120 and local professional terminal 130. There are preferably a plurality of consulting terminals 310 to support a plurality of consulting healthcare professionals, who may be geographically separated.
  • the telemedicine system may provide notice to the consulting healthcare professional of a request from a patient, such as by email, paging, text message or other form of communication.
  • the communication may include patient information or results and/or may request that the consulting healthcare professional consult the consulting terminal 310 for the patient information and results in order to review the patient information and results and/or provide an opinion or advice.
  • the consulting terminal 310 may also provide two-way communications with a local professional terminal 130.
  • the local professional terminal 130 may be at the local hospital and accessible to a local healthcare professional at the local hospital.
  • the local professional terminal 130 may also be accessible to the patient.
  • There is preferably a plurality of local professional terminals 130 within a single hospital and in multiple hospitals or healthcare institutions. Requests for a consulting professional may be made by a local healthcare professional from the local professional terminal 130, or another terminal within the local hospital, such as if a local health professional would like to consider a second opinion or additional advice on a particular patient situation.
  • the two-way communication between the consulting terminal 310 and the local professional terminal 130 may include audio and video communication as well as electronic reports and/or messaging.
  • the two-way communication is preferably real-time or near real-time communications.
  • Telemedicine communications may encompass several modes of communication, including, but not limited to, telephone, digital writing, dictation systems, video conferencing, and remote robotic-assisted surgery may be used.
  • the consulting healthcare professional using the consulting terminal 310 may communicate using a two-way video, audio, reporting or messaging link with a local healthcare professional using the local professional terminal 130.
  • the consulting healthcare professional may provide healthcare advise, opinions or assistance, to the local healthcare professional.
  • the patient may also participate in the two-way communication, such as also attending with the local healthcare professional at a local professional terminal 130 and/or accessing the some or all of the patient health information.
  • the patient may communicate from another terminal, such as through a three-way video, audio, reporting or messaging link.
  • a patient may access the telemedicine directly or indirectly through an intake terminal 110 to follow up on services, request more information, or to request a consultation with the consulting healthcare professional.
  • requests are communicated to the one or more servers and may be assisted by administrators with access to the telemedicine system.
  • Each of the terminals, the intake terminal 110, the medical health record terminal 120, local professional terminal 130 and consulting terminal 310 may include a graphical user interface, such as displayed on a monitor, as well as mechanisms for user interface, such as one or more of a mouse, keyboard, or touch screen.
  • Each terminal may be a single computer, tablet, or smartphone.
  • the terminal may be a plurality of computers, such as where some features or functionality is provided on a first computer and other functionality on another computer.
  • the functionality described be provided on dedicated hardware implementing a terminal.
  • the terminal functionality described may be provided by software running on a computer, such as an application or app, or within a web browser, or similar.
  • Communications between the terminals and the server may take place on dedicated electronic communications links, such as cable or fibre or over one or more networks, such as local area networks, wide area networks or the Internet, or any combination.
  • the communication may be in whole or in part over one or more wireless networks, such as Wi-Fi, cellular or satellite.
  • the communications may be secure over one or more portions of the communication link between the terminals and server.
  • the telemedicine system 100 may include intake terminals 110 at one or more local hospitals, one or more medical health record terminals 120 at the local hospitals with the intake terminals 110 and the local professional terminals 130.
  • the telemedicine system 110 may also include the one or more servers 200 and the consulting terminals 310. Some or all of the servers and terminals may be hosted fully or partially in the cloud and accessible over a private or securely over a public network.
  • Healthcare professional may encompass all agents involved in delivering healthcare to patients. This includes physicians and surgeons across all specialties, nurses, pharmacists, dentists, and allied health professionals, including, but not limited to, dietitians, physiotherapists, occupational therapists, social workers, speech and language pathologists, respiratory therapists, nurse practitioners, physician assistants, and radiology and laboratory technicians.

Abstract

A telemedicine system is provided that may include intake terminals, medical health record terminals, local professional terminals and consulting terminals allowing for patient information to be considered by a consulting professional and for the consulting professional to provide telemedicine services to a local healthcare professional and the patient.

Description

TELEMEDICINE SYSTEM AND METHOD
FIELD
[0001] This disclosure relates to a system and method for providing specialized telemedicine services.
BACKGROUND
[0002] Providing specialized services to individuals at all locations on a timely basis can be expensive and in some cases impossible. Modem communications systems can provide some assistance by allowing individuals to communicate over long distances with audio, video and electronically.
[0003] In the area of health care, patients seek quality healthcare and choice of healthcare professionals from whom to pursue care. In some cases, the healthcare sought is not available at a location and time convenient for the patient.
SUMMARY
[0004] A telemedicine computer system is provided that has a first remote computer terminal at a first health care facility with telemedicine capabilities operable by a health care professional. The telemedicine computer system may also have a remote
administration computer terminal at the first healthcare facility with input functions for adding health information to an electronic medical records database, and one or more central servers, in communication with the first remote computer and remote
administration computer, hosting the electronic medical records database. The telemedicine computer system may also have a consulting remote computer terminal with telemedicine capabilities in communication with the first remote computer, and with access to the electronic medical records database.
BRIEF DESCRIPTION OF THE DRAWINGS
[0005] In drawings which illustrate by way of example only a preferred embodiment of the disclosure. [0006] Figure 1 is a system architecture for an embodiment.
DETAILED DESCRIPTION
[0007] A patient at a local hospital seeking additional healthcare or consultation services may request telemedicine services of a telemedicine system 100. At a local hospital, an intake terminal 110 as part of the telemedicine system may be used by the patient, either directly or with the services of an attendant or assistant, to request telemedicine services. The intake terminal may be integrated with the local hospital’s intake system. Using the intake terminal, information about the patient may be provided, such as through the use of a computer interface. The patient information may include the particular speciality, or individual with whom they would prefer to receive telemedicine services.
[0008] The intake terminal 110 and/or telemedicine system 100 may be operated or managed by an organization separate from the local hospital, such as a telemedicine organization. The intake terminal 110 may be part of a reception, booth, or separate facility within or proximate to the local hospital. The local hospital and/or telemedicine company may provide marketing or other awareness tools to patients to make them aware of the telemedicine system in the local hospital and/or in the community. Patients may request telemedicine services, or may be directed to the telemedicine system at the local hospital.
[0009] The intake terminal 110 may communicate with one or more servers 200, to record the patient information and request for telemedicine services. The one or more servers may match or allow for the matching of the request for telemedicine services with one or more consulting professionals. The matching may be made based on information stored at the one or more servers, such as the availability of the consulting professional, the needs of the patient and the services offered by the consulting professional, the location of the consulting professional as compared to the patient, such as in terms of the time zones, the fees charged by the consulting professional or any fees that may be required to be paid to the consulting professional or other entities. [0010] The telemedicine system, may maintain, such as in a database on the one or more servers, information on a plurality of consulting professionals, containing information on each consulting professional. Consulting professionals from a variety of disciplines may be included. It may be desirable that the telemedicine system, such as at the servers, or through administrators, screen, select or match consulting professionals, without sharing more patient information than is necessary. Administrators may have access to the information on the plurality of consulting professionals, and some or all of the patient information to facilitate the matching with a consulting professional, such as through an administrative terminal. Reducing the circulation and sharing of patient information may be a requirement of health privacy rules, regulations and best practices, such that patient information is only shared to the necessary personal. The telemedicine system may provide notice to the consulting healthcare professionals of a request from a patient that may match their capabilities, such as by email, text message, phone call, paging or other form of communication. Preferred mode or modes of contacting the consulting professional may be included in the information on each consulting professional.
[0011] There are preferably multiple intake terminals, 110, such as intake terminals at multiple hospitals geographically separate, and/or multiple terminals at single hospital.
[0012] The patient receive health services at the local hospital, such as being seen and worked up by a local healthcare provider such as by preparing a patient history, conducting a physical examination, and other investigations. This may include diagnostic tests which may include blood work, imaging (computed tomography (CT), magnetic resonance imaging (MRI), X-ray, ultrasound, angiography) and other diagnostics.
[0013] The results, including from any diagnostic tests, healthcare information and being worked up by the local healthcare provider may be captured, recorded and/or inputted into a medical health record terminal 120. The medical health record terminal may be located within local hospital and be the same terminal as the intake terminal 110 or a separate terminal or terminals. The medical health record terminal may communicate with an electronic health record system of the local hospital. In this way the medical health record terminal may receive diagnostic test results electronically from the electronic health record system of the local hospital. The medical health record terminal 120 may receive results of the diagnostic tests and reports manually and then entered at the medical health record terminal 120. Manual entry may be required if the local hospital does not have an electronic health record system, the electronic health record system is not compatible with the telemedicine system, reduce the risk of privacy or security breaches, or for some other reason, such as the requirement to translate languages and terminology. Manual entry may be done by the telemedicine organization or by staff of the local hospital.
[0014] The medical health record terminal 120 may communicate patient information, diagnostic test results, including any imaging, received to the one or more servers 200. The patient information and results may be maintained by an EMR, electronic medical record management system.
[0015] A consulting terminal 310 may also be in communication with the one or more servers 200. The consulting terminal may receive the patient information and the results of the diagnostic tests from the one or more servers 200. The information and results may be displayed at the consulting terminal 310. The consulting terminal 310 may be a computer accessible to a consulting healthcare professional who can operate the consulting terminal 310 in such a way so that the professional can view any of the information and results. The consulting healthcare professional may be a specialist or expert in a particular area applicable to the patient’s and/or local hospital’s needs. The consulting terminal 310 may be remote from the local hospital and from the location of the intake terminal 110 and the medical health record terminal 120 and local professional terminal 130. There are preferably a plurality of consulting terminals 310 to support a plurality of consulting healthcare professionals, who may be geographically separated.
[0016] The telemedicine system may provide notice to the consulting healthcare professional of a request from a patient, such as by email, paging, text message or other form of communication. The communication may include patient information or results and/or may request that the consulting healthcare professional consult the consulting terminal 310 for the patient information and results in order to review the patient information and results and/or provide an opinion or advice.
[0017] The consulting terminal 310 may also provide two-way communications with a local professional terminal 130. The local professional terminal 130 may be at the local hospital and accessible to a local healthcare professional at the local hospital. The local professional terminal 130 may also be accessible to the patient. There is preferably a plurality of local professional terminals 130 within a single hospital and in multiple hospitals or healthcare institutions. Requests for a consulting professional may be made by a local healthcare professional from the local professional terminal 130, or another terminal within the local hospital, such as if a local health professional would like to consider a second opinion or additional advice on a particular patient situation.
[0018] The two-way communication between the consulting terminal 310 and the local professional terminal 130 may include audio and video communication as well as electronic reports and/or messaging. The two-way communication is preferably real-time or near real-time communications. Telemedicine communications may encompass several modes of communication, including, but not limited to, telephone, digital writing, dictation systems, video conferencing, and remote robotic-assisted surgery may be used.
[0019] The consulting healthcare professional using the consulting terminal 310 may communicate using a two-way video, audio, reporting or messaging link with a local healthcare professional using the local professional terminal 130. The consulting healthcare professional may provide healthcare advise, opinions or assistance, to the local healthcare professional. The patient may also participate in the two-way communication, such as also attending with the local healthcare professional at a local professional terminal 130 and/or accessing the some or all of the patient health information. The patient may communicate from another terminal, such as through a three-way video, audio, reporting or messaging link.
[0020] A patient may access the telemedicine directly or indirectly through an intake terminal 110 to follow up on services, request more information, or to request a consultation with the consulting healthcare professional. Such requests are communicated to the one or more servers and may be assisted by administrators with access to the telemedicine system.
[0021] Each of the terminals, the intake terminal 110, the medical health record terminal 120, local professional terminal 130 and consulting terminal 310 may include a graphical user interface, such as displayed on a monitor, as well as mechanisms for user interface, such as one or more of a mouse, keyboard, or touch screen. Each terminal may be a single computer, tablet, or smartphone. The terminal may be a plurality of computers, such as where some features or functionality is provided on a first computer and other functionality on another computer. The functionality described be provided on dedicated hardware implementing a terminal. The terminal functionality described may be provided by software running on a computer, such as an application or app, or within a web browser, or similar.
[0022] Communications between the terminals and the server may take place on dedicated electronic communications links, such as cable or fibre or over one or more networks, such as local area networks, wide area networks or the Internet, or any combination. The communication may be in whole or in part over one or more wireless networks, such as Wi-Fi, cellular or satellite. The communications may be secure over one or more portions of the communication link between the terminals and server.
[0023] The telemedicine system 100 may include intake terminals 110 at one or more local hospitals, one or more medical health record terminals 120 at the local hospitals with the intake terminals 110 and the local professional terminals 130. The telemedicine system 110 may also include the one or more servers 200 and the consulting terminals 310. Some or all of the servers and terminals may be hosted fully or partially in the cloud and accessible over a private or securely over a public network.
[0024] Healthcare professional may encompass all agents involved in delivering healthcare to patients. This includes physicians and surgeons across all specialties, nurses, pharmacists, dentists, and allied health professionals, including, but not limited to, dietitians, physiotherapists, occupational therapists, social workers, speech and language pathologists, respiratory therapists, nurse practitioners, physician assistants, and radiology and laboratory technicians.
[0025] Various embodiments of the present disclosure having been thus described in detail by way of example, it will be apparent to those skilled in the art that variations and modifications may be made without departing from the disclosure. The disclosure includes all such variations and modifications as fall within the scope of the appended claims.

Claims

CLAIMS:
1. A telemedicine computer system comprising a first remote computer terminal at a first health care facility with telemedicine capabilities operable by a health care professional; a remote administration computer terminal at the first healthcare facility with input functions for adding health information to an electronic medical records database; one or more central servers, in communication with the first remote computer and remote administration computer, hosting the electronic medical records database; and a consulting remote computer terminal with telemedicine capabilities in communication with the first remote computer, and with access to the electronic medical records database.
2. The telemedicine computer system of claim 1 further comprising a remote intake computer terminal accessible to patients of the health care facility to request telemedicine services.
3. The telemedicine computer system of claim 1 comprising a plurality of the first remote computer terminals, and a plurality of the remote administration computer terminals wherein at least one of the first remote computer terminals and at least one of the remote administration computer terminals are at a second healthcare facility remote from the health care facility.
4. The telemedicine computer system of claim 1 wherein the telemedicine capabilities comprise two-way video and audio communications and electronic reporting.
5. The telemedicine computer system of claim 1 wherein the one or more central servers contain a consultant database containing information on one or more consulting professionals.
6. The telemedicine computer system of claim 5 wherein the consulting remote computer terminal is accessible to at least one of the one or more consulting professionals.
PCT/CA2019/050516 2019-04-24 2019-04-24 Telemedicine system and method WO2020215143A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/CA2019/050516 WO2020215143A1 (en) 2019-04-24 2019-04-24 Telemedicine system and method
EP19925936.7A EP3959725A1 (en) 2019-04-24 2019-04-24 Telemedicine system and method

Applications Claiming Priority (1)

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PCT/CA2019/050516 WO2020215143A1 (en) 2019-04-24 2019-04-24 Telemedicine system and method

Publications (1)

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WO (1) WO2020215143A1 (en)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7353179B2 (en) * 2002-11-13 2008-04-01 Biomedical Systems System and method for handling the acquisition and analysis of medical data over a network
EP2219127A1 (en) * 2009-02-11 2010-08-18 MediResource Inc. System for generating a health profile from available input data concerning a patient, and transforming such health profile into relevant health information in human intelligible form
US20150261930A1 (en) * 2013-04-02 2015-09-17 Fernando Pablo Jose Espinosa Escalona Telemedicine system for remote consultation, diagnosis and medical treatment services
US20160034657A1 (en) * 2014-07-31 2016-02-04 Specialist On Call, Inc. Remote medical evaluation

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7353179B2 (en) * 2002-11-13 2008-04-01 Biomedical Systems System and method for handling the acquisition and analysis of medical data over a network
EP2219127A1 (en) * 2009-02-11 2010-08-18 MediResource Inc. System for generating a health profile from available input data concerning a patient, and transforming such health profile into relevant health information in human intelligible form
US20150261930A1 (en) * 2013-04-02 2015-09-17 Fernando Pablo Jose Espinosa Escalona Telemedicine system for remote consultation, diagnosis and medical treatment services
US20160034657A1 (en) * 2014-07-31 2016-02-04 Specialist On Call, Inc. Remote medical evaluation

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