CA2790777A1 - Multi-application healthcare smart card - Google Patents

Multi-application healthcare smart card Download PDF

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Publication number
CA2790777A1
CA2790777A1 CA2790777A CA2790777A CA2790777A1 CA 2790777 A1 CA2790777 A1 CA 2790777A1 CA 2790777 A CA2790777 A CA 2790777A CA 2790777 A CA2790777 A CA 2790777A CA 2790777 A1 CA2790777 A1 CA 2790777A1
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CA
Canada
Prior art keywords
information
smart card
memory
card
authentication
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
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CA2790777A
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French (fr)
Inventor
Michael A. Freedman
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Individual
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Individual
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Publication date
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Priority to CA2790777A priority Critical patent/CA2790777A1/en
Publication of CA2790777A1 publication Critical patent/CA2790777A1/en
Abandoned legal-status Critical Current

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Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD

Abstract

A smart card for storing medical information related to a person associated with the smart card is provided. The smart card includes: a memory operative to store computer readable data. The memory storing: primary information comprising information identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card, the primary information accessible to a car reader without authentication;
and secondary information comprising sensitive medical information related to the person associated with the smart card, the secondary information accessible only after authentication.
The smart card can be used in a number of methods including providing variable access to information of a person associated with the smart card and obtaining prescription medication.

Description

MULTI-APPLICATION HEALTHCARE SMART CARD
The present invention relates to a method and apparatus for storing and limiting access to information.
BACKGROUND
A persons medical information can consist of all sorts of information from relatively benign information that people are not concerned with being known, such as a person's name, etc. to much more sensitive and personal information such as laboratory results, prescriptions, etc. In many cases, a person can find it useful to carry all of their pertinent medical information around with them so medical health professionals, pharmacists and other people can have access to it. Additionally, if there is an emergency and a person is unconscious, they may want this medical information with them so that the emergency responders and hospital staff can have access to it.
Smart cards and other portable computer readable memory devices allow a lot of information to now be stored on a relatively small device. However, while there is some medical information that a person might not mind freely sharing with others, some of this medical information that they would like to carry with them might be too sensitive to share with others, even medial responders in an emergency. Conversely, while a person may not want others to have free access to all of his or her medical information there may be times, such as an emergency situation where the person is not conscious, where it may be desirable to have some of this medical information freely accessible to medical personnel.
SUMMARY OF THE INVENTION
In an aspect, a smart card for storing medical information related to a person associated with the smart card. The smart card comprises: a memory operative to store computer readable data. The memory storing: primary information comprising information identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card, the primary information accessible to a car reader without authentication; and secondary information comprising sensitive medical information related to the person associated with the smart card, the secondary information accessible only after authentication.
In another aspect, a method of using a smart card to provide variable access to medical information of a person associated with the smart card. The method includes:
providing the smart card having a memory operative to store data in a computer readable form, the memory storing primary information identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card; and to secondary information comprising sensitive medical information related to the person associated with the smart card; allowing unrestricted access to the primary information with a card reader;
and after authentication, allowing access to the secondary information using a card reader.
In another aspect, a method for using a smart card to obtain prescription medication is provided. The method includes: providing a smart card having a memory operative to store data Is in a computer readable form, the memory storing primary information comprising information identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card, the primary information accessible to a car reader without authentication and secondary information comprising sensitive medical information related to the person associated with the smart card, the secondary information 20 accessible only after authentication: taking the smart card to a health care provider where the health care provider -first accesses the primary information on the memory of the smart card and then after authentication, writes prescription information to the memory of the smart card;
taking the smart card to a pharmacy where the pharmacy first accesses the primary information and then after authentication accesses the prescription information stored on the memory of the 25 smart card and issues a prescription in accordance with the prescription information.
In another aspect, a method for using a smart cud to determine whether a person is following a treatment program, The method includes: providing a smart card having a memory operative to store data in a computer readable form; taking the smart card to a health care provider to have tests performed and having test results obtained from the tests written to the
2 memory of the smart card; and taking the smart card to another location where the test results from the memory of the smart card are uploaded to an authority device and a time stamp indicating when the test results were uploaded to the authority device.
DESCRIPTION OF THE DRAWINGS
A preferred embodiment of the present invention is described below with reference to the accompanying drawings, in which:
Figure 1 is a schematic illustration of a smart card;
Figure 2 is a schematic illustration of a data structure;
Figure 3 is a systems diagram;
Figure 4 is a flowchart of a method for having a card issued to a cardholder;
Figure 5 is a flowchart of a method for using a card to obtain a prescription;
Figure 6 is a flowchart of a method for using the card to obtain a prescription from an authorized health care provider;
Figure 7 is representative screen shot of personal information obtained from the card;
Figure 8 is a flowchart of a method for using the card at a laboratory to obtain laboratory results;
Figures 9A and 9B are a flowchart of a method for using the card to purchase prescribed medication;
Figure 10 is a systems diagram of a system for use with a smart card to determine if the cardholder is undergoing their court mandated treatment; and
3 Figure Ii is a flowchart of a method for using a card to determine whether a cardholder is following his or her court mandated treatment.
DETAILED DESCRIPTION OF THE ILLUSTRATED EMBODIMENTS
Fig. 1 illustrates a schematic illustration of a smart card 10 in accordance with an aspect of the present invention. The smart card 10 can include a card portion 20 and an integrated circuit chip portion 30 that includes a processing unit 32 and a memory 40.
The card portion 20 can be a material such as plastic and is typically wallet-sized such as the size of a typical credit card. A magnetic strip (not shown) may be provided on one side of the card portion 20. However, a person skilled in the art will appreciate that the magnetic strip may not be necessary.
The integrated circuit chip portion 30 can be housed within the card portion 20 and can include a processing unit 32 and a memory 40. The processing unit 32 can be a microprocessor.
The memory 40 can be a computer accessible memory and can be operatively coupled to the processing unit 32.
Fig. 2 illustrates a schematic illustration of a data structure 100 that can be stored in the memory 40 of the card 10 and used to implement the methods described herein.
The data structure can contain: a primary information section 110; a secondary information section 150: a tertiary information section 170; and an internal use information section 190.
The primary information section 110 can be used to store information identifying the owner of the card 10 and include information that should be readily available to health professionals in the event of a medical emergency. In one aspect, the primary information section 110 could be provided without any sort of access restrictions allowing anyone with a compatible card reader/writer to read and view the information in the primary identification section 110. This could allow emergency first responders including EMTs, police officers, firefighters, hospital staff, etc. to access the information in the primary section 110 of the card 10 without requiring that the card be authenticated by the card holder. It can also allow access to the information in the primary information section 110 to staff at medical offices or other
4 facilities (e.g. dental, optometry, chiropractic, podiatry, laboratory, etc.) in order to open a new patient file or access a file at the office based on the information in the primary identification section 110.
In one aspect, the primary information section 110 can include a number of different fields for storing information about the owner. A name field 112 can be provided for storing the name of the card holder along with an address field 114 and telephone field 116 to store information regarding the card holder's home address and telephone number, respectively. A
height field 118 and a weight field 120 can be used to store information about the card holder's height and weight, respectively. A birthday field 122 can be used to store information indicating a person's birthday and a gender field 124 can be provided to store information identifying the user's gender.
The primary information section 110 could also include emergency contact fields 141, 142, 143 and 144 to allow people accessing the primary information section 100 to get the name of an emergency contact person for the owner of the card 110 as well as information to try and Is contact the emergency contact person.
Additionally, the primary section 110 of the memory 40 can be used to store sonic information related to the card holder's health. This would typically be information that, the cardholder would like to be readily available to a health care provider should there be an emergency situation without requiring the cardholder, who may be unconscious or incapacitated, to authenticate the card 10 before this information, can be accessed by the health care provider or to be uploaded to a healthcare provider clinic, laboratory or pharmacy computer on a first visit as a new patient.
This information regarding the cardholder's health can include various types of relatively non-sensitive health information. In one aspect, a personal physician field 126 can be provided and used to store information identifying the user's person physician.
Additionally, a physician contact field 128 can be used to store information indicating the name of the cardholder's physician. An emergency contact field 132 can be provided to store information relating to the
5 user's emergency contact information such as a telephone number and the name of the user's emergency contact.
The primary section 110 of the memory 40 can also contain information specifically about the cardholder's health. The primary section 110 of the memory 40 can include a chronic illness field 132 for storing information identifying any chronic illnesses the cardholder may suffer from. A plurality of allergy fields 134 can be provided for storing information indicating any allergies the card holder may suffer from including any allergies to medication. A drug interaction field 136 can also be provided for storing any drug interactions warnings applicable for the card holder. A blood type field 138 can be provided for storing information indicating the blood type of the card owner. A plurality of pregnancy fields 140 can be provided for storing information about a pregnancy of the user. This can include a record of a current pregnancy such as the due date, any known complications, etc. A religion field 147 could be provided for storing the religion of the owner of the card 10.
A plurality of medication fields 154 for storing information identifying medications that the card holder has been prescribed can also be present in the primary information section 10.
These medication fields 154 could be further broken down into permanent medications, recent medications and over the counter medications.
A number of condition fields 146 can also be provided allowing conditions the owner of the card may suffer from to be provided.
The secondary information section 150 can be used to store information that is more confidential than the information in the primary information section 110 and typically contains a higher level of security, requiring the cardholder to be authenticated before access is gained to the information in the secondary information section 150. In one aspect, a personal identification number (PIN) must be provided before the information in the secondary information section 1.50 is accessible to a person with a card reader/writer.
The secondary information section 150 could contain a personal identification number field 152 which can be used to store the user's personal identification number (PIN) from a minimum of four (4) alphanumeric characters to a maximum of sixteen (16) alphanumeric
6 characters. The PIN number identified in the personal identification number field 152 could be the PIN number that must be input into a card reader before the information in the secondary section 150 of the memory 40 is accessible using the card reader/writer.
The secondary information section 150 can include insurance payer fields 192.
These fields 192 could include information identifying the card holder's medical insurance prescription payer and could include the payment amount expressed as a monetary value and percentage of the total price. In one aspect, the insurance payer fields 192 could include information for a link to allow an online verification service. The insurance fields could also include further details of the medical insurance of the owner of the card 10. This could include a section, class, etc. of the tO insurance plan the owner of the card 10 has or even a listing of the benefits they have.
In one aspect, it may be possible that more than one payer is paying for a portion of the prescription and therefore the secondary information section 150 could include a plurality of additional medical insurance co-payer field 194. These fees could be used to store information indicating additional co-payers for the prescription and could include the payment amount expressed in a monetary value and the percentage of the total price all to be calculated at time of prescription payment including a link to an online verification service.
The secondary information section 130 of the memory 40 can also be used to store prescriptions written by a physician. A plurality of prescription fields 156 can be provided allowing information related to prescriptions that have, been written by an authorized health care professional to be stored in these fields 156. This information could include the medication prescribed, the amount prescribed and an identification of the prescribing authorized health care professional. In one aspect, the prescription fields 156 can contain information allowing a person to link to an online verification service so that the prescription could be verified using the online verification service.
In a similar manner, immunization fields 160 can be included indicating immunizations the owner of the card 10 has had and the date administered.
A coupon field 160 can be provided to store any coupon information related to the prescriptions being written to the prescription field 156.
7 In one aspect. a plurality of laboratory requisition fields l 58 can be used to store information related to laboratory tests that have been requisitioned by an authorized healthcare provider.
In one aspect, a physician notes section 195 could be provided in the secondary section 150 allowing physician's to make notes about the owner of the card 10.
Additionally, the secondary section 150 of the memory 40 could contain other types of information such as a list of medicines that are kept behind a pharmacy dispensary counter that do not require a prescription, but do require confirmation of some personal information such as a name, address, telephone, age, etc.
to The secondary section 150 of the memory 40 could also contain information such as prosthetic or orthotic devices prescribed by a physician or specialist.
The secondary section 150 could store web keys that are used to link to secure websites where prescription, dispensing, laboratory, payment and co-payment information can be confirmed via secure, encrypted data exchange.
The tertiary information section 170 of the memory 40 could store even more sensitive information than the secondary information section 150 with the tertiary information section 170 requiring a higher level of authentication than the secondary information section 150. In one aspect, the tertiary information section 170 could require a PIN in conjunction with some biometric data of the owner of the card 10. In another aspect, it may require a PIN in conjunction with a physician's personal smart card, PIN or biometric data to access the tertiary information section 170 of the memory 40.
In. one aspect, a biometric field 172 can be provided for storing information that can be used to biometrically identify the card holder. In one aspect, this can be a constellation of pixels representing the cardholder's fingerprint. The information in this biometric field 172 can be used to provide an authentication of the cardholder to allow access to the information stored in the tertiary information section 170 of the memory 40. The cardholder may have to provide his or her finger print for a card reader/writer which will then be matched up against the
8 constellation of pixels representing the cardholder's fingerprint, before the card reader/writer can obtain access to the information in the biometric field 172.
The information stored in the tertiary section 170 of the memory 40 could include privacy protected condition, mental health conditions, special advisories, lab results, etc.
A plurality of laboratory test result fields 174 can be provided in the tertiary section 170 of the memory 40 of the card. The results of lab tests can be stored in these fields.
Finally, an internal use information section 190 could be provided. This section could include audit logging data 196 to be used by the providers of the card 10 for troubleshooting, maintenance, etc. As well as a User ID field 198 for use by the card 10 providers to access the internal use information section 190.
Referring to Fig. 3 a system 300 that can be used with the card 10 is shown.
The system 300 can include: a cardholder device 310; a medical professional device 320; a laboratory device 330; a pharmacist device 340 and a remote device 350. The cardholder device 310, the medical professional device 320, the laboratory device 330 and the pharmacist device 340 can be local computer systems and all be in communication with the remote device 350 through a network 370.
The cardholder device 310 can be a data processing system such as a personal computer, mobile device, etc. that is accessible to the cardholder and allows the cardholder to access the remote device 350. The cardholder device 310 can have a program operative for accessing the information on the card 10 and updating information on the card 10. In one aspect,. the cardholder device 310 can include a card reader/writer 312 that is operative to read the information from the card 10 and allow the cardholder to view the information stored on the card 10 on the cardholder device 310.
The medical professional device 320 can also be a data processing system, such as a computer, etc. that allows a person using it to access the remote device 350 using the medical professional device 320. Typically, the medical professional device 320 is located at a medical services office. The medical professional device 320 can have a program operative for
9 accessing the information on the card 10 and updating information on the card
10. The medical professional device 320 can have a card reader/writer 322 to allow the information on the card to be accessed and obtained by the medical professional device 320 as well as write new information to the memory 40 of the card 10. Additionally, the medical professional device 320 5 can have a PIN pad 324 allowing a person to enter a personal identification number (PIN) into the PIN pad 324 and thereby the medical professional device. Alternatively, the personal identification number (PIN) could be entered using a standard keyboard attached to the medical professional device 320.
The laboratory device 330 can be located at a laboratory site where laboratory tests can to be taken of the. cardholder and can be a data processing system such as a computer, etc. The laboratory device 330 can have a program operative for accessing the information on the card 10 and updating information on the card 10. The laboratory device 330 can include a card reader/writer 332 to read and write information from and to the card 10. In one aspect a PIN
pad 334 and a finger print reader 336 can be provided to allow the cardholder to be authenticated.
The pharmacist device 340 can be located at a pharmacy where a prescription can be issued and can be a data processing system such as a computer, etc. The pharmacist device 340 can have a program operative for accessing the information on the card 10 and updating information on the card 10. The pharmacist device 340 can include a card reader/writer 342 to read and write information from and to the card 1.0 and in one aspect can include a PIN pad .344 and a finer print reader 346 to allow the cardholder and the card 10 to be authenticated.
The remote device 350 can be operably connected to all of the other devices 310, 320, 330 and 340 over the network 370. The remote device 350 can also be operably connected to a database 360. The remote device 350 can be accessible by the patient's physician, health provider, hospital physicians, hospital nurses, etc. It can securely store patient information and laboratory results related to the patient in the database 360.
The network 370 can be a local internet or even a public network such as the interne.

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Fig. 4 illustrates a flowchart of an overview of a method of a card holder obtaining a card 10. At step 410 the card can be issued. The card can be created by the provider and a record stored in the database 360 corresponding to this new card. At step 420 the new card 10 can be sent to the provider who will be providing it to the cardholder.
At step 430 the card 10 can be personalized. The provider can obtain personal information from the cardholder, such as his or her name, address etc. and this information can be taken and written into the proper fields in the primary section 110. At this time, the cardholder can also provide the provider with the name of his or her personal physician or clinic to be added to the personal physician field 126 and the physician contact field 128. In this manlier, personal information can be stored to the card 10.
Alternatively, the provider can download information from an existing database such as an Electronic Health Record or Electronic Medical Record enterprise sized software system in advance of providing the card 10 to the cardholder.
At this point the cardholder can be prompted to insert a PIN number which can then be stored in the personal identification number field 152 and a finger print or other bio-metric indicator can be taken of the cardholder and stored in the biometric field 172. This information can then be later used to authenticate the cardholder when the card 10 is in use.
Once the personal information has been stored on the card 10, this information stored on the card at step 430 this information can be uploaded to the remote device 350 and the database 360 at step 440 and the method can end, Fig. 5 illustrates a flowchart showing an overview of a method for using the card 10 to obtain a prescription. In the method, the card 10 is used to obtain a prescription and requisition laboratory tests from a medical professional such as a doctor. Then, with the prescription and the lab results, fill the prescription with a pharmacist and pay at least a portion of the cost of the prescription.
The method starts and at step 510 the cardholder can take the card 10 to an authorized healthcare professional who will provide him or her with a prescription for a specific II

medication. Referring to Fig. 6 a flowchart is shown illustrating a method for what occurs with the card 10 during step 510 of the method shown in Fig. 5. The method begins with the cardholder providing his or her card 10 to the authorized health care provider and the authorized health care provider authenticates the card 10 at step 610. To authenticate the card 10, the health care provider can insert the card 10 in the card reader/writer 332 connected to the medical professional device 320. Using the card reader/writer 332 and the medical professional device 320, the health care provider can obtain access to the information stored in the primary section 110 of the memory 40 of the card 10 by simply using the card reader/writer 332 to view the contents of the card 10. The information in the primary section 110 can then be displayed on a to screen of the medical professional device 320. Fig. 7 illustrates a representative screen shot of how the information in the primary section 110 of the memory 40 of the card 10 can be displayed.
In addition to the information in the primary section 110 of the memory 40 of the card 10, the authorized health care provider will also have to have access to the secondary section 150 of the memory 40 of the card 10. In order to authenticate the card holder and obtain access to the secondary section 150, the card holder will have to provide access to this section. In one aspect, this can be providing the PIN that matches the PIN indicated in the personal identification number field 152 of this secondary section 150 of the memory 40. In one aspect, the PIN can be entered into a PIN pad 324 connected to the medical professional device 320.
The card 10 will now be authenticated and the authorized health care provider will have access to the information in the primary section 110 and the secondary section 150 of the card 10.
Once the card 10 has been authenticated at step 610, a prescription can be written to the card at step 620. The card reader/writer 322 and the medical professional device 320 can be used to access the secondary section 150 of the memory 40 of the card 10 and access one of the prescription fields 156 in this section. The card reader/writer 332 can then be used to write information identifying the prescription being issued by the authorized healthcare provider to the prescription field 156. In one aspect, this information could include medication prescribed, the amount prescribed and an identification of the prescribing medical professional.

At step 630 a laboratory requisition is written to the card. The authorized healthcare provider will use the medical professional device 320 and the card reader/writer 322 to access the secondary section 150 of the memory 40 of the card 10 and write a laboratory requisition to a laboratory requisition field 158. This laboratory requisition can identify the types of laboratory tests desired by the medical professional issuing the prescription.
Although step 620 and 630 are shown sequentially in Fig. 6, they could be performed in different visit to an authorized health care professional.
In one aspect, the requisition laboratory tests could be diagnostic test using a biomarker.
After the lab requisition is written to the card at step 630, the method can end = and referring to Fig. 5, the method can move on to step 520 with the cardholder taking the card 10 to a laboratory to have the laboratory tests performed that were written to the card 10 in step 510.
Referring to Fig. 8, a flowchart of a method is shown for using the card 10 to obtain laboratory results requested by an authorized health care provider. The method can start and at step 810 the card 10 can be authenticated. Personnel at the laboratory can insert the card 10 into the card reader/writer 330 of the laboratory device 332. Without any authentication, the laboratory device 330 can access the information stored in the primary section 110 of the memory 40 of the card 10. To access the information in the secondary section 150 of the memory of the card 10 (where the laboratory requisition is stored), the card holder will have to provide a PIN or other authenticating information to allow access to the information in the secondary section 150 of the memory 40 of the card 10. In one aspect, this PIN
could be entered by inputting it into a PIN pad 334 connected to the laboratory device 330.
Because the results of the laboratory results can be saved in the tertiary section 170 of the memory 40, the authentication of the card holder and the card 10 at step 810 may require additional authentication for access to the tertiary section 170 to be obtained by the laboratory device 340. In one aspect, this additional authentication could require the card holder to provide his or her fingerprint on the fingerprint reader/writer 336 connected to the laboratory device 330.
The finger print obtained can be matched to the constellation of pixels in the biometric field 172 of the tertiary section 170 and, if it matches, grant the laboratory device 330 access to the tertiary section 170 of the memory of the 40 of the card 10.
Once the card 10 and card holder are authenticated at step 810, the laboratory requisition stored in the laboratory requisition fields 158 in the secondary section 150 of the memory 40 of the card 10 can be accessed by personnel at the laboratory using the laboratory device 330 and the types of laboratory tests requisitioned by the authorized healthcare provider can be determined at step 820.
At step 830 the payer information for the tests can be determined from the card 10. The information in the insurer payer field 192 can be accessed and this information used to i 0 determine which parties are paying for the laboratory tests and how much is being covered. If there are one or more co-payers, this information can also be obtained from the insurance co-payer fields 194.
At step 840 payment for the laboratory tests can be authorized using the payer and co-payer information obtained from the card 10 at step 830.
Once the payment is authorized, the laboratory can proceed to perform the tests outlined in the laboratory requisition read off the card 10 at step 820 and the necessary or requested laboratory tests performed on the cardholder by the laboratory. In one aspect, these tests can be diagnostic tests to determine the presence or levels of a biomarker in the body of the cardholder.
Once the laboratory tests have been peiformed, if the results are obtained relatively quickly, at step 850 the test results can be written to the test result fields 174 in the tertiary section 170 of the memory 40 of the card 10 if the cardholder and the card 10 are still present at the laboratory.
At step 860 the test results can be uploaded to the remote device 350. The test results can be transmitted from the laboratory device 330 over the network 370 to the remote device 350. At the remote device 350 these laboratory results can be saved to the database 360. These files could be encrypted when they are sent. In one aspect, the laboratory test results could be transmitted to the medical professional device 320 for viewing by the authorized medical professional.
Once the lab results are uploaded to the remote site 350, the method can end.
Referring again to Fig. 5, once the cardholder has used his or her card 10 at the laboratory at step 520 to obtain the requisitioned laboratory tests, the cardholder can take the card 10 to a pharmacy and use it to obtain and pay for the prescribed medication at step 530.
Fig. 9 illustrates a flowchart of a method of the card 10 being used at a pharmacy to obtain a prescribed medication.
Method starts and at step 910 the card 10 of the cardholder can be authenticated. The pharmacist can insert the card 10 into the card reader/writer 342 of the pharmacy device 340.
Because the information about the prescription is saved in the secondary section 150 of the memory 40 of the card 10 and the laboratory results may be saved in the tertiary section 170 of the memory 40 of the card 10, the authentication of the card 10 at step 910 can require the card holder to provide both his or her PIN and a fingerprint to allow both of these sections of the IS memory 40 to be accessible to the pharmacy device 340.
With the cardholder and the card 10 authenticated at step 910, at step 920 the prescription information can be obtained from the card 10 by the pharmacist.
Using the pharmacist device 340 and the card reader/writer 342 the prescription fields 156 can be accessed in the secondary section 150 of the memory 40 of the card 10. This information can then be used to show the pharmacist the type of medication to provide, the amount of medication to provide and the authorized healthcare provider who made the prescription.
Optionally, if the prescription fields 156 include information indicating a link to a site to have the prescription authorized, the pharmacist device 340 can use the link and the information in the prescription fields 156 to authenticate the prescription. The links can be links to the remote device 350 which can be used to authenticate the prescription.
At step 930 the payer information is obtained from the card 10. The pharmacist device 340 can access the secondary information section 150 of the memory 40 of the card 10. The information in the insurance payer field 192 can be accessed and this information used to determine which parties are paying for the laboratory tests and how much is being covered. If there are one or more co-payers, this information can also be obtained from the co-payer fields 194, At step 940 the pharmacist device 340 can access the related information.
These could be contra-indications for the medication on the card 10, allergies listed in the allergy fields 134, etc. This related information can be stored on the card to allow the pharmacist a single source of information to see if there are any particular reasons on the card that would suggest the prescription not be issued.
io At step 950 the lab results can be obtained to allow the pharmacist to ensure that the medication indicated by the prescription can be issued. The pharmacy device 340 and the card.
reader/writer 342 can access the tertiary section 170 of the memory 40 and obtain the lab results stored in the laboratory test results field 174. With these lab results, the pharmacist can determine if there is anything in the lab results that would make him or her not issue the prescription at step 955. If the laboratory tests were .for a biomarker, the pharmacist can determine whether or not the test results for the biornarker indicate that the medication should be prescribed.
If at step 955 it is determined that the test results indicate that the medication indicated by the prescription can be issued, then the method can move on to step 960 and obtain any comments on the prescription made by the authorized healthcare provider.
After step 960, the method can move on to step 970 and the payment and co-payment calculations can be initiated. The payer and co-payer information obtained at step 930 can be used and applied to the price of the medication to fill the prescription. For the payer and each co-payer, the amount each payer and co-payer will pay of the total price of the medication being purchased can be calculated using the information in the insurance payer field 192 and the insurance co-payer field 194, At step 980 payment authorization can be obtained for the medication from the insurance payer and co-payer, With the payment of the prescribed medication, the pharmacist can provide the medication to the card holder and at step 990 the issuance of the prescription can be reported by the pharmacist. To report the issuance of the prescription, the pharmacist device 340 can transmit the issuance of the prescription to the remote device 350 so that the health care professional, the card holder and other interested parties can log on to the remote device 350 and see that the prescription has been issued.
Referring again to step 955, if at this step it is determined that the laboratory test results do not support the prescription issued by the medical health professional, the method can then move on to step 965. If the laboratory tests are for a biomarker, the test results may find that the to biomarker is not present or is absent, indicating that the prescribed medication is not a good match for the cardholder.
At step 965 the pharmacist can contact the authorized medical provider with care alternatives. In this manner, the method can prevent medication from being issued to the cardholder that may not be ideal or even hazardous based on the test results that may not have Is been available to a pharmacist simply filling written prescriptions.
After step 965 has been completed the method can end without the pharmacist prescribing a medication which may not be ideal or could even be harmful to the cardholder. -In a further aspect of the present invention, the smart card 10 could be used in conjunction with a court mandated treatment program. it is common for substance abusers to be 20 required by a court to undergo some form of mandated treatment program.
These programs typically require the person to either abstain from taking an illegal or other substance during a probationary period. Alternatively, the person could be required to undertake some sort of medication or vaccination program as part of their treatment. For example, there are sOme vaccinations now available that prevent the effects of some substances, such as heroin, from 25 affecting a person who has undergone the vaccination program.
The problem with these programs is it is usually necessary to monitor the person and ensure they are either abstaining from the substance or are taking the necessary vaccinations, medications, etc. This usually requires the person to show up at a specific location to be testsed for the presence or lack of the substance in question. The card 10 can be used to record and report these tests results.
Fig. 10 illustrates a system 1000 for implementing a method of testing and monitoring whether a cardholder is complying with a court mandated treatment program. The system 1000 comprise a laboratory device 1010, a plurality of kiosk devices 1020 and an authorities device 1050.
The laboratory device 1010 can be located at a laboratory site where laboratory tests can be taken of the cardholder. The laboratory device 1010 can be a data processing system such as a computer, etc. The laboratory device 1010 can include a card reader/writer 1012 to read and W write information from and to the card 10 and in one aspect can include a PIN pad 1014 and a finger print. reader 1016 to allow the cardholder to be authenticated.
The plurality of kiosks 1020 can be government controlled data processing systems that are provided in government buildings or other public areas that are relatively accessible to the cardholders. Each kiosk can have a card reader/writer 1022 for accepting the card 10 of the cardholder and a PIN pad 1024 to allow the cardholder to be authenticated. The plurality of kiosks 1020 can he in communication with the authority's device 1050 over a network 1070 such as the int-met.
Fig. 11 illustrates a method for determining whether a cardholder is maintaining his court mandated therapy. The method can start with the cardholder taking the card 10 to a laboratory for court-mandated tests at step 1110. These laboratory tests could be urinalysis, etc.
Once the necessary tests are performed, i.e. the test results can be written to the memory 40 of the card 10. In one aspect, these test results can be encrypted when they are stored in the memory 40 of the card.
After the cardholder has visited the laboratory and the laboratory test results have been stored to the memory 40 of the card 10 at step 1120, the cardholder can visit one of the kiosks 1020 at step 1130. The cardholder can insert his or her card 10 into kiosk 1020 and authenticate themselves.

Once the card 10 has been authenticated the time and location of the access to the kiosk 1150 can be determined at step 1140. The time stamp and location indicator will store can be stored in the memory 40 of the card 10 and uploaded to the authorities device 1150 to be stored in a database 1060. In this maimer, the time and location where the cardholder has accessed a kiosk 1050 can be stored for the proper authorities to view.
At step 1150 the laboratory tests stored on the card 10 can be accessed and obtained by the kiosk 1150.
At step 1160 the laboratory test results can be analyzed to determine whether the cardholder has passed or failed the tests. If the purpose of the laboratory tests were to determine U) whether a substance was present in the body of the cardholder that was not supposed to be there (i.e. an illegal substance) than this would be a failure of the tests.
Alternatively, if the tests were to ensure the cardholder was taking a specific medication or vaccination, the lack of .this substance showing up in the tests could be a failure.
If at step 1160 it is determined that the cardholder has failed the tests, then the method can move onto step 1180 and the test results can be written to the memory of the card 10 and uploaded to the authorities device 1050 to be saved in the files related to the cardholder in the database 1060. An alert can also be added to the cardholder's files and a message will appear on the kiosk computer screen advising the cardholder to contact a specified agency for more information. The alert may be upgraded within an agency's IT system to immediately advise a specific person or office. Once this alert has been issued at step 1180, the method can end.
However, if at step 1060 it is determined that the cardholder has passed the tests (i.e. no illegal substance are present or the required substance is present). then the method can move on to step 1070 and the approval of the test results and the time stamp can be saved to the memory of the card 10 and the method can end.
The foregoing is considered as illustrative only of the principles of the invention.
Further, since numerous changes and modifications will readily occur to those skilled in the art, it is not desired to limit the invention to the exact construction and operation shown and described, and accordingly, all such suitable changes or modifications in structure or operation which may be resorted to are intended to fall within the scope of the claimed invention.
=

Claims (30)

Claims:
1. A smart card for storing medical information related to a person associated with the smart card, the smart card comprising: a memory operative to store computer readable data, the memory storing:
primary information comprising information identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card, the primary information accessible to a car reader without authentication; and secondary information comprising sensitive medical information related to the person associated with the smart card, the secondary information accessible only after authentication.
2. The memory device of claim 1 wherein the primary information comprises a name and address of the person associated with the smart card.
3. The memory of device of claim 1 wherein the primary information comprises emergency contact information indicating an emergency contact for the person associated with the smart card.
4. The memory device of claim 1 wherein the primary information comprise information related to medication being taken by the person associated with the smart card.
5. The memory device of claim 1 wherein authentication to access the secondary information requires a personal identification number to be provided.
6. The memory device of claim 1 wherein the secondary information comprises prescription information relating to medication prescribed for the person associated with the smart card.
7. The memory device of claim 1 wherein the secondary information comprises lab requisition information.
8. The memory device of claim 1 further comprising tertiary information containing lab result information, the tertiary information accessible only after additional authentication.
9. The memory device of claim 8 wherein the additional authentication required to access the tertiary information is different than the authentication required to access the secondary information.
10. The memory device of claim 9 wherein the additional authentication is biometric information of the person associated with the smart card.
11. The memory device of claim 10 wherein the biometric information is a fingerprint of the person associated with the memory device.
12. A method of using a smart card to provide variable access to medical information of a person associated with the smart card, the method comprising:
providing the smart card having a memory operative to store data in a computer readable form, the memory storing:
identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card; and secondary information comprising sensitive medical information related to the person associated with the smart card, allowing unrestricted access to the primary information with a card reader;
and after authentication, allowing access to the secondary information Using a card reader.
13. The method of claim 12 wherein authentication to access the secondary information is a personal identification number.
14. The method of claim 12 wherein the memory of the smart card further comprises tertiary information containing lab result information, and wherein after additional authentication, allowing access to the tertiary information.
15. The memory device of claim 14 wherein the additional authentication required to access the tertiary information is different than the authentication required to access the secondary information.
16. The memory device of claim 15 wherein the additional authentication is biometric information of the person associated with the smart card.
17. The memory device of claim 16 wherein the biometric information is a fingerprint of the person associated with the memory device.
18. A method for using a smart card to obtain prescription medication, the method comprising:
providing a smart card having a memory operative to store data in a computer readable form, the memory storing primary information comprising information identifying the person associated with the memory device and non-sensitive medical information related to the person associated with the smart card, the primary information accessible to a car reader without authentication and secondary information comprising sensitive medical information related to the person associated with the smart card, the secondary information accessible only after authentication;
taking the smart card to a health care provider where the health care provider first accesses the primary information on the memory of the smart card and then after authentication, writes prescription information to the memory of the smart card; and taking the smart card to a pharmacy where the pharmacy first accesses the primary information and then after authentication accesses the prescription information stored on the memory of the smart card and issues a prescription in accordance with the prescription information.
19. The method of 18 wherein authentication is performed by providing a personal identification number associated with the smart card.
20. The method of 18 wherein the health care provider uses a card reader to access the memory on the smart card.
21. The method of claim 18 further comprising:
after authentication, the health care provider writing laboratory test requisition information to the secondary information on the memory of the card; and taking the smart card to a laboratory to have tests performed based on the laboratory requisition information stored in the memory or the smart card, the laboratory results obtained from the tests specified in the laboratory requisition information being written to the memory of the smart card.
22. The method of claim 21 wherein the laboratory results are written to a tertiary information section only accessible after additional authentication.
23. The method of claim 22 wherein the additional authentication required to access the tertiary information is different than the authentication required to access the secondary information.
24. The method of claim 23 wherein the additional authentication is biometric information of the person associated with the smart card.
25. The method of claim 24 wherein the biometric information is a fingerprint of the person associated with the memory device.
26. The method of 18 wherein payment for the laboratory tests is authorized using information stored on the memory of the smart card.
27. A method for using a smart card to determine whether a person is following a treatment program, the method comprising:

providing a smart card having a memory operative to store data in a computer readable form;
taking the smart card to a health care provider to have tests performed and having test results obtained from the tests written to the memory of the smart card; and taking the smart card to another location where the test results from the memory of the smart card are uploaded to an authority device and a time stamp indicating when the test results were uploaded to the authority device.
28. The method of claim 27 wherein the tests include urinalysis.
29. The method of claim 27 wherein the test results are to test for the presence of a substance.
30. The method of claim 26 wherein authentication of the smart card must be provided before the test results are uploaded to the authorities device.
CA2790777A 2012-09-21 2012-09-21 Multi-application healthcare smart card Abandoned CA2790777A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016141457A1 (en) * 2015-03-10 2016-09-15 Scs Card Technology Inc. Multi-application personal health record microprocessor card
US20180190370A1 (en) * 2014-06-26 2018-07-05 Robert C. Villare Universal Medical Access Card System and Process Thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180190370A1 (en) * 2014-06-26 2018-07-05 Robert C. Villare Universal Medical Access Card System and Process Thereof
WO2016141457A1 (en) * 2015-03-10 2016-09-15 Scs Card Technology Inc. Multi-application personal health record microprocessor card

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