CN105210105A - Systems and methods for interpreting medical information - Google Patents

Systems and methods for interpreting medical information Download PDF

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Publication number
CN105210105A
CN105210105A CN201480024323.2A CN201480024323A CN105210105A CN 105210105 A CN105210105 A CN 105210105A CN 201480024323 A CN201480024323 A CN 201480024323A CN 105210105 A CN105210105 A CN 105210105A
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medical
health care
care provider
request
rank
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CN201480024323.2A
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Chinese (zh)
Inventor
肯尼斯·H·弗查克
琼斯·J·汉普林
伊万·弗查克
劳伦斯·布鲁斯特
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Best Doctors Inc
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Best Doctors Inc
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Priority claimed from US13/802,229 external-priority patent/US20130204643A1/en
Application filed by Best Doctors Inc filed Critical Best Doctors Inc
Publication of CN105210105A publication Critical patent/CN105210105A/en
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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/20—ICT specially adapted for the handling or processing of medical references relating to practices or guidelines

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Bioethics (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Pathology (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

Disclosed are a system and a method providing patients with access to highly ranked medical professionals. The invention identifies, ranks., and connects qualified medical experts with patients and their families across the globe. Additionally, the invention disclosed herein provides a personal, compassionate and comprehensive system and method to ensure that people get the best possible medical advice.

Description

For explaining the system and method for medical information
The cross reference of related application
US13/802, U.S.'s continuation application of 229 (on March 13rd, 2013 submits), US13/802, 229 is US12/834, U.S.'s continuation application of 376 (on July 12nd, 2010 submits), US12/834, 376 is US09/705, 198 (on November 2nd, 2000 submits) (U.S. Patent number: 7, 756, 721) U.S.'s continuation application, US09/705, 198 require provisional application US60/163, the right of priority of 520 (on November 4th, 1999 submits), US60/163, 520 is US08/818, 155 (on March 14th, 1997 submits) (U.S. Patent number: 6, 256, 613) part continuity application.The full content of aforementioned each application is incorporated herein the application as a reference.
Background technology
Obtaining a medical diagnosis may be an event changing life.Medical diagnosis can bring mentally, on health and fiscal challenge, and then medical diagnosis greatly can affect the present quality of life of people and following quality of life.In a diagnosis, know and take which step, and determine that suitable therapeutic scheme is a difficult task.In the epoch of an information explosion, determine that qualified doctor may be a difficult task more.
In addition, be difficult to obtain a clear and definite medical diagnosis in the clinical case of complicated symptoms.In this kind of case, the various medical symptom seeming some uniqueness incoherent may make diagnosis thicken.And although the medical supplier in the network of paying person can be absorbed in the treatment of some complexity of process, the patient with this medical symptom can require a different medical supplier being absorbed in the subset of a medical speciality.Unfortunately, patient generally cannot access expert's health care provider on a large scale and the information of these expert suppliers may be distributed in the whole nation or other countries each area.
Summary of the invention
In certain embodiments, the invention provides a kind of method of asking the explanation of medical records, the method comprises: a) receive the medical records relevant to a main body by computer system; B) retrieve in the database of a health care provider based on described medical records, each health care provider in wherein said database is relevant to a specialty independently, with the health care provider providing at least one qualified, the described medical records of the qualified explanation of wherein said qualified health care provider; Wherein, described computer system comprises a processor; Wherein said retrieval is performed by described processor; C) request to medical records described in described qualified health care provider request is explained; D) the described request explanation of described medical records is received from described qualified health care provider; And e) described request explanation is compared and rank with at least one alternative interpretations provided by other health care providers, to provide the explanation rank of medical records.
In certain embodiments, the invention provides a kind of computer program, comprise the computer readable medium that an in-line coding has computer-executable code, described computer-executable code is suitable for being performed to realize a kind of method, described method comprises: a) provide a Virtual Medical service system, and wherein said Virtual Medical service system comprises: I) load module; Ii) database, wherein said database comprises multiple health care provider; III) retrieval module; Iv) ranking module; V) request module; And vi) output module; B) by described load module from user's reception one electronic medical record, the information from described medical records is sent to described retrieval module by described load module; C) based on described information, retrieve described database by described retrieval module, thus described retrieval module determines the subset of a health care provider relevant to described information in the database; D) by described ranking module, rank is carried out to the subset of described health care provider, thus each health care provider in the subset of described health care provider is carried out rank based on the degree of association with described information by described ranking module, to provide the set of a health care provider for rank; E) by health care provider request one from described request module at least one rank described in the request of medical records explain; F) receive at least one request by described request module to explain; G) the described request explanation that received and at least one alternative interpretations compared with rank by described ranking module to provide the set of an explanation for rank; And h) by the set of the explanation of rank described in described output module output.
Accompanying drawing explanation
Figure 1 shows that each module of online doctor community, comprise case management module, doctor group module, and the schematic diagram of great case module.
Figure 2 shows that the schematic diagram of a kind of exemplary architecture of the online archives of expert.
Fig. 3 is the block diagram of the first exemplary architecture demonstrating the computer system that can adopt in exemplifying embodiment of the present invention.
Fig. 4 is the schematic diagram demonstrating the computer network that can adopt in exemplifying embodiment of the present invention.
Fig. 5 is the block diagram of the second exemplary architecture demonstrating the computer system that can adopt in exemplifying embodiment of the present invention.
Fig. 6 is qualified doctor with the schematic diagram of typical architecture explaining the message that the request of medical records receives.
Fig. 7 is the schematic diagram of a kind of exemplary architecture that the case comprising clinical summary of presenting to qualified doctor illustrates.
Fig. 8 is the schematic diagram of the representative module of the case summary of presenting to qualified health care provider.
Fig. 9 is the schematic diagram of the representative module of the Virtual Medical service system comprising doctor community.
Figure 10 is the schematic diagram of the available representative module of assisting qualified doctor's case to manage in Virtual Medical service system.
Figure 11 is the schematic diagram of the representative module of community of colleague group in Virtual Medical service system.
Embodiment
There is huge challenge in the process of medical diagnosis.For an independent medical diagnosis, not only can affect the life of patient, and can family be affected, doctor, nurse, and the life of colony separately.The course for the treatment of and the mode for the treatment of selected when treating a certain disease, symptom or the state of an illness can cause conclusive impact to the life of many people, but seldom have family or individual fully can bear the impact of receiving medical diagnosis and bringing, particularly once had majority to receive the diagnosis of mistake, or the doctor seen does not understand its symptom.How study processes diagnosis is a kind of difficulty and changeable in mood process, and how study processes error diagnosis can be brought great negative effect to the life of the people that some people and they like.
The mistaken diagnosis of annual hospital causes the people of estimation 40000 to 80000 dead.Often be limited by various factors, comprise incompressible schedule, institutional requirement, and multiple professional commitment, doctor fails to spend time enough to go to understand the symptom of patient, and now, mistaken diagnosis may occur.Under many circumstances, mistake also may occur, such as, when the description of doctor's neglect patients to the symptom of oneself, when the medical history of doctor's neglect patients, when doctor cannot verify the accuracy of medical test result, and when doctor ignores the possibility of this " though they do not have enough information to provide a clear and definite diagnosis, but still feeling to be necessary to the symptom of patient qualitative ".
Provided herein is a system and a kind of method, eliminates patient, and their family probabilistic burden with it, set up simultaneously one private, hommization, and comprehensively method to guarantee that people obtain medical science suggestion as well as possible.The present invention helps the patient in global range and their family determine doctor having great ability in polynary field and set up contact with it.
When receiving a medical diagnosis, individual and family no longer need to be suffered from collection medical records, retrieval, assessment, and rank, determines, check, contact with, and set up with the most qualified health care provider and contact.System and method of the present invention be individual or one family select one kindhearted, consideration, encyclopedic, and simplify flow process during effective medical services.
Explain that the flow process of medical information can from an envelope mail, a code phone, once aspectant discussion or other communication method multiple start.Doctor, nurse, medical records expert, or administration staff is all members of a group, when the request of a new medical interpretation is received, this group can be alerted.Group member can ask the requesting party of the explanation of medical cases directly interactive with one.The internal staff of this group can be assigned to each case, and group member can become the special communication center of each case.Group member can generate the online individual medical archive of the main body of request medical interpretation in line platform of the present invention one.Optionally, a main body can generate an online Profile for oneself or other people.
This group receives and assesses the medical records relevant to each medical cases.In a preferred embodiment, main body can submit multiple case history, image and test sample by a computer program to system of the present invention, and this computer program is suitable for reception, retrieval, rank, arrangement and classification case history.Optionally, group member can represent patient and collect multiple case history, image and test sample.This group can systematically organize, arrange, classify and retrieval diagnoses relevant information to one on medical records.One computer program can systematically be organized, arrange, classify and retrieval diagnoses relevant information to one on medical records.
The present invention retrieves based on this medical records in the database of a health care provider, and is that a concrete case determines that at least one or a group have the qualified health care provider of relevant professional knowledge.The present invention is conducive to selecting best national authentication doctor and/or specialist and to the comprehensive analysis of the group appeal one of a selected qualified health care provider all medical informations relevant to a medical cases.
And system and method for the present invention is supplied to requesting party and a expert report for the customization of this case for the treatment of doctor thereof of the explanation of request medical records.The program is as the clinical guidance of suggestion comprising Diagnosis and Treat.Team provided by the invention also influences each other assessing in the important milestone being in progress and solving new problem with individual and family.Treatment doctor can be happy for can provide neodoxy to case.Patient and family can make self-confident decision with regard to therapeutic scheme, and feel to feel at ease because of the doctor that can access rank.This flow process comprises an individual, the pragmatic and method of hommization to guarantee that best service is found by individual and family.
And patient and family do not need to hurry back and forth or oneself tackles medical system.Individual and family can obtain their answer of needs and the peacefulness of heart that they seek at the family of oneself easily.At this on the one hand, the present invention can eliminate in the sufferer that conveying is optimum is looked after, in some cases, such as doctor lacks, doctor's limited amount of specialty, geographic isolation, distance, serve shortage, resource-constrained, technology and financial difficulty etc., many obstacles.The invention provides a kind of comprehensively and the method for parsingization, to understand and solve the demand of many colonies and obtain the individual of medical diagnosis and provide the doctor institute problems faced of medical interpretation.
ask an explanation of a medical records.
System and method of the present invention provides the deep explanation of medical diagnosis and therapeutic scheme by a qualified health care provider.It is requested that medical interpretation can represent a main body.Main body can be, such as, and an old adult, an adult, a teenager, a prepuberal people, children, a child learnt to walk, or a baby.
When system of the present invention receives relevant to a main body medical records by a computer system, the method for this explanation medical services request can start.One medical records can be received by the present invention, such as, when a main body provides in information to an online individual medical archive.One online individual medical archive of this main body can comprise multiple medical records, such as, and the assessment that inspection and test result, medical history and treatment doctor provide and therapeutic scheme.In certain embodiments, this medical records comprises a tentative diagnosis.In certain embodiments, this medical records is received by a medical request of main body.
This computer system is retrieved in the database of health care provider based on this medical records.In certain embodiments, multiple qualified health care provider is determined in this retrieval, and each qualified health care provider by rank to provide one from the highest rank to the rank collection of the qualified health care provider of minimum rank.System and method of the present invention can to a qualified health care provider request one medical records explanation, and this qualified health care provider is given the chance of the thoroughly each case of check.In certain embodiments, this qualified health care provider has the professional knowledge relevant to this medical records.Such as, a main body suffering from back pain can provide the nuclear magnetic resonance image (MRI) that a display backbone degenerative change, slight disc herniation and edge nerve change.System and method of the present invention specially can ask the explanation of this medical records in the neurosurgeon of spinal instability to one.
This medical expertise of health care provider can be used in the database of health care provider, carry out the qualified health care provider retrieving and determine at least one qualified this medical records of explanation by system and method for the present invention.In certain embodiments, this request is explained and can be carried out rank according to the level of the professional knowledge of this health care provider.Such as, a symptom comprise the main body of short of breath, leg swelling and not resistance to motion may the risk having congestive heart failure under a cloud.Heart echo instrument (Echocardiographs) and blood test can be adopted by a treatment doctor with diagnosis of heart failure.The treatment doctor of main body can advise in the heart of patient, implanting medical apparatus, such as pacemaker or ventricular assist device, to treat by operation.Carrying out operation consent, this main body can seek the second medical science suggestion.This main body can utilize system and method for the present invention to submit the explanation request of the medical records of this main body to.The present invention is passable, and such as, the floor level based on the professional knowledge provided needed for explanation carries out rank to this explanation, the professional knowledge of such as openheart surgery, generally heart disease and cardiac electrophysiology (cardiacelectrophysiology).
In certain embodiments, described request is explained is based on the virtual corporation between described qualified health care provider and at least one extra health care provider.Such as, the main body of the diagnosis of one band heart failure can receive an expert interpretation, this expert interpretation comprises virtual corporation between qualified cardiac electrophysiology expert and cardiac surgeon, described qualified cardiac electrophysiology expert checks the medical media relevant to this diagnosis, after one's own heart echo instrument, described cardiac surgeon proposes the expert opinion about best operating procedure, is implantable pacemaker or ventricular assist device in the present embodiment.In certain embodiments, anonymous each other between this qualified health care provider and this extra health care provider.
Method of the present invention can assess multiple explanations of medical records.The explanation of medical records can be, such as, one is included in first for the treatment of doctor in this explanation request explains.Explanation can be, such as, at least one qualified health care provider related to the present invention provides.Explanation can be, such as, multiple qualified health care provider related to the present invention provides.In certain embodiments, the present invention determines multiple qualified health care provider, and the plurality of in each qualified health care provider by rank to provide the rank collection of a qualified health care provider arranged from the highest rank to minimum rank.
Multiple ranking criteria may be used for the rank collection determining a qualified doctor.Such as, comprise display back, head based on one weak, and the request of MRI record that neck is degenerated, the present invention can retrieve the database of health care provider.The present invention can determine that multiple neurosurgeon is qualified health care provider.The present invention can based on career length, this neurosurgeon for record the familiarity that similar MRI records in this request, and/or the geographic position of this neurosurgeon (geolocation) carries out rank to this neurosurgeon.In certain embodiments, the explanation of medical records is asked to comprise the qualified health care provider concentrated with this rank of the poll from the qualified health care provider of the highest rank.In certain embodiments, ask the explanation of medical records to comprise and inquire with random sequence the qualified health care provider that this rank is concentrated.
For determining that the standard of the rank collection of doctor can directly or indirectly find in this medical records.Such as, a diagnosis can provide a medical records comprising cardiac computer tomography (heart CT) with this explanation request with the paediatrics main body of cardiac structure deformity.The present invention can retrieve this medical records, and the present invention can notice that this heart CT has highlighted dissection and the coronary circulation of this heart.The present invention based on the information directly found from this medical records, as " heart CT ", and " Pediatric Cardiology Dept. ", can retrieve in the database of health care provider.The present invention can retrieve in the database of health care provider based on the information that sending and receiving in the middle of this medical records are existing, such as, comprise the medical records of heart CT based on one, the present invention can retrieve " cardiovascular surgeon " as qualified health care provider.
In some respects, the invention provides the system and method that qualified doctor is determined in a kind of description based on a state of an illness.In certain embodiments, the present invention also comprises and retrieving in the database of medical resource based on the information in this medical records, thus determine the medical resource of being correlated with, and when asking described request to be explained, described relevant medical resource is supplied to described qualified health care provider.
System and method of the present invention can receive multiple request from multiple qualified health care provider and explain.Multiple standard can combine the rank providing medical records to explain.The present invention is passable, such as, explains that the qualification (qualification) of doctor carries out rank to all suggestion operations as recommending the explanation for the treatment of based on providing.The present invention is passable, and such as, the order explained based on the request receiving described medical records from qualified health care provider carries out rank to all explanations.
System and method of the present invention can to multiple qualified multiple explanation of health care provider request.Qualified supplier can accept the request of the explanation providing medical records.Qualified supplier can refuse the request of the explanation providing medical records.The present invention can such as, and after at least one, other qualified health care provider makes affirmative reply to described request, request one comes from the explanation of the medical records of a qualified medical ISP.
Main body, doctor, nurse, medical records expert or administration staff can seek the second suggestion of the explanation provided about qualified health care provider.In certain embodiments, the method that this request medical records is explained also comprises the second suggestion soliciting the rank for explanation to a doctor.
In certain embodiments, an authorized user can be authorized to the rank of accessing explanation provided by the invention.The user of this system can be, such as, and the guardian of this main body, health care provider, treatment doctor, expert, kinsfolk, friend or this main body.
The explanation of medical records can comprise, such as, diagnosis, treatment suggestion, the checking of existing diagnosis, provide the treatment of second opinion suggestion to advise check, the expert of experts recommend and/or clinical case checks.
virtual Medical service system.
Another aspect of the present invention relates to a kind of method providing Virtual Medical service system.Virtual Medical service system can comprise an on-line communities, wherein qualified medical services provide and can manage the clinical case relevant to them and/or contact with clinical case, add doctor group, add the network group of specialty, and access the library of the great case shared of going together.Virtual medical service system can comprise the computer readable medium that an in-line coding has computer-executable code, and described computer-executable code is suitable for being performed to realize a kind of method, and the method comprises provides a Virtual Medical service system.
Virtual Medical service system can comprise a load module, with multiple different framework formed and comprise multiple databases of multiple health care provider, a retrieval module, a ranking module, a request module, and an output module.In certain embodiments, Virtual Medical service system comprises the on-line communities of a doctor.In certain embodiments, this on-line communities comprises the subset of doctor.
Health care provider can access online doctor community (Fig. 1,100).Qualified doctor is passable, such as, selects the first-selected language 101 browsing this website.Qualified doctor can Access Management Access case 102, browses and adds doctor group 103, and browses and add the link in library 104 of the famous medical cases that collects.
The health care provider relevant to the online doctor community in Virtual Medical service system can in the system of the present invention by just like Fig. 2, and the online archives of the expert shown in 201 are determined.The online archives of this expert can comprise the name 202a as expert, the surname 202b of expert, the addresses of items of mail of expert and telephone number 202c, the professional 202d of expert, the son specialty 202e of expert, the grade 202f of expert, as the title of the doctor in charge of expert, department head or operation director, the membership 202g of expert, such as expert is under the jurisdiction of a hospital or a private clinic, the map 202h of the preferred Speciality of Physics address of expert, the information of the charitable activity 202i of the participation of expert, and other information 202j that expert provides.
System and method of the present invention can receive the personal medical information entering online main body archives.The personal medical information of main body can comprise the general information of main body, medical history, and medical treatment meets with history, present illness information, and the relevant information of main body latest activities.The non-limitative example of personal medical information comprises: the age, sex, blood group, family history, height, body weight, diet, BMI, the risk of diabetes (DM) and prediabetes (pre-DM), family history, the risk of prehypertensive (pre-HTN), systolic blood pressure and diastolic blood pressure measured value, edible salt intake, micro-urine examination, albuminuria, serum urea nitrogen, creatinine content, calcium content, thyrotropic hormone (TSH) level, blood sugar, high-density lipoprotein (HDL) (HDL) and low-density lipoprotein (LDL) cholesterol level, triglyceride, hematocrit, cardiogram, and/or rabat, metabolic syndrome, hyperlipemia, the risk infected, immune system reduces, circulation damages, skin integrity is damaged, contagium repeatedly, screening for cancer, cat scan, nuclear magnetic resonance (MRIs).
One main body can improve its online individual medical archive termly in Virtual Medical service system.Main body is passable, such as, accesses online archives to upgrade the information relevant to this request of medical interpretation, as symptom.Main body is passable, and such as, access one online archives are to upload nearest medical records.
System and method of the present invention can receive the request of the explanation of the medical records relevant to the online archives of main body.Virtual Medical service system can by the ROL request-online of multiple qualified health care provider with the explanation of the medical records received.Virtual Medical service system can carry out rank based on arranging multiple qualified health care provider with the degree of association of information that provides in this medical records to one.The degree of association can be, such as, one group of professional qualification needed for the explanation of this medical records, as director's qualification, operation professional knowledge, professional domain, career length, with reputation in the ranks and achievement before.Virtual Medical service system in a preferential order can will ask rank, e.g., urgent, time-sensitive, crucial, unessential, and needs multiple professional domain.
Virtual Medical service system of the present invention provides medical resource database and medical resource retrieval module to qualified health care provider.Virtual Medical service system can comprise one effectively to the method for a qualified health care provider request medical interpretation.Virtual Medical service system can associate based on the information classification be included in the online archives of main body the request of medical interpretation that main body submits to.Virtual Medical service system is passable, based on the specialty relevant to the subset of health care provider or geographic position, the subset of this health care provider is associated with the request of explanation.Virtual Medical service system of the present invention is passable, such as, in the qualification (comprising director's qualification) of health care provider, professional domain, career length, with reputation in the ranks, and achievement aspect online, rank is carried out to multiple health care provider.
Virtual Medical service system is passable, based on the information be included in the request of medical interpretation, retrieves in the database of subset determining the health care provider relevant to this information.In certain embodiments, the health care provider of the subset kind of this health care provider can basis, such as, the recommendation of one member of this virtual community, the growing number of the medical records that the medical records relevant to the request of new medical interpretation that supplier checks is similar, and/or be subordinate to hospital, and determined.In certain embodiments, the health care provider of the subset kind of this health care provider, based on specialty, is independently associated with this information.Such as, a hematologist can be confirmed as the doctor with treatment hematologic disease relevant professional knowledge in the database of subset comprising health care provider.
System of the present invention can retrieve multiple medical resource databases that are that formed with multiple framework and that supported by multiple different data management system, comprises, such as: a) graphic data base; B) hypermedia database; C) hypertext data storehouse; D) memory database; E) document-type (document-oriented) database, wherein this database purchase, extraction management document type, or semi-structured data, the medical history of such as main body can by a Document image analysis by system access of the present invention; F) cloud database, is provided with remote data base and data management system; G) data warehouse, wherein the filing of this data warehouse is from the data in operating database, and data can be carried out conversion and be entered warehouse, obtains and sums up, and reclassify; H) dynamic data base, wherein this database can real-time response data store internal and outside condition; I) distributed data base, wherein this database comprises multiple module, the plurality of module can comprise the module of multiple web analytics, with specific to a website and only in the module of this website local runtime, such as by local medical bodies, the department of ground district hospital, hospital of branch, and the database that other hospital managements place use and share; J) embedded database, wherein this database be one with the data base management system (DBMS) needing to combine closely to access the application software that stores data to the mode applying software terminal user hiding data base management system, such as, the present invention can from a medical records platform, an i.e. data base management system (DBMS), receives medical records; K) end-user database, wherein this end-user database comprises by the data of personal terminal User Exploitation, such as collection of document, electrical form, PowerPoint, multimedia, and the alternative document developed by main body; L) federated database and multiple database, wherein federated database is an integrated data store, and this integrated data store comprises multiple different database, and each database has oneself data management system; M) knowledge-based database, wherein this database provides computer to collect, organizes, and extracts the instrument of knowledge, the data of the set of such as problem of representation and correlation experience; N) operating database, the renewal comprising medicine intermedium that wherein this database processing is relatively a large amount of; O) spatial database, wherein this database can store the data with Multi-attributes; P) temporal database, wherein this database comprises built-in time aspect, and example comprises an effective time and behavior time of origin; And q) unstructured database, wherein this database construction is store those different objects not naturally being applicable to common database easily in manageable and shielded mode, comprises; such as, Email, document; periodical, and multimedia object.
Virtual Medical service system is passable, based on the information be included in medical interpretation request, carries out rank to multiple health care providers relevant to this request.Virtual Medical service system is passable, based on the information be included in medical interpretation request, carries out rank to multiple explanations that qualified health care provider provides.In certain embodiments, system of the present invention can make the rank collection of qualified health care provider associate with the rank collection of the explanation provided.
System and method of the present invention can Xiang the access entrance that the on-line communities of doctor provides medical records and request thereof to explain in Virtual Medical service system of the present invention.
health care provider.
A qualified health care provider can be, such as, acupuncture practitioner, habituation psychiatrist, ephebiatrics expert, irritated specialist, immunologist, allopathic doctor, dissect and clinicopathologia expert, anatomical pathology expert, anesthetist, Exercise Injury Protection teacher, audiologist, Ayurveda medical expert, fat-reducing medical expert, bariatric surgery expert, blood bank blood transfusion medical expert, cardiac electrophysiology expert, cardiac surgeon, openheart surgery expert, cardiologist, certification diabetes education man, certification nursing assistant, chemical pathology man, Traditional Chinese Medicine experts, Chiropractor, clinical and Experimental immunization expert, clinical biochemical science of heredity expert, clinical heart electrophysiology expert, clinical cytogenetics expert, clinical genetics expert, clinical hemorrhoid expert, clinical neurophysiology expert, Clinical Nurse Specialists, clinicopathologia expert, Colon and rectum surgeon, coton and rectal expert, coroner, consultant, critical care medicine, Intensive Care Therapy is performed the operation, cytopathologist, cytotechnologist, dental hygienist, dentist, dermatologist, dermal pathology scholar, grow pediatrician, diabetologist, nutritionist, ear-nose-larynx expert, Emergency Medical Technician, emergency treatment expert, endocrinologist, endodontist, ophthalmologist, oculist, family doctor, fertility expert, forensic pathologist, alienist, gastroenterologist, gastrointestinal surgery doctor, geneticist, hereditary disease consultant, geriatrics specialist, senile psychosis scholar, gynaecologist, gynecological tumor scholar, the sense of hearing/language specialist, hematologist, hepatologist, holistic medicine expert, deathbed care and palliative medicine expert, homeotherapy expert, immunologist, immunopathogenesis scholar, infectious-disease specialist, physician, iris scholar, athletic rehabilitation teacher, laryngologist, decorative sursery doctor, medical assistant, medical examiner, medical genetics scholar, Medical oncology man, medical science toxicologist, midwife, molecular genetic virologist, mental health expert, new life-term expert, nephrologist, neurologist, neuroradiologist, neurosurgeon, nuclear medicine specialist, nurse, nurse practitioner, obstetrician, oncologist, oculist, optist, oral pathology expert, oral surgeon, orthodontist, shaping expert, ear-nose-throat department expert, ear specialist, pain management expert, virologist, pediatrician, external circulating therapy teacher, periodontist, plastic surgeon, Phys, orthopedic surgeon, podiatrist, PR, prosthetic specialist, psychiatrist, sanitation expert, pulmonologist, Pulmonary Medicine, radiologist, reproductive endocrine scholar and infertile expert, rheumatologist, nose section expert, sleep-disorder expert, ultrasonic testing teacher, language therapist, surgeon, chest expert, transplant expert, uropoiesis gynaecologist, urologist, blood vessel expert, Vascular surgeons.
medical records.
The present invention relates to a kind of system and method for asking the explanation of medical record.In certain embodiments, the medical records relevant to main body is received by a computer system, and the utilization of this computer system is included in the information in this medical records and retrieves in the database of health care provider.
Medical records can comprise a file or the document assembly of the medical information describing main body.Medical records can comprise through one period, the complete medical history of main body and medical services, or medical records can comprise the single incident in patient's medical history.Medical records can describe main with secondary disease, history of operation, BH, drug therapy and medical science irritated, family history, social history, personal habits, immunity history, g and D history.
The medical records of main body can mention that what medical history is main body all there occurs ever since one's birth.Such as, medical history can be disease, main with secondary disease, and/or the record of growth mark.Medical records can describe main suit, the history of present illness, physical examination, the assessment of clinical case, and the recommended behavior process (courseofaction) for the treatment of one situation.In certain embodiments, the medical records that system and method for the present invention receives comprises tentative diagnosis.In certain embodiments, explain that medical records comprises and check this record to provide diagnosis.
The medical history of main body can comprise history of operation.History of operation can describe and occur in main body operation with it, such as, date of surgery, operation report, and/or what detailed description surgeon perform.
Medical history can comprise BH.BH can comprise pregnant before, pregnancy outcome, and/or Pregnancy Complication.In certain embodiments, it is irritated that medical history can comprise medicine and medical treatment, such as, main body current with former medicine and/or medical treatment irritated.
In certain embodiments, medical history can comprise family history.Family history can comprise the state of an illness inventory of and multiple lineal relative, such as, the cause of death, common or only find in a sex or other disease in the family of main body, and/or family tree.
In certain embodiments, medical history can comprise social history.Social history can comprise the record of the interpersonal interaction of one or more main body, such as, and the interpersonal relation of main body, the occupation of main body, training, education, and/or religion training.In certain embodiments, the social history main body that can provide support can be expected the community relations information of certain specified disease, there is provided and can explain the information of main body about one or more behaviors of one or more disease or loss, and/or information can be provided to help to determine one or more reasons of one or more disease, such as, Exposed asbestos.In certain embodiments, medical history can comprise the personal habits that can affect main body health.The personal habits affecting main body health can comprise, such as, and Tobacco, Ethanol intake, motion, diet, sexual custom, and/or sexual orientation.In certain embodiments, medical history can comprise immunity history.Immunity history can comprise the vaccinated history of main body, and/or provides the blood testing of immunization data.
In certain embodiments, medical history can comprise one or more growth chart and grow history.Such as, if main body is a child or teenager, growth chart and growth history can comprise the chart of the growth of one or more record main body and/or contrast with the data of the main body of other same age.In certain embodiments, growth chart and growth history can provide the information of disease reason, because a lot of disease and social pressures can affect the g and D of main body.In certain embodiments, growth chart and grow history and can include the information of behavior of closing child, such as, time loquitured, and/or start time of walking, and/or with the contrasting of the child of other same age.
Pharmacy's medical records (Pharmacymedicalrecords, PMR) can relate to the record relevant with the pharmacology history of main body.In certain embodiments, pharmacology history can comprise the prescription history of main body, current prescribed regimen, and side-effects information, such as, dosage information, main body once took the time span of a prescription, and the known drug that the prescribed regimen current with main body has a negative impact.
Electronic medical record (ElectronicMedicalRecords, i.e. EMRs) can relate to the doctor of main body, clinician, insurance company, and hospital and/or other main body are record that is that the mechanism of patient obtains or that store.In certain embodiments, health care provider can comprise medical doctor, dentist, optist, Physical Therapist, massaging spondyle teacher, and anyly provides the people of medical services for main body.Electronic medical record can comprise, such as, cat scan, MRIs, ultrasound wave, blood sugar level, diagnosis, irritated, laboratory test results, EKGs, medicine, every day chart, Drug use administration, physical assessment, to be admitted to hospital NN, nursing care plan, change the place of examination, current and pass by symptom, medical history, habits and customs, physical examination result, test, program, treatment, medicine, excretion, history, diary, problem, find, immunity inoculation, RAN, service log, progress note, preoperative record, operation record, postoperative record, process record, pay record, postpartum record, with excretion record.
In certain embodiments, the data payment that the expert of medical records checks meets health insurance and carries the standard with accountability act (HIPAA).
In certain embodiments, the medical records that the present invention receives can be checked for colleague in the Virtual Medical service system of on-line communities comprising this medical records addressable.Virtual Medical service system can comprise medical resource database and medical resource retrieval module.Qualified health care provider, comprises doctor group widely, the subset of such as oncologist group, and doctor, such as neurosurgical tumor doctor group, can access the online door in on-line communities of the present invention.This online door can provide health care provider to access medical resource database, the library of great case, the entrance of the on-line communities of colleague, the medical records of the medical cases relevant to supplier with access.
In certain embodiments, the on-line communities in this Virtual Medical service system also comprises a medical imaging module, and this medical imaging module can provide, such as, doctor, nurse, and expert accesses the entrance of the medical image relevant to this medical record.Medical image in this medical imaging module can describe the textual description of the existing deciphering of this medicine intermedium or explanation with at least one.Any deciphering formerly that this medical image can not comprise this medicine intermedium or explanation.
In some respects, the present invention includes the system and method understood and comprise the medical records of the description of situation.Clinical case is provided, such as, clearly, logical, same case can be asked further based on the qualified doctor of the fact and intelligible explanation, or similar case.In certain embodiments, when this request receiving medical records from qualified health care provider is explained, this qualified health care provider is placed in a sequence to receive the medical services request relevant to this state of an illness in the future by this computer system of the present invention.
medical diagnosis.
Medical diagnosis can relate to the process of attempting to judge or attempt to determine a possible disease, disorder or the state of an illness simultaneously, and by diagnostic comments that this process is reached.Medical diagnosis can show the degree of a continuous abnormal, or medical diagnosis can show the exception of a certain class.Medical diagnosis can comprise short summary or the thoroughly evaluating of the medical records of patient.Medical diagnosis can describe the state of an illness needing operation as first-selected therapeutic scheme.
Medical diagnosis can relate to, and such as, anyly causes pain, irregular, dysfunction, health, mood or psychological pressure, social concern, and/or the disease of death, syndrome, or the state of an illness (condition).The state of an illness can comprise injured, disabled, imbalance, and syndrome infects, isolated symptom, abnormal behaviour, the atypia change of atypia normal cell 26S Proteasome Structure and Function, the atypia change of normal physiological 26S Proteasome Structure and Function, pathogenic conditions, deficiency disease, genetic disease, and physiological maladies.
Medical diagnosis can comprise name a kind of disease, pathology, dysfunction or deformity.Medical diagnosis can be management name or pre-name activity.Medical diagnosis can be uncertain or interim.In certain embodiments, medical diagnosis can be included in the explanation of this medical records.Medical diagnosis is passable, such as, and the suggestion of provider's Results.
Medical diagnosis can be, such as, and malignant tumour.The non-limitative example of the malignant tumour relevant to the medical records of system of the present invention comprises: acute lymphoblastic leukemia, acute myelogenous leukemia, adrenocortical carcinoma, to be concerned with cancer with acquired immune deficiency syndrome (AIDS), aids related lymphoma, cancer of anus, appendix cancer, astrocytoma, basal-cell carcinoma, cholangiocarcinoma, carcinoma of urinary bladder, osteocarcinoma, brain tumor, as cerebellar astrocytoma, cerebral astrocytoma/glioblastoma, ependymoma, medulloblastoma, Supratentorial primitive neuroectodermal tumour, pathways for vision and hypothalamus glioma, breast cancer, bronchial adenoma, Burkitt lymphoma, the cancer card that main source is not clear, central nervous system lymphoma, cerebellar astrocytoma, cervical carcinoma, childhood cancer, chronic lymphocytic leukemia, chronic granulocytic leukemia, Chronic Myeloid proliferative diseases, colon cancer, CTCL, Hypertrophic small round cell neoplasm, carcinoma of endometrium, ependymoma, cancer of the esophagus, ewing's sarcoma, germinoma, gall-bladder cancer, cancer of the stomach, gastrointestinal associated cancers tumour, gastrointestinal stromal tumors, glioma, hairy cell leukemia, incidence cancer, heart cancer, liver cell (liver) cancer, Hodgkin lymphoma, hypopharyngeal cancer, intraocular melanoma, islet-cell carcinoma, Kaposi sarcoma, kidney, laryngocarcinoma, lip and mouth cancers, embryonal-cell lipoma, liver cancer, lung cancer, as non-small cell and small-cell carcinoma of the lung, lymthoma, leukaemia, macroglobulinemia, malignant fibrous histiocytoma of bone/osteosarcoma, medulloblastoma, melanoma, celiothelioma, occult matastasis squamous neck cancer, mouth cancers, Multiple Endocrine knurl syndrome, myelodysplastic syndrome, myelomatosis, nasal cavity and paranasal sinus cancer, nasopharyngeal carcinoma, neuroblastoma, non-Hodgkin lymphoma, non-small cell lung cancer, carcinoma of mouth, oropharynx cancer, osteosarcoma/malignant fibrous histiocytoma of bone, oophoroma, epithelial ovarian cancer, ovarian germ cell tumors, cancer of pancreas, cancer of pancreas islet cells, paranasal sinus and CARCINOMA OF THE NASAL CAVITY, parathyroid carcinoma, carcinoma of penis, pharynx cancer, pheochromocytoma, pineal body astrocytoma, Pineal Germ-cell Tumor, pituitary adenoma, pleura lung bud, plasmacytoma, primary central nervous system lymphoma, prostate cancer, the carcinoma of the rectum, clear-cell carcinoma, renal plevis and transitional cell carcinoma of ureter, retinoblastoma, rhabdomyosarcoma, glandula cancer, sarcoma, cutaneum carcinoma, Skin Cell cancer merkel's cells, intestinal tumor, soft tissue sarcoma, squamous cell carcinoma, cancer of the stomach, T cell lymph cancer, laryngocarcinoma, thymoma, thymus epithelial thymic carcinoma, thyroid cancer, trophoblastic tumor (gestational period), the cancer of original site the unknown, carcinoma of urethra, sarcoma of uterus, vagina cancer, carcinoma of vulva, waldenstrom macroglobulinemia, and the nephroblastoma.
Medical diagnosis can be determined, such as, and genetic disorder.The non-limitative example of genetic disorder comprises: do not make a definite diagnosis the state of an illness, cystic fibrosis, Du Shi muscular dystrophy, hemochromatosis, Tay-Sach disease, Prader-Willi syndrome, angel's syndrome, multiple neurofibromatosis, phenylketonuria, canavan's disease, coeliac disease, acid β-glucosyl enzym deficiency disease, high Xue Shi disease, peroneal muscular atrophy, colour blindness, cat's cry syndrome, POLYCYSTIC KIDNEY DISEASE, tip, familial adenomatosis polyposis, adrenal gland diseases, amyotrophic lateral sclerosis (ALS), Alzheimer disease, Parkinson's, anaemia, incoordination, ataxia-telangiectasia, self-closing disease, bone marrow disease, Turner's synodrome, brain diseases, cerebellum and spinal angioma disease, congenital heart disease, Crohn disease, dull-witted, myotonia atrophica, Fabry disease, fragile X mental retardation, galactosemia, heredity pulmonary emphysema, become retinoblastoma, usher syndrome, Wei Ersenshi is sick, neuropathy, Heng Tingdunshi chorea, immune system defunctionalization, gout, the chain spinal bulbar muscular atrophy of X-, learning disorder, Li Fameini syndrome, lipase D deficiency disease, Ge Lei kirschner disease, marfan's syndrome, metabolic disorder, Niemann-Pick disease, exert southern syndrome, osteogenesis imperfecta, jeghers' syndrome, Pfeiffer syndrome, porpharia, early ageing disease, auspicious special syndrome, tuberous sclerosis, speech and communication disorder, Duchenne-Arandisease, Te Leiche Collins syndrome, Trisomy, and monosomy.
computer architecture.
Various computer architecture is applicable to the present invention and uses.Fig. 3 is can for the block diagram of the first example of computer architecture adopted with embodiments of the invention.As shown in Figure 3, the computer system of this example can comprise the processor 302 of a processing instruction.The non-limitative example of processor comprises: Intel Duo i7 tMprocessor, Intel Duo i5 tMprocessor, Intel Duo i3 tMprocessor, Intel is to strong tM(IntelXeon tM) processor, the cruel dragon of AMD (Opteron tM) processor, Samsung 32 RISCARM1176-Svl.0 tMprocessor, ARMCortex-A8 Samsung S5PC100 tMprocessor, ARMCortex-A8 apple A4 tMprocessor, MarvellPXA930 tMprocessor, or the processor that function is suitable.Multithreading performs and may be used for parallel processing.In certain embodiments, can in single computer systems, in cluster, or adopt multiprocessor or polycaryon processor in the network distribution system including multiple computing machine, mobile phone and/or personal digital assistant equipment composition.
As shown in Figure 3, a Cache 301 can be connected with processor 302 or be incorporated to provide processor 302 nearest in processor 302, or the high-speed memory of the instruction frequently used or data.This processor 302 is connected with a north bridge (northbridge) 306 by a processor bus 305.This north bridge 306 is connected with a random access memory (RAM) 303 by a memory bus 304, and by this RAM303 of this processor 302 management access.This north bridge 306 is also connected with a south bridge (southbridge) 308 by a chipset bus 307.This south bridge 308, successively, is connected with a peripheral bus 309.This peripheral bus can be, such as, and PCI, PCT-X, PCIExpress, or other peripheral bus.This north bridge and south bridge are usually used as the data transmission between the peripheral components in processor chip set and management processor, RAM and peripheral bus 309.In some frameworks, the function of north bridge can be incorporated into in this processor, instead of uses independent north bridge chips.
In certain embodiments, system 300 can comprise the accelerator card 312 that is connected to this peripheral bus 309.This accelerator can comprise field programmable gate array (FPGAs) or other are for accelerating the hardware of specific program.
Software and data are stored in external memory storage 313 and also can be loaded in RAM303 and/or buffer memory 301 for processor.This system 300 comprises one for the operating system of management of system resource; The example of nonrestrictive operating system comprises: Linux, Windows tM, MACOS tM, BlackBerryOS tM, iOS tM, and the operating system that other functions are suitable, and operate in the application software on operating system.
In this example, system 300 also comprises the network interface unit (NIC) 310 be connected with this peripheral bus, 311 to provide external memory storage, as network attached storage (NAS) and other can be used for the computer system of distributed variable-frequencypump, network interface.
Fig. 4 is that a displaying has multiple computer system 402a, 402b, multiple mobile phone and personal data servicing unit 402c, and the schematic diagram of the network 400 of network attached storage (NAS) 401a, 401b.In certain embodiments, system 402a, 402b, and 403c can store and optimization data access for the data management data be stored in network attached storage (NAS) 401a, 401b.One mathematical model can be used to these data and by computer system 402a and 402b, and the distributed variable-frequencypump between mobile phone and personal data servicing unit 402c is evaluated.Computer system 402a and 402b, and the parallel processing that mobile phone and personal data servicing unit 402c can provide the self-adapting data of the data be stored in network attached storage (NAS) 401a, 401b to recombinate.Fig. 4 to having demonstrated an example, multiple other computer architecture and system may be used for different embodiments of the invention.Such as, a blade server can be used to provide parallel processing.Processor piece can be connected by a backboard to provide parallel processing.Processor also can be connected with this backboard or equally with network attached storage (NAS) to be connected by independently network structure.
In certain embodiments, processor can maintain independently memory headroom and transmit data by network interface, backboard or the connector by other processor parallel processing.In certain embodiments, the processor of some or all can adopt shared virtual address memory headroom.
Fig. 5 is the block diagram adopting the multiprocessor computer system sharing virtual address memory headroom.This system comprises the processor 501a-f of multiple addressable shared drive subsystem 502.This system merges programmable hardware memory algorithm processor (MAP) 503a-f in this memory subsystem 502 multiple.Each MAP503a-f can comprise internal memory 504a-f and one or more field programmable gate array (FPGA) 505a-f.This MAP provides configurable functionality unit and can supply the particular algorithm of this FPGA505a--f and corresponding processor close fit process or the algorithm of part.In this example, each MAP can may have access to according to its object overall situation all processors.In one configuration, each MAP can adopt direct memory access (DMA) (DMA) to access an association internal memory 504a-f, allows its execution and corresponding microprocessor 501a-f independently, and asynchronous task.In this kind of configuration, MAP can be used for flowing water and the parallel execution of algorithm directly to another MAP Output rusults.
Above computer framework and system only illustrate, other computing machine multiple, mobile phone, example can be implemented with personal data utility appliance and system adopted, comprise the system adopting the combination of general processor, coprocessor, FPGA and other programmable logic device (PLD), SOC (system on a chip) (SOC), special IC (ASIC), and other process and logic element.Any all kinds of data storage medium can be implemented example and adopted, and comprises random access memory, hard disk drive, flash memory, tape drive, disk array, network attached storage (NAS) and other this locality or distributed data memory unit and system.
In exemplifying embodiment, this computer system can realize by adopting the software module that performs in any above-mentioned or other computer architecture and system.In other embodiments, this system function can the programmable logic device (PLD) at firmware, field programmable gate array (FPGA) as shown in Figure 5 partially or completely, SOC (system on a chip) (SOC), realize in special IC (ASIC) and other process and logic element.Such as, this placement processor (SetProcessor) and optimizer (Optimizer) can by adopting hardware accelerator card, accelerator card 312 as shown in Figure 3, with hardware-accelerated and realize.
Example:
example 1: the explanation of request medical records.
Main body is treated the recommended therapy strategy that doctor informs this main body state of an illness.This main body seeks the second medical suggestion, and this principal access of the present invention is at line platform.This main body should create main body archives of the present invention on line platform, and uploaded the electronic medical record of this main body, comprised the case media of this main body.The present invention that main body hitherward describes submits the request of the explanation of this medical records uploaded to.
System and method of the present invention receives this request and specifies selects group member as special communication center for this case provides contact support.Computer program of the present invention, based on this medical records uploaded of this main body, retrieve in the database of qualified health care provider, this qualified health care provider comprises the qualified medical services professional being versed in providing the explanation of medical records.This computer program, based on the recommendation of specialty, professional length, medical science reputation and/or other doctors, carries out rank by this qualified health care provider.The special group member being assigned to this case utilizes the explanation of this medical records received of computer program request of the present invention by the qualified health care provider that at least one is determined.
Qualified doctor is assigned to special group member of the present invention from one and receives the message (message) (Fig. 6,601) of inviting this qualified doctor to submit the explanation of this medical records to.One in this message semantic definition doctor group 602 new case.This doctor opens the description of this new case 603, thus presents to the short summary of this doctor one about this case, comprises the subject and the aspect(s) covered of request.This doctor clicks the link 603a of this new case, and this link makes doctor jump to the online address of the safety more fully described of the diagnosis of fourth phase appendix signet ring cell cancer (stageIVsignetringadenocarcinomaoftheappendix) to patient in the present invention.This message is supplied to the date that this doctor describes main body final updating simultaneously, month, and the information 603b in time, and this doctor can select delete 604a or close this message of 604b.
This qualified doctor clicks the link that this describes the diagnosis of fourth phase appendix signet ring cell cancer (stageIVsignetringadenocarcinomaoftheappendix) of this patient.Fig. 7 has demonstrated the framework comprising the online page that this doctor that more fully case describes 701 is accessing.One clinical summary 702 of this case comprises all medical recordss that provide of theme seeking to explain, medical information, and medical history.This clinical summary 702 being diagnosed as this main body of fourth phase appendix signet ring cell cancer (stageIVsignetringadenocarcinomaoftheappendix) comprises the medical history of this main body, check and test result, the assessment of the treatment doctor of this main body and plan, from the problem of this main body, and the placeholder of at least one experts' evaluation (placeholder).This case medium 703 being diagnosed as this main body of fourth phase appendix signet ring cell cancer (stageIVsignetringadenocarcinomaoftheappendix) comprises the CT scan contrast of belly and pelvis, without the belly of contrast and the CT scan of pelvis, crown body associated intermediary, and sagittal body associated intermediary, and relevant information.The qualified doctor checking the request of this medical interpretation can access, such as, and main body, the case put up comment and problem.The qualified doctor checking the request of this medical interpretation can check and the summary of patient information comprise age and sex, and this qualified doctor also can access the link 705a comprising more patient informations.Based on this case, this qualified doctor can select to provide the expert of this case to check 706, or this qualified doctor can select not provide the expert of this case to check (review I turn over as checking, whether better consider to translate into assessment).
This qualified doctor one has the oncologist enriching professional knowledge in gland cancer.This qualified doctor selects to provide the expert of this case to check.By accepting to check this case, this qualified doctor can access the secure address of expert's case summary in website of the present invention.This qualified doctor is taken as the expert relevant to this case now.This expert can access the medical history 802a of this patient, checks and test result 802b, and the assessment for the treatment of doctor and the link of plan 802c, problem 802d, the expert that this qualified expert also can check other qualified doctors to be provided checks 802e.When compound case, this expert can with reference to the extra authorized additional aspect checking the expert doctor of this specific cases, comment, and expert opinion 802f.
Then, this qualified doctor starts the evaluation of the diagnosis of fourth phase appendix signet ring cell cancer (stageIVsignetringadenocarcinomaoftheappendix) providing it for this patient.This qualified doctor provides the suggestion comprising new diagnosis, and this qualified doctor provides a different therapeutic process.
example 2: the module of Virtual Medical service system.
One online doctor community is accessed from a virtual online community by a doctor.One module of Virtual Medical service system is a great case library (Fig. 9,901).This on-line communities provides doctor to access to comprise the online address in great case library 902.This doctor attempts the relevant case of access one medical science in this library 902.This doctor consults the case listing this library 902 recently in.This doctor attempts the new subsides of establishment one about a certain specific cases, and this doctor can click the online link 902a providing doctor to create the new instrument pasted.This doctor is interested in the case be included in recently in this library 902, and this doctor determines that not clicking the quit the subscription of 902b relevant to these cases any links.
This doctor is input information in the virtual address 903 providing doctor to create the new instrument pasted.This doctor seeks the extra feedback of going together and working together, and this doctor selects to make this case visible to the group user 903a selected.Authorized doctor with group user in the doctor group news relevant to this case, in the multiple cases 905 relevant to this library, on, be on multiple case media 906 that this library is relevant, and be comment put up by multiple files 907 that this library is relevant, some authorized doctors and group user be provided in further check the model of this new establishment be possible interested similar/link of the associated documents 908 of CROSS REFERENCE.
One module of one Virtual Medical service system is case administration module (Figure 10,1001).One doctor manages 1001 modules by case and attempts the request that managed care is explained in Virtual Medical service system.Doctor accesses case administration module 1001, and this doctor can see that this doctor has agreed to effective consulting 1001 of checking.This doctor also can see the effective case in the group of this doctor.Doctor clicks an effectively consulting 1001, and doctor can see the relevant information with clicked effective case 1002.The information relevant to this effective case comprises case title 1002a, the date 1002b of recent renewal, the state 1002c of this case, comment 1002d, the role 1002e of doctor, service 1002f, and can operation item 1002g.This doctor sees can need this doctor to write an expert report by operation item.This doctor starts to write expert report.
One module of one Virtual Medical service system is colleague group's module (Figure 11,1101). a doctor attempts mutually to exchange with going together with colleague in Virtual Medical service system, and doctor accesses a colleague group module 1102 and links.This doctor's clickthrough enters colleague group 1103 and enters the page, and this doctor can see the description that the colleague of this doctor puts up, as a medical oncology case.This doctor also can see the comment of the surgery case previously put up for this doctor that colleague puts up in this colleague's group link 1103.In this colleague group module 1103, this doctor can see a series of guide 1103a about the prompting and remarks putting up case.This doctor selects to click the visual link 1103b additionally of a subgroup allowed in this colleague community.
Embodiment:
Nonrestrictive embodiment provides examples more of the present invention below, does not form limitation of the scope of the invention.
Embodiment 1. 1 kinds asks the method for the explanation of medical records, and the method comprises: a) receive a medical records relevant to a main body by a computer system; B) retrieve in the database of a health care provider based on described medical records, each health care provider in wherein said database is relevant to a specialty independently, with the health care provider providing at least one qualified, the described medical records of the qualified explanation of wherein said qualified health care provider, wherein said computer system comprises a processor, and wherein said retrieval is performed by described processor; C) request to medical records described in described qualified health care provider request is explained; D) the described request explanation of described medical records is received from described qualified health care provider; And e) described request explanation is compared and rank with at least one alternative interpretations provided by other health care providers, to provide the explanation rank of medical records.
The method of embodiment 2. according to embodiment 1, is characterized in that, described qualified health care provider has the professional knowledge relevant to described medical records.
Embodiment 3., according to the arbitrary described method of embodiment 1 and 2, is characterized in that, described request explains it is carry out rank according to the level of described professional knowledge.
Embodiment 4., according to the arbitrary described method of embodiment 1-3, is characterized in that, described request explains it is virtual corporation based between described qualified health care provider and an extra health care provider.
Embodiment 5., according to the arbitrary described method of embodiment 1-4, is characterized in that, described qualified health care provider and described extra health care provider anonymous each other.
Embodiment 6., according to the arbitrary described method of embodiment 1-5, is characterized in that, the described request of described medical records is explained and comprised a diagnosis.
Embodiment 7., according to the arbitrary described method of embodiment 1-6, is characterized in that, the described explanation of described medical records comprises a treatment suggestion.
Embodiment 8. is according to the arbitrary described method of embodiment 1-7, and it is characterized in that, the described explanation of described medical records comprises a diagnosis and checks to provide the second suggestion.
Embodiment 9., according to the arbitrary described method of embodiment 1-8, is characterized in that, the described explanation of described medical records comprises a treatment suggestion and checks to provide the second suggestion.
Embodiment 10., according to the arbitrary described method of embodiment 1-9, also comprises the access providing the rank to described explanation to user.
Embodiment 11. is according to the arbitrary described method of embodiment 1-10, it is characterized in that, described medical records comprises a state of an illness, wherein, after receiving described request explanation from described qualified health care provider, described qualified health care provider is placed in a sequence to receive the medical services request relevant to the described state of an illness in the future by described computer system.
Embodiment 12. is according to the arbitrary described method of embodiment 1-11, also comprise and retrieving in the database of a medical resource based on the information in described medical records, thus determine the medical resource of being correlated with, and when asking described request to be explained, described relevant medical resource is supplied to described qualified health care provider.
The method of embodiment 13. according to embodiment 12, is characterized in that, described relevant medical resource is added in an online individual medical archive of described main body.
Embodiment 14., according to the arbitrary described method of embodiment 1-13, also comprises the second suggestion soliciting the rank for described explanation to a doctor.
Embodiment 15., according to the arbitrary described method of embodiment 1-14, is also included in a virtual network to the access that the on-line communities of a doctor provides described medical records and described request to explain.
Embodiment 16., according to the arbitrary described method of embodiment 1-15, is characterized in that, described medical records is by the medical services request receiving from described main body.
Embodiment 17., according to the arbitrary described method of embodiment 1-16, is characterized in that, described medical records receives from an online individual medical archive of described main body
Embodiment 18. is according to the arbitrary described method of embodiment 1-17, and it is characterized in that, described medical records comprises a tentative diagnosis.
Embodiment 19. is according to the arbitrary described method of embodiment 1-18, it is characterized in that, multiple qualified health care provider is determined in described retrieval, described multiple in each qualified health care provider by rank to provide one from the highest rank to the rank collection of the qualified health care provider of minimum rank.
The method of embodiment 20. according to embodiment 19, it is characterized in that, the request step that described request is explained comprises the described qualified health care provider concentrated with rank described in the poll from the qualified health care provider with the highest rank.
Embodiment 21., according to the arbitrary described method of embodiment 19 and 20, is characterized in that, the request step that described request is explained comprises inquires with random sequence the described qualified health care provider that described rank is concentrated.
Embodiment 22., according to the arbitrary described method of embodiment 1-21, is characterized in that, a qualified health care provider is asked after at least one qualified health care provider makes affirmative reply to described request.
Embodiment 23., according to the arbitrary described method of embodiment 1-22, also comprises and provides one to explain relevant Results to described request to described main body.
Embodiment 24. 1 kinds of computer programs, comprise the computer readable medium that an in-line coding has computer-executable code, described computer-executable code is suitable for being performed to realize a kind of method, described method comprises: a) provide a Virtual Medical service system, and wherein said Virtual Medical service system comprises: I) load module; Ii) database, wherein said database comprises multiple health care provider; III) retrieval module; Iv) ranking module; V) request module; And vi) output module; B) by described load module from user's reception one electronic medical record, the information from described medical records is sent to described retrieval module by described load module; C) based on described information, retrieve described database by described retrieval module, thus described retrieval module determines the subset of a health care provider relevant to described information in the database; D) by described ranking module, rank is carried out to the subset of described health care provider, thus, each health care provider in the subset of described health care provider is carried out rank based on the degree of association with described information by described ranking module, to provide the set of a health care provider for rank; E) by health care provider request one from described request module at least one rank described in the request of medical records explain; F) receive at least one request by described request module to explain; G) the described request explanation that received and at least one alternative interpretations compared with rank by described ranking module to provide the set of an explanation for rank; And h) by the set of the explanation of rank described in described output module output.
The computer program of embodiment 25. according to embodiment 24, is characterized in that, step c) in the health care provider relevant to described information subset in each health care provider independently with based on a specialty information be correlated with.
The computer program that embodiment 26. is arbitrary-described according to embodiment 24 and 25, is characterized in that, step g) described in the rank of the set of the explanation of rank relevant to the rank of the set of the health care provider of described rank.
Embodiment 27. is according to the arbitrary described computer program of embodiment 24-25, it is characterized in that, step a) in described Virtual Medical service system also comprise database and a medical resource retrieval module of a medical resource, wherein said medical resource retrieval module based on the database of medical resource described in described information retrieval to determine a relevant medical resource, the health care provider of rank described in wherein said relevant medical resource is provided in described request step by described request module.
Embodiment 28. is according to the arbitrary described computer program of embodiment 24-26, and it is characterized in that, described Virtual Medical service system also comprises an online door, and wherein said online door provides the on-line communities of an addressable described medical records.
The computer program of embodiment 29. according to embodiment 28, is characterized in that, described on-line communities comprises the subset of a doctor.
Embodiment 30. is according to the arbitrary described computer program of embodiment 28 and 29, it is characterized in that, described Virtual Medical service system also comprises a medical imaging module, and wherein said medical imaging module provides described on-line communities to access the entrance of the medical image relevant to described medical record.

Claims (30)

1. ask a method for the explanation of medical records, the method comprises:
A) medical records relevant to a main body is received by a computer system;
B) retrieve in the database of a health care provider based on described medical records, each health care provider in wherein said database is relevant to a specialty independently, with the health care provider providing at least one qualified, the described medical records of the qualified explanation of wherein said qualified health care provider, wherein said computer system comprises a processor, and wherein said retrieval is performed by described processor;
C) request to medical records described in described qualified health care provider request is explained;
D) the described request explanation of described medical records is received from described qualified health care provider; And
E) described request explanation is compared and rank with at least one alternative interpretations provided by other health care providers, to provide the explanation rank of medical records.
2. method according to claim 1, is characterized in that, described qualified health care provider has the professional knowledge relevant to described medical records.
3. method according to claim 2, is characterized in that, described request explains it is carry out rank according to the level of described professional knowledge.
4. method according to claim 1, is characterized in that, described request explains it is virtual corporation based between described qualified health care provider and an extra health care provider.
5. method according to claim 4, is characterized in that, described qualified health care provider and described extra health care provider anonymous each other.
6. method according to claim 1, is characterized in that, the described request of described medical records is explained and comprised a diagnosis.
7. method according to claim 1, is characterized in that, the described explanation of described medical records comprises a treatment suggestion.
8. method according to claim 1, is characterized in that, the described explanation of described medical records comprises a diagnosis and checks to provide the second suggestion.
9. method according to claim 1, is characterized in that, the described explanation of described medical records comprises a treatment suggestion and checks to provide the second suggestion.
10. method according to claim 1, also comprises and provides access to described explanation rank to user.
11. methods according to claim 1, it is characterized in that, described medical records comprises a state of an illness, wherein, after receiving described request explanation from described qualified health care provider, described qualified health care provider is placed in a sequence to receive the medical services request relevant to the described state of an illness in the future by described computer system.
12. methods according to claim 1, also comprise and retrieving in the database of a medical resource based on the information in described medical records, thus determine the medical resource of being correlated with, and when asking described request to be explained, described relevant medical resource is supplied to described qualified health care provider.
13. methods according to claim 12, is characterized in that, described relevant medical resource is added in an online individual medical archive of described main body.
14. methods according to claim 1, also comprise the second suggestion soliciting the rank for described explanation to a doctor.
15. methods according to claim 1, are also included in a virtual network to the access that the on-line communities of a doctor provides described medical records and described request to explain.
16. methods according to claim 1, is characterized in that, described medical records is by the medical services request receiving from described main body.
17. methods according to claim 1, is characterized in that, described medical records receives from an online individual medical archive of described main body.
18. methods according to claim 1, is characterized in that, described medical records comprises a tentative diagnosis.
19. methods according to claim 1, it is characterized in that, multiple qualified health care provider is determined in described retrieval, described multiple in each qualified health care provider by rank to provide the rank collection of a qualified health care provider arranged from the highest rank to minimum rank.
20. methods according to claim 19, is characterized in that, the request step that described request is explained comprises the described qualified health care provider concentrated with rank described in the poll from the qualified health care provider with the highest rank.
21. methods according to claim 19, is characterized in that, the request step that described request is explained comprises inquires with random sequence the described qualified health care provider that described rank is concentrated.
22. methods according to claim 19, is characterized in that, a qualified health care provider is asked after at least one qualified health care provider makes affirmative reply to described request.
23. methods according to claim 1, also comprise and provide one to explain relevant Results to described request to described main body.
24. 1 kinds of computer programs, comprise the computer readable medium that an in-line coding has computer-executable code, and described computer-executable code is suitable for being performed to realize a kind of method, and described method comprises:
A) provide a Virtual Medical service system, wherein said Virtual Medical service system comprises:
I) load module;
Ii) database, wherein said database comprises multiple health care provider;
III) retrieval module;
Iv) ranking module;
V) request module; And
Vi) output module;
B) by described load module from user's reception one electronic medical record, the information from described medical records is sent to described retrieval module by described load module;
C) based on described information, retrieve described database by described retrieval module, thus described retrieval module determines the subset of a health care provider relevant to described information in the database;
D) by described ranking module, rank is carried out to the subset of described health care provider, thus, each health care provider in the subset of described health care provider is carried out rank based on the degree of association with described information by described ranking module, to provide the set of a health care provider for rank;
E) by health care provider request one from described request module at least one rank described in the request of medical records explain;
F) receive at least one request by described request module to explain;
G) the described request explanation that received and at least one alternative interpretations compared with rank by described ranking module to provide the set of an explanation for rank; And
H) by the set of the explanation of rank described in described output module output.
25. computer programs according to claim 24, is characterized in that, step c) in the health care provider relevant to described information subset in each health care provider independently with based on a specialty information be correlated with.
26. computer programs according to claim 24, is characterized in that, step g) described in the rank of the set of the explanation of rank relevant to the rank of the set of the health care provider of described rank.
27. computer programs according to claim 24, it is characterized in that, step a) in described Virtual Medical service system also comprise database and a medical resource retrieval module of a medical resource, wherein said medical resource retrieval module based on the database of medical resource described in described information retrieval to determine a relevant medical resource, the health care provider of rank described in wherein said relevant medical resource is provided in described request step by described request module.
28. computer programs according to claim 24, is characterized in that, described Virtual Medical service system also comprises an online door, and wherein said online door provides the on-line communities of an addressable described medical records.
29. computer programs according to claim 28, is characterized in that, described on-line communities comprises the subset of a doctor.
30. computer programs according to claim 28, it is characterized in that, described Virtual Medical service system also comprises a medical imaging module, and wherein said medical imaging module provides described on-line communities to access the entrance of the medical image relevant to described medical record.
CN201480024323.2A 2013-03-12 2014-03-10 Systems and methods for interpreting medical information Pending CN105210105A (en)

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