EP1183586A1 - Systeme et technique de reduction de risque chez un patient surveille - Google Patents
Systeme et technique de reduction de risque chez un patient surveilleInfo
- Publication number
- EP1183586A1 EP1183586A1 EP99967167A EP99967167A EP1183586A1 EP 1183586 A1 EP1183586 A1 EP 1183586A1 EP 99967167 A EP99967167 A EP 99967167A EP 99967167 A EP99967167 A EP 99967167A EP 1183586 A1 EP1183586 A1 EP 1183586A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- protocol
- profile
- risk
- protocols
- domain space
- Prior art date
- 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.)
- Ceased
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- 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
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
Definitions
- This invention relates to the field of health management, particularly to an automated interactive system and method for reducing the risk associated with a monitored client.
- the known art includes a number of health-management systems for providing outpatient services to patients with chronic health conditions such as asthma and diabetes.
- these systems are incapable of administering a treatment protocol responsive to the patient's current profile and of updating the profile in response to the administered protocol.
- the computer-controlled method of reducing the risk connected with a health condition of a patient includes determining an association between the patient's profile and a protocol domain space, accessing a protocol from the protocol-domain space responsive to the association, and updating the profile responsive to the protocol.
- Fig. 1 illustrates a computer system capable of using the invention in accordance with a preferred embodiment
- Fig. 2A illustrates a protocol domain space representation in accordance with a preferred embodiment
- Fig. 2B illustrates a profile representation in accordance with a preferred embodiment
- Fig. 3 illustrates a risk reduction process in accordance with a preferred embodiment
- Fig. 4 illustrates protocol domain space creation process in accordance with a preferred embodiment
- Fig. 5 illustrates adjust profile process in accordance with a preferred embodiment. Description of the Preferred Embodiments
- a data structure is an ordereu ai angcincni ⁇ f storage in memory for variables.
- Procedure A procedure is a self-consistent sequence ⁇ f computerized steps that lead to a desired result. These step are deliueJ by one ui ⁇ ⁇ e computer instructions. These steps are performed by a computer executing the instruction;, that define the steps.
- the term "procedure” can refer to a sequence of instruction*, u sequence of instructions organized within a programmed-pr ⁇ cedure or prograinmed-functiun, ⁇ , a sequence ⁇ f instructions organized within program ed-processes executing in one oi more computers.
- Fig. 1 illustrates a computer, indicated by general reference character 100, that incorporates the invention.
- the computer 100 includes a processor 101 that incorporates a central processor unit (CPU) 103, a memory section 105 and an input/output (I/O) section 107.
- the I/O section 107 is connected to an I/O device 111 (that can include a keyboard and/or a display device), a disk storage unit 113 and a CD-ROM drive unit 115.
- the CD- ROM drive unit 115 can read a CD-ROM medium 117 that typically contains a program and data 119.
- the CD-ROM drive unit 115 (along with the CD-ROM medium 117) and the disk storage unit 113 comprise a filestorage mechanism.
- Some embodiments of the invention include a network interface 121 that connects the computer 100 to a network 123.
- An application program 125 generally resides in the memory section 105 after being loaded from the filesystem or a removable media such as the CD-ROM drive unit 115.
- One skilled in the art will understand that not all of the displayed features of the computer 100 need to be present for the invention.
- Fig. 2A illustrates a protocol domain space representation, indicated by general reference character 200, corresponding to a three-dimensional protocol domain space.
- the protocol domain space may be n-dimensional, and that each axis in the protocol domain space can include more values than are presented in Fig. 2A.
- the protocol domain space 200 is three-dimensional and is bounded by a 'risk classification' axis 201, a 'clinical area' axis 203, and a 'content type' axis 205.
- the protocol domain space 200 can include other dimensions than the ones illustrated. These other dimensions include (without limitation) a medical condition and patient age.
- the 'risk classification' axis 201 includes an 'unknown risk' classification 207, a 'high risk' classification 209, a 'medium risk' classification 211, and a 'low risk' classification 213.
- the 'content type' axis 205 includes a 'symptom' classification 215, a 'behavior' classification 217, and a 'knowledge' classification 219.
- the 'clinical area' axis 203 includes a 'feet classification 221, an 'eyes' classification 223, and a 'metabolic control' classification 225.
- a 'feet classification 221 an 'eyes' classification 223, and a 'metabolic control' classification 225.
- biological areas pertaining to a particular health condition for example diabetes
- these areas include device diagnostic areas, system failure modes, and similar diagnostic classifications.
- a data cell 227 is located at the intersection of the provided coordinates. The data cell
- Protocol 227 contains (or references) a set of protocols 229 each of which is designed specifically for its location in the protocol domain space 200. These protocols are used to interact with the patient (or the patient's healthcare provider). This interaction includes (without limitation) gathering information about the patient, measuring a medical or physiological parameter of the patient. Protocols are well defined in the above referenced incorporated applications. The construction of the set of protocols 229 is subsequently described with respect to Fig. 4
- Fig. 2B illustrates a profile representation, indicated by general reference character 250, corresponding to a profile.
- the profile 250 includes a 'clinical area' axis 251, a 'content type' axis 253, and an information area 255.
- the profile 250 is maintained in a profile database as shown in U.S. Application No. 08/669,613 (previously incorporated by reference in its entirety).
- the profile contains current information about the patient's condition.
- the information area 255 for a patient having a diabetic condition could contain information as to whether the patient has the knowledge that inspection of the toes is important; whether the patient regularly inspects the toes; and whether there are lesions between the toes.
- the information area 255 can also contain historical information regarding the patient's historical conditions and information regarding how the patient responds to, and complies with supplied protocols.
- the content of the information area 255 is used to determine the risk classification for the patients with respect to a clinical area.
- an association is developed by evaluating the content of the profile 250.
- the association is used to select the data cell that contains the set of protocols 229. Once the data cell is selected, a protocol is selected from the set of protocols 229 that, when presented to (and adhered to by) the specific patient, will reduce that patient's risk classification.
- the profile and the protocol domain space contain sufficient information to determine a 'protocol use history' that can be used to ascertain which protocols in the set of protocols 229 have been previously presented and the improvement of the risk classification resulting from the previously presented protocols.
- the protocol domain space 200 and the profile 250 can be represented in computer memory using data structures.
- Fig. 3 illustrates a risk reduction process, indicated by general reference character 300, used to reduce a risk classification of a health condition of a specific patient.
- the specific patient has a profile that can be obtained in a variety of ways including interaction between the specific patient and a monitoring device (such as the Health BuddyTM device or other monitoring devices described in the above referenced applications).
- the risk reduction process 300 initiates at a 'start' terminal 301 and continues to a 'select profile' procedure 302 that selects which profile to apply to the protocol domain space 200.
- the risk reduction process 300 continues to a 'determine association' procedure 303.
- the 'determine association' procedure 303 determines an association between the profile and a protocol domain space.
- An 'access protocol' procedure 305 uses the association to locate a data cell in the protocol domain space and to select a protocol from the located data cell.
- the protocol is downloaded to the monitoring device where it executes.
- the protocol can also modify the profile using an 'adjust profile' procedure 307.
- the 'adjust profile' procedure 307 can be used to adjust (for example (without limitation), to modify) the risk classification in the profile.
- the 'adjust profile' procedure 307 is subsequently described with respect to Fig. 5 and its associated text.
- the risk reduction process 300 can repeat back to the 'determine association' procedure 303 to obtain information responsive to the execution of the selected protocol.
- Fig. 4 illustrates a protocol domain space creation process, indicated by general reference character 400, which can be used to assemble the protocol domain space 200.
- a person who has expertise in a knowledge domain creates a protocol that is responsive to a profile that has particular characteristics.
- the protocol domain space creation process 400 initiates at a 'start' terminal 401 and continues to a 'create protocol' procedure 403.
- the 'create protocol' procedure 403 can lead the knowledge domain expert through a series of questions that develop a protocol that is responsive to a profile having particular characteristics.
- the knowledge domain expert can also manually create the protocol without the assistance of a computer-based procedure.
- the protocol domain space creation process 400 continues to a 'location determination' procedure 405 that determines the location of a data cell in the protocol domain space 200 where the newly created protocol will be stored.
- the location is responsive to an association that is a developed from the information contained in the profile.
- This association can be developed by comparing the information in the profile to threshold values to determine values for the coordinates into the protocol domain space 200. Another method to develop this association is to apply a set of rules to the information contained in the profile to develop these coordinates. Another mechanism is to use Bayesian statistical techniques to develop the association. One skilled in the art will understand that other mechanisms exist that can be applied to develop these coordinates.
- a 'protocol access' procedure 407 loads the new protocol into the protocol domain space 200 at the specified location.
- the 'protocol access' procedure 407 also can retrieve a previously stored protocol so that the knowledge domain expert can modify or replace the protocol.
- the 'protocol access' procedure 407 also inserts the protocol into the data cell in a manner self consistent with the other protocols stored in the data cell (thus, subsequent selections of protocols from the data cell will include the possibility of selecting the newly inserted protocol).
- an 'enable protocol interaction' procedure 409 enables the protocol so that the protocol can be presented to the patient, and so that the protocol can interact with the profile as appropriate to indicate the presentation of the protocol; to force a selection of a subsequent protocol; to update information in the information area 255 of the profile.
- the protocol domain space creation process 400 completes through an 'end' terminal 411.
- the knowledge domain expert can use the protocol domain space creation process 400 to insert a set of instructional protocols that can contain a set of knowledge risk-determination protocols and a set of knowledge risk-reduction protocols.
- the set of knowledge risk- determination protocols is used to determine the patient's knowledge of the medical condition afflicting the patient.
- the set of knowledge risk-reduction protocols is responsive to the patient's knowledge (as determined by one or more of the set of knowledge risk- determination protocols).
- the set of knowledge risk-reduction protocols is designed to instruct the patient as to behavior and lifestyle that reduce the risk classification of the patient for the patient's condition.
- the knowledge domain expert can use the protocol domain space creation process 400 to insert a set of symptom protocols that can contain a set of symptom risk-determination protocols and a set of symptom risk-reduction protocols.
- the risk-determination protocols are used when the patient's symptoms are unknown, or on a scheduled basis to obtain current information about the patient's symptoms.
- the set of symptom risk-reduction protocols is used to address the patient's current symptoms. For example (without limitation), these protocols may include advising the patient to contact a healthcare provider, may cause a medical device to perform a measurement on the patient, may suggest that the patient take medication.
- the knowledge domain expert can use the protocol domain space creation process 400 to insert a set of behavior protocols that can contain a set of behavior risk-determination protocols and a set of behavior risk-reduction protocols.
- the set of behavior risk- determination protocols is used to determine the patient's behavior patterns. These protocols include determining how well the patient responds to new knowledge provided by the set of knowledge risk-reduction protocols; determining the patient's lifestyle behavior (for example, whether the patient consumes alcohol or smokes).
- the set of behavior risk-reduction protocols provide the patient with information designed to provide incentives to the patient to modify his/her behavior to reduce the risk classification related to the behavior.
- Fig. 5 illustrates an 'adjust profile' process, indicated by general reference character 500, that is invoked by the 'adjust profile' procedure 307 of Fig. 3.
- the 'adjust profile' process 500 initiates at a 'start' terminal 501 and continues to a 'profile adjust' decision procedure 503.
- the 'profile adjust' decision procedure 503 determines whether the protocol has sufficient privilege and capability to directly modify the profile. If the 'profile adjust' decision procedure 503 determines that the protocol should have direct access to the profile, then an 'access profile' procedure 505 makes the profile available for modification.
- An 'adjust profile' procedure 507 executes the portion of the protocol used to directly modify the profile and saves the modified profile.
- An 'activate protocol' procedure 509 activates the protocol.
- the 'activate protocol' procedure 509 can send the protocol to a remote medical device for execution. If, at the 'profile adjust' decision procedure 503, the protocol is not a profile adjust protocol or does not have sufficient privilege to modify a profile, the 'adjust profile' process 500 also continues to the 'activate protocol' procedure 509. Finally, the 'adjust profile' process 500 completes through an 'end' terminal 511.
- the invention provides an innovative approach to developing and enabling diagnostic protocols and behavioral modifications for a patient.
Landscapes
- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Epidemiology (AREA)
- Primary Health Care (AREA)
- General Health & Medical Sciences (AREA)
- Data Mining & Analysis (AREA)
- Pathology (AREA)
- Databases & Information Systems (AREA)
- Business, Economics & Management (AREA)
- General Business, Economics & Management (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201372 | 1994-02-24 | ||
US20137298A | 1998-11-30 | 1998-11-30 | |
PCT/US1999/028371 WO2000033236A1 (fr) | 1998-11-30 | 1999-11-30 | Systeme et technique de reduction de risque chez un patient surveille |
Publications (2)
Publication Number | Publication Date |
---|---|
EP1183586A1 true EP1183586A1 (fr) | 2002-03-06 |
EP1183586A4 EP1183586A4 (fr) | 2005-01-26 |
Family
ID=22745575
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP99967167A Ceased EP1183586A4 (fr) | 1998-11-30 | 1999-11-30 | Systeme et technique de reduction de risque chez un patient surveille |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP1183586A4 (fr) |
AU (1) | AU768947B2 (fr) |
WO (1) | WO2000033236A1 (fr) |
Families Citing this family (27)
Publication number | Priority date | Publication date | Assignee | Title |
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US8641644B2 (en) | 2000-11-21 | 2014-02-04 | Sanofi-Aventis Deutschland Gmbh | Blood testing apparatus having a rotatable cartridge with multiple lancing elements and testing means |
US9226699B2 (en) | 2002-04-19 | 2016-01-05 | Sanofi-Aventis Deutschland Gmbh | Body fluid sampling module with a continuous compression tissue interface surface |
US9795747B2 (en) | 2010-06-02 | 2017-10-24 | Sanofi-Aventis Deutschland Gmbh | Methods and apparatus for lancet actuation |
US9427532B2 (en) | 2001-06-12 | 2016-08-30 | Sanofi-Aventis Deutschland Gmbh | Tissue penetration device |
US7041068B2 (en) | 2001-06-12 | 2006-05-09 | Pelikan Technologies, Inc. | Sampling module device and method |
US6781522B2 (en) | 2001-08-22 | 2004-08-24 | Kivalo, Inc. | Portable storage case for housing a medical monitoring device and an associated method for communicating therewith |
US7547287B2 (en) | 2002-04-19 | 2009-06-16 | Pelikan Technologies, Inc. | Method and apparatus for penetrating tissue |
US9314194B2 (en) | 2002-04-19 | 2016-04-19 | Sanofi-Aventis Deutschland Gmbh | Tissue penetration device |
US8579831B2 (en) | 2002-04-19 | 2013-11-12 | Sanofi-Aventis Deutschland Gmbh | Method and apparatus for penetrating tissue |
US9248267B2 (en) | 2002-04-19 | 2016-02-02 | Sanofi-Aventis Deustchland Gmbh | Tissue penetration device |
US8784335B2 (en) | 2002-04-19 | 2014-07-22 | Sanofi-Aventis Deutschland Gmbh | Body fluid sampling device with a capacitive sensor |
US7713214B2 (en) | 2002-04-19 | 2010-05-11 | Pelikan Technologies, Inc. | Method and apparatus for a multi-use body fluid sampling device with optical analyte sensing |
US8702624B2 (en) | 2006-09-29 | 2014-04-22 | Sanofi-Aventis Deutschland Gmbh | Analyte measurement device with a single shot actuator |
US9795334B2 (en) | 2002-04-19 | 2017-10-24 | Sanofi-Aventis Deutschland Gmbh | Method and apparatus for penetrating tissue |
US20040064342A1 (en) * | 2002-09-30 | 2004-04-01 | Browne David W. | Health care protocols |
US8574895B2 (en) | 2002-12-30 | 2013-11-05 | Sanofi-Aventis Deutschland Gmbh | Method and apparatus using optical techniques to measure analyte levels |
US7805190B2 (en) | 2003-04-02 | 2010-09-28 | Physio-Control, Inc. | Defibrillators customized for anticipated patients |
WO2006001797A1 (fr) | 2004-06-14 | 2006-01-05 | Pelikan Technologies, Inc. | Element penetrant peu douloureux |
US7623915B2 (en) | 2003-07-16 | 2009-11-24 | Medtronic Physio-Control Corp. | Interactive first aid information system |
EP1671096A4 (fr) | 2003-09-29 | 2009-09-16 | Pelikan Technologies Inc | Procede et appareil permettant d'obtenir un dispositif de capture d'echantillons ameliore |
US9351680B2 (en) | 2003-10-14 | 2016-05-31 | Sanofi-Aventis Deutschland Gmbh | Method and apparatus for a variable user interface |
WO2005065414A2 (fr) | 2003-12-31 | 2005-07-21 | Pelikan Technologies, Inc. | Procede et appareil permettant d'ameliorer le flux fluidique et le prelevement d'echantillons |
US8828203B2 (en) | 2004-05-20 | 2014-09-09 | Sanofi-Aventis Deutschland Gmbh | Printable hydrogels for biosensors |
US9820684B2 (en) | 2004-06-03 | 2017-11-21 | Sanofi-Aventis Deutschland Gmbh | Method and apparatus for a fluid sampling device |
US9386944B2 (en) | 2008-04-11 | 2016-07-12 | Sanofi-Aventis Deutschland Gmbh | Method and apparatus for analyte detecting device |
US9375169B2 (en) | 2009-01-30 | 2016-06-28 | Sanofi-Aventis Deutschland Gmbh | Cam drive for managing disposable penetrating member actions with a single motor and motor and control system |
US8965476B2 (en) | 2010-04-16 | 2015-02-24 | Sanofi-Aventis Deutschland Gmbh | Tissue penetration device |
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Publication number | Priority date | Publication date | Assignee | Title |
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US5764923A (en) * | 1994-01-10 | 1998-06-09 | Access Health, Inc. | Medical network management system and process |
US5786816A (en) * | 1995-10-20 | 1998-07-28 | Araxsys, Inc. | Method and apparatus for graphical user interface-based and variable result healthcare plan |
WO1998040835A1 (fr) * | 1997-03-13 | 1998-09-17 | First Opinion Corporation | Systeme de gestion de maladies |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1994000817A1 (fr) * | 1992-06-22 | 1994-01-06 | Health Risk Management, Inc. | Systeme de gestion de soins de sante |
US5960403A (en) * | 1992-11-17 | 1999-09-28 | Health Hero Network | Health management process control system |
US5924074A (en) * | 1996-09-27 | 1999-07-13 | Azron Incorporated | Electronic medical records system |
US6032119A (en) * | 1997-01-16 | 2000-02-29 | Health Hero Network, Inc. | Personalized display of health information |
US5956689A (en) * | 1997-07-31 | 1999-09-21 | Accordant Health Services, Inc. | Systems, methods and computer program products for using event specificity to identify patients having a specified disease |
-
1999
- 1999-11-30 AU AU23505/00A patent/AU768947B2/en not_active Ceased
- 1999-11-30 EP EP99967167A patent/EP1183586A4/fr not_active Ceased
- 1999-11-30 WO PCT/US1999/028371 patent/WO2000033236A1/fr active IP Right Grant
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5764923A (en) * | 1994-01-10 | 1998-06-09 | Access Health, Inc. | Medical network management system and process |
US5786816A (en) * | 1995-10-20 | 1998-07-28 | Araxsys, Inc. | Method and apparatus for graphical user interface-based and variable result healthcare plan |
WO1998040835A1 (fr) * | 1997-03-13 | 1998-09-17 | First Opinion Corporation | Systeme de gestion de maladies |
Non-Patent Citations (1)
Title |
---|
See also references of WO0033236A1 * |
Also Published As
Publication number | Publication date |
---|---|
WO2000033236A9 (fr) | 2001-12-13 |
WO2000033236A1 (fr) | 2000-06-08 |
EP1183586A4 (fr) | 2005-01-26 |
AU2350500A (en) | 2000-06-19 |
AU768947B2 (en) | 2004-01-08 |
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