EP4573560A1 - Digital system for prioritizing admission and/or treatment of a patient - Google Patents
Digital system for prioritizing admission and/or treatment of a patientInfo
- Publication number
- EP4573560A1 EP4573560A1 EP23738804.6A EP23738804A EP4573560A1 EP 4573560 A1 EP4573560 A1 EP 4573560A1 EP 23738804 A EP23738804 A EP 23738804A EP 4573560 A1 EP4573560 A1 EP 4573560A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- patient
- treatment
- user equipment
- health condition
- health
- 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.)
- Pending
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
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
-
- 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
- G16H40/67—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 remote operation
-
- 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
- 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
- G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
Definitions
- Efforts have been made to optimize the process of prioritizing admission/treatment like providing a web-based system designed to automatically check-in and prioritize patients upon arrival to an emergency department.
- discharge toolkits for educating patients have been developed. These toolkits try to explain patients about likely future pains or events after a surgery. For example, if the patient knows that light fever is most likely to occur within 1 week after a surgery, the patient can prepare and will probably not re-enter the emergency room because of the fever.
- a first embodiment of the present invention is a computer-implemented method for training an artificial intelligence model for predicting an urgency rating of a treatment, the method comprising: inputting training data to the artificial intelligence model to train the model, the training data including a plurality of data samples, wherein each data sample comprises: data describing a health condition of a patient; and an urgency rating of a treatment associated with the data describing the health condition of the patient.
- the urgency rating may be defined as either low, medium or high. Additionally, or alternatively, the urgency rating may be a value within a predefined interval/scale (e.g., on a scale from 1 to 10 where 1 is the lowest urgency rating and 10 is the highest urgency rating).
- urgency rating of a treatment in the context of the present specification particularly indicates the need of the treatment and the priority of the treatment particularly compared to other patients. For example, a predicted urgency rating of a treatment having the value “low” or “zero” may be indicative for non-urgent need or no need for a treatment at all.
- the artificial intelligence model trained according to this method may allow for accurate prediction of an urgency of a treatment of a patient based on his current health condition.
- this may enable a system of triage based on data describing the health condition of the patients, without the patients needing to enter the hospital.
- the training data may additionally or alternatively comprise: time-series data of a patient consisting of a plurality of data describing a health condition of the patient at different points in time each associated with an urgency rating of the treatment.
- Training the artificial intelligence model based on time-series data of the patient may allow the model to predict a future health condition and/or a future urgency rating of the patient. This may allow for an increased accuracy of the urgency prediction as the model trained accordingly can analyze and predict the trend of a patient’s health condition. Therefore, a negative/positive trend can be identified way in advance improving the quality of treatment of the patient (e.g., valuable early treatment time can be won this way).
- a third embodiment of the present invention is a computer-implemented method for predicting an urgency rating of a treatment of a patient, the method comprising: predicting the urgency rating of the treatment of the patient based on data describing a health condition of the patient using an artificial intelligence model, wherein the artificial intelligence model is trained according to the method of the 1 st embodiment.
- Providing this method may allow for accurate prediction of an urgency of a treatment of a patient based on his current health condition. For example, a patient with a non-specific chest pain after a PCI may get a higher urgency rating (rate) compared to a patient with symptoms of a cold. Accordingly, if a patient’s current health condition results in the prediction of for example a low urgency rating, the patient may not be required to visit an emergency room avoiding the inefficient usage of resources. Accordingly, the triage is already made from outside the hospital as it can be identified whether a patient requires sooner or later treatment. This allows to improve and facilitate the flow of information, scheduling of treatments and patient transfers to the hospital. As a result, the new triage system using the provided method reduces the fluctuating workloads of hospitals resulting in a better-balanced workload and avoiding unnecessary triage situations in an emergency room.
- the data describing a health condition of a patient comprise or are constituted by sensor data.
- the method may additionally or alternatively comprise: predicting data describing a future health condition of the patient and, optionally, the urgency rating of the treatment of the patient based on the data describing the future health condition of the patient using an artificial intelligence model, wherein the artificial intelligence model is trained according to the method of the second embodiment.
- the method may predict the future urgency rating of the treatment of the patient without the step of predicting the future health condition.
- the individual values of the data describing the health condition of the patient may be associated with a set of adjustable weights. These weights are adjusted according to a selected prediction metric of a set of prediction metrics before predicting the urgency rating of the treatment of the patient. Examples for such metrics may be - inter alia - a quality of life metric, a pain related metric, a lethality metric or an effort of treatment metric.
- Adjusting the data describing the health condition before predicting the urgency rating may allow for increased efficiency in certain situations. For example, a rehabilitation hospital department may decide to choose the quality of life metric to determine whether a certain patient has a high demand of a corresponding treatment after a surgery to improve the healing process and to end up with a high quality of life.
- a fifth embodiment of the present invention is a method for remote and/or wireless communication at a portable user equipment of a patient, the method comprising: collecting data describing a health condition of the patient from at least one data source; transmitting the collected data describing the health condition of the patient to a server; and receiving, from the server, an urgency rating of a treatment based on the health condition of the patient.
- the method may only be performed when executed by the patient or it may be performed automatically. In case the method is performed automatically, the method may be performed on a regular basis (e.g., once a day, once every hour, once a week). The frequency may be configurable by the patient or may depend on the current and/or past health conditions and/or urgency ratings of the patient. The method may also be performed each time a change in the data describing the health condition of the patient is detected.
- the method further comprises: receiving from the server or a user equipment of a health care provider, a treatment plan associated with the urgency rating. For example, if the urgency rating of a patient is low (e.g., 1 to 3) the associated treatment plan may contain a health advice (e.g., a less fat diet). Should the urgency rating be medium (e.g., 3 to 6) the associated treatment plan may contain for example a (recommendation for a) medical prescription or a scheduled appointment at a corresponding physician.
- a treatment plan associated with the urgency rating For example, if the urgency rating of a patient is low (e.g., 1 to 3) the associated treatment plan may contain a health advice (e.g., a less fat diet). Should the urgency rating be medium (e.g., 3 to 6) the associated treatment plan may contain for example a (recommendation for a) medical prescription or a scheduled appointment at a corresponding physician.
- the physician or the (recommendation for the) medical prescription may be selected based on the health condition of the patient (e.g., if the patient reports headache he may get a (recommendation for a) medical prescription for a headache medicine, if the patient shows light signs of heart issues the selected physician may be a cardiologist). However, should the urgency rating be high (e.g., 7 to 10), an ambulance call for transferring the patient to the hospital may be initiated and the treatment plan may contain an information for the patient about the emergency and that an ambulance is on its way.
- health care provider in the context of the present specification particularly refers to a person, a group, a facility, or an organization which are involved in and contribute to health care in general or emergency management in particular.
- Non limiting example for health care provider include medical staffs, hospital facilities, ambulances, rescue helicopters, personal physicians and the like.
- Providing this method decreases the risk of the patient entering a critical health condition as it can be monitored frequently. Moreover, the threshold of a patient to report his symptoms and to get in contact with a physician is lowered. Therefore, the overall prioritizing admission/treatment process is improved as fewer emergency situations occur and the patient will most likely not enter the emergency room unnecessarily.
- the health care provider e.g. medical staff of a hospital
- the health care provider may already be informed about health condition of the patient and his expected time of arrival improving the quality of treatment (e.g. since the server may alert the corresponding hospital accordingly).
- a sixth embodiment of the present invention is a method for remote and/or wireless communication at a server, the method comprising: receiving, from a portable user equipment of a patient, data describing a health condition of the patient; determining an urgency rating of a treatment of the patient based on the data describing the health condition of the patient; the method further comprising at least one of the following steps: transmitting the urgency rating of the treatment to the portable user equipment; transmitting the urgency rating of the treatment and the data describing the health condition of the patient to a user equipment of a health care provider for evaluating the urgency rating.
- Providing this method may improve the overall prioritizing admission/treatment process as the urgency rating of the treatment of a patient can be determined without the patient being physically present in the emergency room.
- determining the urgency rating of the treatment comprises: predicting the urgency rating of the treatment based on the data describing the health condition of the patient according to the method of the 3 rd embodiment; additionally or alternatively, it may comprise; predicting the urgency rating of the treatment according to the method of the 4 th embodiment; adding the data describing the health condition of the patient and the predicted urgency rating to time-series data of the patient indicating the health condition and associated urgency ratings of the patient over time; and retraining the artificial intelligence model according to the method of the 2 nd embodiment.
- Determining the urgency rating using a specifically trained artificial intelligence model increases the accuracy of the urgency rating. Therefore, the assessment of the patient’s health condition is improved.
- the method may further comprise: receiving, from the user equipment of the health care provider; an evaluated urgency rating.
- the corresponding user equipment of the cardiologist is selected.
- the distance may be determined based on position data, e.g. GPS data, received from the various user equipment.
- a ninth embodiment of the present invention is a method for wireless communication at a user equipment of a health care provider, the method comprising: receiving, from a server, an urgency rating of a treatment and data describing a health condition of a patient; determining an evaluated urgency rating of the treatment based at least on the data describing the health condition of the patient; and transmitting the evaluated urgency rating of the treatment to the server.
- the health care provider may also transmit a treatment plan based on the evaluated urgency rating to the server and/or directly to the patient. Additionally or alternatively, also the evaluated urgency rating may directly be transmitted to the patient.
- the health care provider can evaluate the health condition of a patient more efficiently. As a result, fewer patients in critical condition are to be transported into the emergency room as these patients can efficiently be treated preventively by transmitting a corresponding treatment plan to the patient (directly or via the server). Furthermore, the situations in which a patient enters an emergency department without his health condition requiring it, can be reduced due to the improved treatment quality.
- the data describing the health condition of the patient includes at least one of: a first set of health parameters and a second set of health parameters depending on the first set of health parameters, and/or captured vital signals of the patient.
- the first set of health parameters may include or may come from at least one of: fever (e.g., temperature in C/F, duration of fever), pain (e.g., intensity on a scale from 1-10, duration, frequency, location), cough (dry/wet, pain, difficulty to breathe), nausea/vomiting, dizziness, blindness, numbness, deafness, rash, injury, coloration, blood pressure, pulse, flatulence, diarrhea and/or photos.
- fever e.g., temperature in C/F, duration of fever
- pain e.g., intensity on a scale from 1-10, duration, frequency, location
- cough dry/wet, pain, difficulty to breathe
- nausea/vomiting dizziness, blindness, numbness, deafness, rash, injury, coloration, blood pressure, pulse, flatulence, diarrhea and/or photos.
- the first set of health parameters or a part of these parameters may be collected based on a general questionary as for example conducted by a general practitioner (e.
- the first set of health parameters may be collected directly from the portable user equipment of the patient by means of sensors and/or may be requested from a database (e.g., a database from the general practitioner who has examined the patient).
- the first set of health parameters may also be collected by means of other suitable sensors (e.g., a fever monitor connected to the portable user equipment of the patient).
- the second set of health parameters depending on the first set of parameters may include or may come from at least one of: blood diagnostic (inflammation), tissue diagnostics (e.g., from an eternal lab), stool diagnostics, ultrasound examination, endoscopic images, X-Ray images, magnetic resonance imaging, long term blood pressure monitoring, pulse, fever (e.g., temperature in C/F, duration), pain (e.g., intensity on a scale from 1 to 10, duration, frequency, location), cough (dry/wet, pain, difficulty to breathe), nausea/vomiting, dizziness, blindness, numbness, deadness, rash, injury and/or coloration.
- the second set of heath parameters may be collected based on a specific questionary as for example conducted by specialized practitioner.
- the set of health parameters may depend on the first set of health parameters in a way that based on the values/result of the first health parameters the relevant parameters of the second health parameters are selected.
- the second set of health parameters may be defined by a specialized practitioner after having received (e.g., via communication means) the first set of health parameters.
- the second set of health parameters may be collected directly from the portable user equipment of the patient, e.g. by means of a user interface, one or more sensors and/or may be requested from a database (e.g., a database from external labs or specialized practitioners who for example have collected X-Ray images of the patient previously).
- the second set of health parameters may also be collected by means of other suitable sensors (e.g., a fever monitor connected to the portable user equipment of the patient).
- the captured vital signs may be collected via sensors (e.g. sensor data). These sensors may either be incorporated into the portable user equipment of the patient or may be connected or connectable with the portable user equipment. Examples for such sensors may be wearables like a smart watch, a medical device, a medical implant such as a pacemaker, and/or a step counter.
- the captured vital signs may correspond to ECG information measured by the smart watch, a number of steps walked measured by the step counter or beats per minute measured by the pacemaker.
- the data describing the health condition of the patient may also include a GPS information about the current location of the patient collected via a GPS sensor of the portable user equipment of the patient.
- Providing the GPS information about the location of the patient may increase the patient’s chance of surviving as not only the nearest health care provider (e.g. medical staff or hospital) can be identified but also the corresponding ambulance has accurate location information resulting in a reduced time of transfer. Additionally, the health care provider is informed about the patient’s emergency in advance and can make appropriate preparations.
- the nearest health care provider e.g. medical staff or hospital
- the GPS position of the patient may be used to extract information on physical activity.
- the velocity derived from the GPS characterizes the times where the patient was immobile, walking, cycling or using vehicles. Shifts in a patient’s behavior monitored over longer time period allow to detect if a patient health has improved or is deteriorated.
- an Al may be trained to stabilize and improve physical activity and/or to detect suspicious deterioration of the patient in time to act before the heart is permanently damaged.
- An eleventh embodiment of the present invention is a server comprising means for performing the method according to any of the embodiments 6 to 8 or 10 when referred back to any of the embodiments 6 to 8.
- a twelfth embodiment of the present invention is a portable user equipment of a patient comprising means for performing the method according to the 5 th embodiment or 10 th embodiment when referred back to the 5 th embodiment.
- a thirteenth embodiment of the present invention is a user equipment of a health care provider comprising means for performing the method according to the 9 th embodiment or the 10 th embodiment when referred back to the 9 th embodiment.
- the user equipment of the health care provider may design as an app, a web-based application, an application specific device, a computer program and the like.
- Fig. 1 shows a system for prioritizing admission/treatment triage 100 (i.e. digital prioritizing admission/treatment system) in accordance with embodiments of the present invention.
- the digital prioritizing admission/treatment system 100 comprises a server 120 and at least one portable user equipment of a patient 110 and/or at least one user equipment of a health care provider 130 in accordance with embodiments of the present invention.
- the digital prioritizing admission/treatment system 100 and its components may perform the methods described herein with respect to the corresponding embodiments.
- a corresponding computer program is installed on the components which comprises instructions which when executed by the computer (e.g., the processor of the component) causes the component to execute the corresponding method according to the embodiments of the present invention.
- the portable user equipment of the patient 110 may further be connected to one or more data sources (e.g., external data bases, sensors like sensors incorporated in a wearable like a smartwatch, step counter, pacemaker or any other implant and/or medical device) from which the data describing the health condition of the patient may be collected and/or updated according to a configured modus (i.e., only collect data for the urgency rating prediction when executed by the patient explicitly or on a regular basis (e.g., daily) or whenever new data is available from one of the sources).
- a configured modus i.e., only collect data for the urgency rating prediction when executed by the patient explicitly or on a regular basis (e.g., daily) or whenever new data is available from one of the sources.
- a configured modus i.e., only collect data for the urgency rating prediction when executed by the patient explicitly or on a regular basis (e.g., daily) or whenever new data is available from one of the sources.
- a first set of health parameters i.e., only collect
- the treatment plan may only contain an advise like a healthier diet.
- One additional benefit of the present invention is that by monitoring and assessing the health condition of a patient, conclusions about the success of certain treatment plans can be drawn. Assuming a portable user equipment of a patient 110 transmits data describing the health condition of the patient to the server 120 which predicts a high urgency rating and the patient is transferred to the emergency department because the patient for example needs heart surgery. The system allows monitoring of the development of the health condition of the patient even after leaving the hospital or the rehabilitation after the surgery.
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- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Primary Health Care (AREA)
- Epidemiology (AREA)
- Data Mining & Analysis (AREA)
- Databases & Information Systems (AREA)
- Pathology (AREA)
- Business, Economics & Management (AREA)
- General Business, Economics & Management (AREA)
- Medical Treatment And Welfare Office Work (AREA)
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Abstract
Description
Claims
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP22190389 | 2022-08-15 | ||
| PCT/EP2023/069311 WO2024037796A1 (en) | 2022-08-15 | 2023-07-12 | Digital system for prioritizing admission and/or treatment of a patient |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP4573560A1 true EP4573560A1 (en) | 2025-06-25 |
Family
ID=82940052
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP23738804.6A Pending EP4573560A1 (en) | 2022-08-15 | 2023-07-12 | Digital system for prioritizing admission and/or treatment of a patient |
Country Status (3)
| Country | Link |
|---|---|
| EP (1) | EP4573560A1 (en) |
| CN (1) | CN119522455A (en) |
| WO (1) | WO2024037796A1 (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN119314643A (en) * | 2024-12-17 | 2025-01-14 | 吉林大学第一医院 | An intelligent nursing data task scheduling management system based on cloud computing |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7733224B2 (en) * | 2006-06-30 | 2010-06-08 | Bao Tran | Mesh network personal emergency response appliance |
| US8380631B2 (en) * | 2006-07-19 | 2013-02-19 | Mvisum, Inc. | Communication of emergency medical data over a vulnerable system |
| US20120004925A1 (en) * | 2010-06-30 | 2012-01-05 | Microsoft Corporation | Health care policy development and execution |
| US20140058755A1 (en) * | 2011-11-23 | 2014-02-27 | Remedev, Inc. | Remotely-executed medical diagnosis and therapy including emergency automation |
| US20150213225A1 (en) * | 2012-09-13 | 2015-07-30 | Parkland Center For Clinical Innovation | Holistic hospital patient care and management system and method for enhanced risk stratification |
| EP3117355A1 (en) * | 2014-03-13 | 2017-01-18 | Koninklijke Philips N.V. | Patient watch-dog and intervention/event timeline |
| WO2015157572A1 (en) * | 2014-04-10 | 2015-10-15 | Parkland Center For Clinical Innovation | Holistic hospital patient care and management system and method for patient and family engagement |
| US20160217260A1 (en) * | 2015-01-22 | 2016-07-28 | Koninklijke Philips N.V. | System, method and computer program product for patient triage |
| US20190180868A1 (en) * | 2017-12-11 | 2019-06-13 | UBQ, Inc. | Optimizing emergency department resource management |
-
2023
- 2023-07-12 WO PCT/EP2023/069311 patent/WO2024037796A1/en not_active Ceased
- 2023-07-12 EP EP23738804.6A patent/EP4573560A1/en active Pending
- 2023-07-12 CN CN202380054996.1A patent/CN119522455A/en active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| CN119522455A (en) | 2025-02-25 |
| WO2024037796A1 (en) | 2024-02-22 |
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