JP2016515263A - Medical information interpretation system and method - Google Patents

Abstract

Disclosed are systems and methods that provide patients access to high-ranking medical professionals. The present invention identifies and ranks qualified medical professionals and connects qualified medical professionals around the world with patients and their families. The disclosed invention also provides a personal, humane and comprehensive system and method that ensures people get the best medical advice. [Selection] Figure 9

Description

CROSS REFERENCE TO RELATED APPLICATIONS This patent application is a US continuation application of US Patent Application No. 13 / 802,229 (filed on March 13, 2013), and US Patent Application No. 13 / 802,229 is a US Patent Application No. 12 / 834,376 (filed on July 12, 2010), which is a continuation-in-part of US patent application Ser. No. 12 / 834,376, US patent application No. 09 / 705,198 (November 2, 2000) Application) (U.S. Patent No. 7,756,721), which claims the priority of U.S. Provisional Application No. 60 / 163,520 (November 4, 1999), US patent application Ser. No. 09 / 705,198 is a continuation-in-part of US patent application Ser. No. 08 / 818,155 (filed Mar. 14, 1997) (US Pat. No. 6,256,613). These patent applications are incorporated herein by reference in their entirety.

  Having a medical diagnosis can be a life changing event. Medical diagnosis can present mental, physical, and economic challenges, and as a result, medical diagnosis can have a significant impact on an individual's current and future quality of life. When a diagnosis is made, it is a difficult task to identify the next step and identify an appropriate treatment plan. In a time when information is flooding, identifying qualified doctors can be a more difficult task.

  In addition, it is difficult to make a definitive medical diagnosis in clinical cases with complex symptoms. In such cases, the diagnosis may be confused by various symptoms that are seemingly irrelevant, each somewhat characteristic. In addition, health care providers in the network of health care payers may specialize in providing certain complex treatments, but patients with symptoms focus on sub-specialties in one medical specialty. Different health care providers may be needed. Unfortunately, patients generally do not have extensive access to specialized healthcare providers, and information about specialized providers may be located at various locations both domestically and internationally.

  In some embodiments, the present invention is a method for requesting interpretation of a medical record comprising: a) receiving a medical record associated with a subject by a computer system; and b) based on the medical record. In order to search a database of healthcare providers and provide at least one qualified healthcare provider, each healthcare provider in the database is independently associated with a discipline, said qualified healthcare provider Is qualified to interpret the medical record, the computer system comprises a processor, the search is performed by the processor, and c) requests a requested interpretation of the medical record from the qualified medical provider. And d) receiving the requested interpretation of the medical record from the qualified health care provider, and e) providing a ranking of interpretations. To, the said requested interpreted to provide the method comprising, the method comprising: ranking for at least one alternative interpretation by different medical suppliers.

  In some embodiments, the present invention provides: a) providing a virtual medical system, the virtual medical system comprising i) an input module, ii) a database, and the database comprising a plurality of medical providers; iii) a search module, iv) a ranking module, v) a request module, and vi) an output module; b) receiving an electronic medical record from a user by the input module; and the input module Transmits information from the medical record to the search module; c) searches the database by the search module based on the information; and the search module relates to the information from the database. Identifying a subset of medical providers attached, d) by the ranking module, Ranking the subset of healthcare providers, whereby the ranking module ranks and ranks each healthcare provider of the subset of healthcare providers based on their relevance to the information Providing a requested set of medical providers, e) requesting the requested interpretation of the medical records from at least one of the ranked medical providers by the request module; and f) at least one Receiving the requested interpretation by the request module; and g) receiving the requested request for at least one alternative interpretation by the ranking module to provide a set of ranked interpretations. Ranking interpretations; and h) via the output module, the set of ranked interpretations. Provides a possible forces, a computer program product comprising a computer readable medium comprising code, executable computer applied to be executed to implement a method comprising a.

FIG. 1 illustrates an online physician community module including a case management module, a physician group module, and an important case library module. FIG. 2 illustrates an example of the configuration of an expert online profile. FIG. 3 is a block diagram illustrating a first example configuration of a computer system that may be used in connection with an example embodiment of the present invention. FIG. 4 is a diagram illustrating a computer network that may be used in connection with an example embodiment of the present invention. FIG. 5 is a block diagram illustrating a second example configuration of a computer system that may be used in connection with an example embodiment of the present invention. FIG. 6 illustrates a typical structure of a message received by a qualified physician with a request to interpret medical records. FIG. 7 illustrates a configuration example of a case explanation accompanied by a clinical summary presented to a qualified doctor. FIG. 8 illustrates a representative case summary module presented to a qualified health care provider. FIG. 9 illustrates a representative module of a virtual medical system with a physician community. FIG. 10 illustrates a representative module available to a qualified physician that assists in case management within a virtual medical system. FIG. 11 illustrates a representative module of a peer group community within a virtual medical system.

  There are tremendous challenges in responding to medical diagnosis. A single medical diagnosis may affect, for example, not only the patient's life but also the family, doctor, nurse's life, and their communities. The treatment plan and type of treatment selected in the treatment of a disease, syndrome, or physical condition has a decisive influence on many lives, but most families or individuals deal with the effects of having a medical diagnosis There is not enough preparation to do. In addition, many people encounter doctors who either get an incorrect diagnosis or are confused by symptoms at any time. Learning how to deal with diagnoses can be a difficult and emotional process, and how to deal with inaccurate diagnoses can be devastating to someone's life and those who love them This can lead to consequences.

  Misdiagnosis causes approximately 40,000 to 80,000 hospital deaths each year. Misdiagnosis is pressured by physicians, often due to factors that may include hard schedules, hospital organization requirements, and multiple occupational responsibilities, and appropriate time is taken to learn the patient's symptoms. It may occur when there is not. In addition, mistakes can be made when a doctor neglects a patient's chief complaint, when a doctor ignores a patient's medical history, when a doctor fails to verify the accuracy of a medical test result, and when a doctor makes a definitive diagnosis. It may also happen when there is not enough information to give it down, looking away and needing to name the patient's symptoms.

  A system that generates a personal, humane and comprehensive method that removes the burden of uncertainty from the shoulders of patients and their families and ensures that people get the best medical advice. And a method. The present invention helps patients and their families around the world identify and develop relationships with the most capable physicians who specialize in multiple disciplines.

  Individuals and families need to worry about collecting medical records, finding the most appropriate health care provider, evaluating, ranking, identifying, reviewing, contacting, and building relationships when they receive a medical diagnosis Disappear. The systems and methods of the present invention employ a gentle, thoughtful, knowledgeable and effective approach to medical care to streamline the process for individuals or families.

  The process of interpreting medical information can begin with an email, a confidential call, a direct conversation, or several other communication methods. Doctors, nurses, medical record specialists, or supervisors are all members of groups that can be alerted when a new request for medical interpretation is received. Group members can interact directly with parties requesting interpretation of medical cases. Each case may be given to a person in the group, and the group member can be a dedicated contact for each medical case. Group members can create an online personal medical profile of a subject requesting medical interpretation within the online platform of the present invention. Alternatively, the subject can create their own online personal profile or create an online personal profile on behalf of others.

  The group receives and evaluates medical records associated with each medical case. In a preferred embodiment, through a computer program product adapted to receive, search, rank, categorize, and segment medical records, the subject can submit multiple case records, images, and test samples to the present invention. Can be submitted to the system. Alternatively, group members can collect multiple case records, images, and test samples for the patient. Groups can systematically organize, classify, categorize, and search medical records to obtain information related to diagnosis. The computer program product can systematically organize, classify, classify, and search medical records of information related to diagnosis.

  The present invention searches a medical supplier database based on medical records to identify at least one or a group of qualified healthcare providers with relevant expertise for a particular case. The present invention enables the selection of the best recognized physician and / or expert in the country and comprehensive analysis of all medical information associated with medical cases from a select group of qualified medical providers Request.

  Furthermore, the system and method of the present invention distributes expert reports tailored to cases to both parties requesting interpretation of medical records and their physicians. The report also serves as a clinical roadmap with recommendations for diagnosis and treatment. The team provided by the present invention also interacts with individuals and families at key management points to assess progress and address new issues. The attending physician welcomes new insights provided by expert advice on the case. Patients and families can make more confident decisions about treatment choices and have more confidence in having access to ranked physicians. The process provides a personal, practical and humane way to ensure that individuals and families find the best treatment available.

  Furthermore, the patient and family do not have to travel or interact by themselves to the medical system. Individuals and families can receive the necessary answers while staying at home and obtain the peace of mind they seek. This aspect of the present invention addresses the need for optimal patient care in situations faced with physician shortages, specialist physician constraints, geographical isolation, distance, restricted access to treatment, resource limitations, technology, and economic challenges. Can ease many barriers to offering. The present invention provides a comprehensive and analytical approach to understanding and addressing the problems facing both the needs of many communities, the individuals receiving medical diagnoses, and physicians providing medical interpretation.

The system and method of the present invention that requires interpretation of medical records provides a detailed interpretation by qualified healthcare providers for medical diagnosis and treatment planning. Medical interpretation may be requested on behalf of the subject. The subject may be, for example, an elderly person, an adult, an adolescent, a pre-adolescent child, a child, an infant, or an infant.

  The method of interpreting a medical request can begin when the system of the present invention receives a medical record associated with a subject by a computer system. A medical record may be received by the present invention, for example, when a subject provides information to an online personal medical profile. The subject's online personal medical profile may include multiple medical records such as, for example, examination and test results, past medical history, evaluation by the physician in charge, and treatment regimen. In some embodiments, the medical record comprises a preliminary diagnosis. In some embodiments, the medical record is received through a medical request from the subject.

  The computer system searches a database of medical providers based on the medical records. In some embodiments, the search identifies a plurality of qualified healthcare providers, and each qualified healthcare provider is ranked and ranked by qualified healthcare provider from highest to lowest rank. A complete set is provided. The system and method of the present invention requires interpretation of medical records by a qualified health care provider, and the qualified health care provider is given the opportunity to carefully review each case. In some embodiments, a qualified health care provider has expertise associated with medical records. For example, a subject who has combated back pain can provide magnetic resonance imaging (MRI) showing vertebral degeneration, slight protrusion of the intervertebral disc, and nerve changes in the border zone. The system and method of the present invention may require interpretation of medical records by a neurosurgeon who is specialized in vertebral instability.

  The medical provider's medical expertise is used by the system and method of the present invention to search the health care provider's database and identify at least one qualified medical provider qualified to interpret medical records. Can be used. In some embodiments, the requested interpretation may be ranked based on the level of expertise of the health care provider. For example, a subject with symptoms such as shortness of breath, swollen legs, and lack of exercise durability can suspect the risk of congestive heart failure. Ultrasound heart tests and blood tests may be used by the attending physician to diagnose congestive heart failure. The subject's physician can recommend treatment including surgery to implant a medical device such as a pacemaker or artificial heart into the patient's heart. Prior to deciding on an operation, the subject can ask for a second opinion. The subject can submit a request for interpretation of the subject's medical records using the system and method of the present invention. The present invention can rank interpretations based on the minimum level of expertise required to provide an interpretation, for example, cardiac surgery, general cardiology, and cardiac electrophysiology. .

  In some embodiments, the requested interpretation is based on a virtual collaboration between a qualified health care provider and at least one additional health care provider. For example, a subject with a diagnosis of congestive heart failure may have a qualified cardiac electrophysiology specialist reviewing medical media associated with the diagnosis, such as an echocardiography, and in this example a pacemaker or artificial heart implanted An expert interpretation with virtual collaboration with a cardiac surgeon providing expert opinion on the best surgical procedure can be received. In some embodiments, the qualified health care provider and the additional health care provider are anonymous to each other.

  With the method of the present invention, multiple interpretations of medical records can be evaluated. The interpretation of the medical record may be, for example, the first interpretation by the doctor in charge included in the request for interpretation. An interpretation may be provided, for example, by at least one qualified medical provider associated with the present invention. Interpretation may be provided, for example, by a plurality of qualified medical providers associated with the present invention. In some embodiments, the present invention identifies a plurality of qualified healthcare providers, and each qualified healthcare provider of the plurality is ranked and qualified healthcare from the highest rank to the lowest rank. A ranked set of providers is provided.

  Multiple ranking criteria can be used to identify a ranked set of qualified physicians. For example, the present invention can search a medical provider's database based on a request to provide an MRI record indicating debilitating degeneration of the back, head, and neck. The present invention can identify multiple neurosurgeons as qualified health care providers. The present invention can rank neurosurgeons based on length of history, neurosurgeon's familiarity with MRI records similar to the records prepared for the request, and / or neurosurgeon's geographic location. In some embodiments, requesting interpretation of a medical record comprises querying a ranked set of qualified healthcare providers, starting with the highest-ranked qualified healthcare provider. In some embodiments, requesting interpretation of medical records comprises querying a ranked set of qualified medical providers in random order.

  The criteria used to identify a set of ranked physicians can be found directly or indirectly in the medical record. For example, a pediatric subject diagnosed with a structural malformation of the heart can provide medical records with cardiac computed tomography (CT) along with a request for interpretation. The present invention can retrieve medical records, and it can be noted that the heart CT emphasizes the heart anatomy and coronary circulation. The present invention can search a database of health care providers based on information found directly in medical records, such as “Heart CT” and “Pediatric Cardiology”. The present invention can search a medical provider's database based on information indirectly found in the medical record, for example, the present invention can be qualified medical provider based on a medical record comprising a cardiac CT. As "cardiovascular surgeon" can be searched.

  In some aspects, the present invention provides systems and methods for identifying qualified physicians based on a depiction of physical conditions. In some embodiments, the present invention further comprises searching a database of medical resources based on information in the medical record, thereby identifying the relevant resource and relevance upon requesting the requested interpretation. Provide medical resources to qualified health care providers.

  The system and method of the present invention can receive multiple requested interpretations from multiple qualified health care providers. Multiple criteria can be combined to provide a ranking of interpretation of medical records. The present invention can rank all of the interpretations that suggest surgery as a proposed treatment, for example, based on the qualification of the physician providing the interpretation. The present invention can rank all of the interpretations based on, for example, the order in which requested interpretations of medical records are received from qualified medical providers.

  The system and method of the present invention can require multiple interpretations from multiple qualified healthcare providers. A qualified supplier can accept requests to provide interpretation of medical records. A qualified supplier can refuse to request interpretation of medical records. The present invention can, for example, request interpretation of medical records from a qualified medical provider after at least one other qualified medical provider has responded positively to the request.

  Subjects, doctors, nurses, medical record specialists, or supervisors can seek a second opinion for interpretation provided by a qualified health care provider. In some embodiments, the method for requesting interpretation of a medical record further comprises requesting a physician for a second opinion regarding the ranking of interpretation.

  In some embodiments, authenticated users can be granted access to the ranking of interpretations provided by the present invention. The user of the system may be, for example, a guardian of the subject, a health care provider, a doctor in charge, an expert, a family member, a friend, or the subject.

  Interpretation of medical records can include, for example, diagnosis, presentation of treatment, review of existing diagnosis, review of treatment presentation as a second opinion diagnosis, referral to an expert, and / or review of clinical cases by an expert. Can be provided.

Virtual Medical System Another aspect of the present invention relates to a method for providing a virtual medical system. A virtual healthcare system allows qualified healthcare providers to manage and / or associate associated clinical cases, join physician groups, join expert networking groups, and share with peers There can be an online community with access to a library of cases to be watched. The virtual medical system can comprise a computer-readable medium having computer-executable code adapted to execute to implement a method comprising providing a virtual medical system.

  The virtual medical system may include an input module, a plurality of different structures, a plurality of databases including a plurality of medical providers, a search module, a ranking module, a request module, and an output module. In some embodiments, the virtual medical system comprises an online community of doctors. In some embodiments, the online community comprises a subset of physicians.

  The health care provider has access to an online physician community (FIG. 1, 100). A qualified doctor can, for example, select a preferred language for browsing the website 101. The qualified doctor manages the case 102, browses the doctor group 103, joins the doctor group 103, browses a library of medical cases 104 to be noticed, and links to join the library Accessible.

  The health care providers associated with the online physician community in the virtual health care system can be identified in the system of the present invention by the expert online profile illustrated in FIGS. The expert's online profile includes: expert's first name 202a, expert's last name 202b, expert's email dress and phone number 202c, expert's specialty field 202d, expert's sub-professional area 202e, attending physician, director Or an expert's job level 202f such as a specialist's title such as a surgeon, an expert's partner 202g, such as an expert's alliance with a hospital or personal clinic, a map 202h of an address preferred for the professional's job, an expert Information such as charitable activities 202i involved, and additional information 202j provided by an expert.

  The system and method of the present invention can receive personal health information for posting in an online subject profile. The subject's personal health information may comprise the subject's general information, medical history, visit history, diseased disease information, and related information associated with the subject's recent activities. Examples of personal health information include age, gender, blood type, family health history, height, weight, dietary habits, BMI, diabetes (DM) and pre-diabetes risk, family health history, pre-hypertension (HTN) risk, Measurements of systolic and diastolic blood pressure, salt intake, urine sediment, proteinuria, blood urea nitrogen, creatinine level, calcium level, thyroid stimulating hormone (TSH) level, blood glucose, HDL and LDL cholesterol levels, neutral fat , Hematocrit, electrocardiogram and / or chest x-ray, metabolic syndrome, hyperlipidemia, risk of infection, reduced immune system, circulatory failure, skin integrity failure, repeated contact with contact infection media, cancer screening , CAT scan, and MRI.

  The subject can periodically contribute to the subject's online personal medical profile within the virtual medical system. The subject can, for example, access an online profile and update information related to a request for medical interpretation, such as symptoms. The subject can, for example, access an online profile and upload the latest medical file.

  The system and method of the present invention can receive requests for interpretation of medical records associated with a subject's online profile. The virtual medical system can associate requests for interpretation of received medical records with multiple qualified medical providers. The virtual medical system can rank a list of qualified medical providers based on their relevance to the information provided in the medical record. The degree of relevance may be, for example, a set of professional qualifications necessary to interpret medical records such as officer qualifications, surgical expertise, specialties, length of career, reputation within peers, performance, etc. The virtual medical system can prioritize the ranking of requests, for example, urgent, punctual, important, less important, requires multiple disciplines, etc.

  The virtual medical system of the present invention provides a medical resource database and a medical resource search module to qualified medical providers. The virtual healthcare system can provide an effective method for requesting medical interpretation from a qualified healthcare provider. The virtual medical system can classify and correlate medical interpretation requests submitted by the subject based on information provided in the subject's online profile. The virtual healthcare system can associate a subset of healthcare providers with a request for interpretation based on, for example, a discipline or geographic location associated with the subset of healthcare providers. The virtual medical system of the present invention ranks multiple health care providers, for example, with respect to health care provider qualifications (including executive qualifications), expertise, length of career, reputation within peers, and performance. Can do.

  The virtual medical system can search a database that identifies a subset of health care providers associated with the information based on the information provided in the request for medical interpretation. In some embodiments, providers in a subset of providers may receive medical records that are similar to the medical records associated with, for example, referrals by members of a virtual community, and requests for new medical interpretations. Can be identified based on the number of cases reviewed and / or affiliated hospitals. In some embodiments, health care providers in a subset of health care providers are independently associated with information based on a discipline. For example, a hematologist may be identified as a physician with expertise related to the treatment of blood disorders in a database comprising a subset of health care providers.

  The system of the present invention is capable of searching a database of multiple medical resources that are built with multiple configurations and supported by multiple different data management systems. For example, a plurality of data management systems store, read, and manage a) graph databases, b) hypermedia databases, c) hypertext databases, d) in-memory databases, e) document-oriented or semi-document oriented data, For example, the system of the present invention can access a subject's history from a document-oriented database, f) a document-oriented database f) a database and a data management system located remotely, g) archive data from an operational database A data warehouse that can be converted, summarized and repartitioned in the middle of being sent to the data warehouse, h) an active database that can respond in real time to conditions inside and outside the database, and i) modules shared by multiple sites Multiple mods that can be included Distributed database containing modules that are specific to one site and used locally only at that site, such as local medical groups, regional hospital departments, branch offices, and other hospital administration locations J) A database management system that is tightly integrated with application software that requires the database management system to access data stored in a manner that is hidden from the end user of the application, eg, the present invention is a database Embedded database that can receive medical records from the medical records platform that is the management system, k) Each end user, for example a collection of documents, spreadsheets, presentations, multimedia, and other files developed by the subject Departed by End-user database consisting of stored data, l) a linked database is a consolidated database consisting of several separate databases, each with its own data management system, a linked database and a multi-dimensional database, m) A knowledge base database that provides tools for collecting, organizing, and retrieving computerized knowledge, such as data representing a collection of related experiences, n) operational databases that process relatively high volume updates including medical media O) a spatial database capable of storing data including multi-dimensional features; p) a tense database including built-in time aspects such as application time and action occurrence time; and q) e.g. e-mail messages; Documents, journals, multimedia objects, etc. Includes unstructured databases built to store various objects in a manageable and protected manner that do not readily fit in a common database.

  The virtual medical system can rank a plurality of medical providers associated with the request based on information provided in the request for medical interpretation. The virtual medical system can rank multiple interpretations provided by qualified medical providers based on information provided in the request for medical interpretation. In some embodiments, the system of the present invention can correlate a ranked set of qualified health care providers with a ranked set of provided interpretations.

  The system and method of the present invention can provide access to medical records and requested interpretations of medical records to the physician's online community via the virtual medical system of the present invention.

Medical supplier of medical suppliers qualified, for example, acupuncturist, psychiatrist of addiction, adolescent medicine specialists, allergists, immunologists, allopathic doctor, anatomic pathology and clinical pathology specialist, dissection disease Science specialist, anesthesiologist, athletic trainer, hearing trainer, Ayurvedic medicine specialist, obesity specialist, bariatric surgery specialist, blood bank transfusion medicine specialist, cardiac electrophysiologist, cardiac surgeon, cardiac surgery specialist, Cardiologist, certified diabetes educator, certified nursing assistant, chemopathologist, Chinese medicine specialist, chiropractor, clinical and experimental immunology specialist, clinical biochemical genetics specialist, clinical cardiac electrophysiology specialist, Clinical cytogenetics, clinical genetics, clinical lipidology, clinical neurophysiology, clinical nurse, clinical pathology Physician, colon and rectal specialist, colorectal surgeon, coroner, counselor, lifesaving medicine, lifesaving surgery, cytopathologist, cytology technician, dental hygienist, dentist, dermatologist, dermatologist, developmental pediatrician Diabetes specialist, nutritionist, otolaryngologist, emergency medical technician, emergency medical specialist, endocrinologist, endodontist, vision trainer, family doctor, infertility specialist, forensic pathologist, forensic psychiatrist , Gastroenterologist, gastroenterologist, geneticist, genetic counselor, geriatric specialist, geriatric psychiatrist, gynecologist, gynecologist oncologist, hearing / language specialist, hematologist, liver specialist, holistic medicine Specialists, hospice and palliative care specialists, homeopath specialists, immunologists, immunopathologists, infectious disease specialists, physicians, irisologists, exercise therapists, laryngologists, maxillofacial surgeons, medical assistants, physicians Examiner, Genetic Medicine, Oncologist, Medical Toxicologist, Midwife, Molecular Genetic Pathologist, Mental Health Specialist, Perinatal Neonatal Specialist, Kidney Specialist, Neurologist, Neuroradiologist, Neurosurgeon, Nuclear Medical specialist, nurse, on-site nurse, obstetrician, oncologist, ophthalmologist, optometrist, oral pathologist, oral surgeon, orthodontist, orthopedic specialist, otolaryngologist, otologist, pain management specialist , Pathologist, pediatrician, perfusionist, periodontal dentist, physiotherapist, plastic surgeon, podiatrist, proctologist, prosthetic specialist, psychiatrist, public health specialist, respiratory physician, Radiologist, reproductive endocrinologist and infertility specialist, rheumatologist, rhinologist, sleep disorder specialist, sonographer, audio specialist, surgeon, chest specialist, transplant specialist, female urologist, urologist, vascular specialist And vascular surgery Which may include.

Medical Record The present invention relates to a system and method for requesting interpretation of a medical record. In some embodiments, a medical record associated with the subject is received by the computer system, which uses the information in the medical record to search a database of medical providers.

  The medical record may include a document or a compilation of documents describing the medical information of the subject. The medical record may comprise the subject's complete medical history and treatment over a period of time, or the medical record may comprise an event in the patient's medical history. Medical records may include major and minor illnesses, surgical history, labor history, medications, medication allergies, family health history, social history, habits, vaccination history, growth and development history.

  A subject's medical record may mean a history of what has happened since the subject's birth. For example, a medical history may be a record of illness, a major or minor illness, and / or a significant event in growth. The medical record may include the main complaint, current medical history, physical examination, evaluation of clinical cases, and proposed action plans for treating physical conditions. In some embodiments, the medical record received by the systems and methods of the present invention comprises a preliminary diagnosis. In some embodiments, interpreting the medical record comprises reviewing the record to provide a diagnosis.

  The subject's medical history may include surgery history. The surgical history may describe the surgery performed on the subject, for example, the date of surgery, a surgical report, and / or a detailed description of the surgeon's procedure.

  A medical history may comprise a delivery history. A delivery history may comprise past pregnancy, pregnancy outcome, and / or pregnancy complications. In some embodiments, the medical history may comprise allergies to medications and drugs, such as, for example, the subject's current and past medications, and / or allergies to the drugs.

  In some embodiments, the medical history may comprise a family health history. Family health history includes one or more lists of the health status of relatives, such as causes of death, illness, and / or family tree common to the subject's family or common to only one gender, for example Sometimes.

  In some embodiments, the past history may comprise a social history. The social history may comprise one or more time series records of the subject's interpersonal relationships, such as, for example, the subject's friendship, subject's career, training, attending school, and / or religious training. In some embodiments, social history can provide information about community support that a subject can expect for a particular illness, and one of the subjects associated with one or more illnesses or losses. Provide information that can explain these behaviors and / or provide information to assist in determining one or more causes of one or more illnesses, for example, occupational exposure to asbestos it can. In some embodiments, the medical history may comprise habits that affect the health of the subject. Habits that affect health may comprise, for example, smoking, drinking, exercising, eating, sexual habits, and / or sexual orientation. In some embodiments, the past history may comprise a vaccination history. The vaccination history may comprise a subject's vaccination history and / or a blood test that provides immune data.

  In some embodiments, the past history may comprise one or more growth curves and developmental history. For example, if the subject is a child or a teenager, the growth curve and growth history comprise one or more charts describing the subject's growth and / or comparison with other subject data of the same age Sometimes. In some embodiments, growth curves and developmental history may provide information on the cause of the disease, as many diseases and social stresses can affect the growth and development of the subject. In some embodiments, the growth curve and developmental history may comprise information about the child's behavior, such as, for example, the timing of speaking and / or walking, and / or comparison with other children of the same age. is there.

  A pharmacy medical record (PMR) may relate to a record related to a subject's medication history. In some embodiments, medication history is known to cause adverse side effects in combination with, for example, dosing information, how long the subject has been prescribed, and the subject's current prescription plan The subject's prescription history, current prescription plan, and side effect information may be provided.

  Electronic medical records (EMR) may relate to records acquired and stored by the subject's doctor, clinician, insurance company, hospital, and / or other facility where the symmetric is a patient. In some embodiments, medical providers may include doctors, dentists, optometrists, therapists, chiropractors, and anyone who provides medical services to the subject. Electronic medical record (EMR) is, for example, CAT scan, MRI, ultrasound, blood glucose level, diagnosis, allergy, laboratory test results, electrocardiogram, medication, daily chart, medication management, physical assessment, hospitalization record, nursing plan , Referral letter, current and past symptoms, medical history, lifestyle, physical examination results, examination, treatment, treatment, medication, discharge, current medical history, diary, problems, discovery, vaccination, medical record at admission, medical record , Progress records, preoperative records, surgical records, postoperative records, treatment records, delivery records, postpartum records, and discharge records.

  In some embodiments, data delivery for review of medical record professionals meets the standards of the “Health Insurance Portability and Accountability Act” (HIPAA).

  In some embodiments, medical records received by the present invention may be made available for peer review within a virtual medical system comprising an online community with access to medical records. The virtual medical system may comprise a medical resource database and a medical resource search module. Qualified health care providers, including a broader group of physicians, such as a group of oncologists, and a subset of physicians, such as a group of neurosurgical oncologists, can access the online portal within the online community of the present invention. Also good. An online portal gives healthcare providers access to a database of healthcare resources, a library of featured cases in the community, access to colleagues' online communities, and medical records related to the healthcare cases with which the provider is associated. Can be provided.

  In some embodiments, the online community within the virtual medical system further comprises a medical imaging module. The medical imaging module can provide, for example, doctors, nurses, and professionals access to medical images associated with medical records. The medical image in the medical imaging module may be associated with at least one text description that describes an existing reading or interpretation of the medical media. Any past reading or interpretation of the medical media may be erased from the medical image.

  In some aspects, the present invention comprises systems and methods for understanding medical records that include descriptions of physical conditions. For example, a qualified physician who provides a clear, logical, factual, and comprehensive explanation for a clinical case may be further queried for the same case or similar cases. In some embodiments, upon receiving a requested interpretation of a medical record from a qualified health care provider, the computer system of the invention identifies the qualified health care provider as a further medical request associated with the physical condition. In the queue to receive

Medical Diagnosis Medical diagnosis can mean both an attempt to determine or identify a possible disease, disorder, or somatic symptom and the diagnostic opinion achieved by this process. The medical diagnosis may indicate a degree of continuity abnormality, or the medical diagnosis may indicate an abnormality during classification. The medical diagnosis may comprise a brief overview of the patient's medical records or a detailed assessment. A medical diagnosis may describe physical symptoms that require surgery as a preferred treatment option.

  A medical diagnosis is, for example, any disease, syndrome, or cause of pain, irregularity, dysfunction, physical, emotional, or mental distress, social problems, and / or death in an affected person. , May mean physical symptoms. Physical condition is injury, disorder, upset, syndrome, infection, isolated symptoms, deviant behavior, atypical changes from normal cell structure and function, atypical changes from normal body structure and function, pathogenicity It may include diseases, deficiency diseases, genetic diseases, and physiological diseases.

  A medical diagnosis may comprise naming a disease, injury, dysfunction, or disorder. The medical diagnosis may be a management nomenclature or a prognostic nomenclature implementation. Medical diagnosis can be uncertain and temporary. In some embodiments, a medical diagnosis is provided in the interpretation of medical records. A medical diagnosis, for example, may provide a subject with a presentation of therapeutic intervention.

  The medical diagnosis may be cancer, for example. Examples of cancers that can be associated with medical records by the system of the present invention are acute lymphoblastic leukemia, acute myeloid leukemia, adrenal cortex cancer, AIDS-related cancer, AIDS-related lymphoma, anal cancer, appendix cancer, astrocytes Basal cell carcinoma, cholangiocarcinoma, bladder cancer, bone cancer, cerebellar astrocytoma, cerebral astrocytoma / malignant glioma, ependymoma, medulloblastoma, tent primitive ectodermal tumor, visual tract glioma, And brain tumors such as hypothalamic glioma, breast cancer, bronchial adenoma, Burkitt lymphoma, carcinoma of unknown primary, central nervous system lymphoma, cerebellar astrocytoma, cervical cancer, childhood cancer, chronic lymphocytic leukemia, chronic myelogenous leukemia, Chronic myeloproliferative disease, colon cancer, cutaneous T-cell lymphoma, fibrogenic small round cell tumor, endometrial cancer, ependymoma, esophageal cancer, Ewing sarcoma, germ cell tumor, gallbladder cancer, gastric cancer, gastrointestinal carcinoid Tumor, gastrointestinal stromal tumor, glioma, hairy cell leukemia, head and neck cancer, heart cancer, hepatocellular (liver) cancer, Hodgkin lymphoma, hypopharyngeal cancer, intraocular melanoma, islet cell carcinoma, Kaposi sarcoma, kidney Cancer, laryngeal cancer, lip and oral cancer, liposarcoma, lung cancer such as liver cancer, non-small cell and small cell lung cancer, lymphoma, leukemia, macroglobulinemia, bone / osteosarcoma malignant fibrous histiocytoma, medulloblastoma , Melanoma, mesothelioma, occult metastatic squamous neck cancer, oral cancer, multiple endocrine tumor syndrome, myelodysplastic syndrome, myeloid leukemia, nasal and sinus cancer, nasopharyngeal cancer, neuroblastoma , Non-Hodgkin lymphoma, non-small cell lung cancer, mouth cancer, oropharyngeal cancer, osteosarcoma / bone malignant fibrous histiocytoma, ovarian cancer, ovarian epithelial cancer, ovarian germ cell tumor, pancreatic cancer, pancreatic cancer islet cell, Sinus and nasal cavity cancer, parathyroid cancer, penile cancer, pharyngeal cancer, brown Cell tumor, pineal astrocytoma, pineal germinoma, pituitary adenoma, pleuropulmonary blastoma, plasma cell neoplasm, primary central nervous system lymphoma, prostate cancer, rectal cancer, renal cell carcinoma, renal pelvis and urine Transitional cell carcinoma of the duct, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, sarcoma, skin cancer, Merkel cell of skin cancer, small intestine cancer, soft tissue sarcoma, squamous cell carcinoma, stomach cancer, T cell lymphoma, pharyngeal cancer , Thymoma, thymic cancer, thyroid cancer, trophoblastic tumor (gestation), cancer of unknown origin, urethral cancer, uterine sarcoma, vaginal cancer, vulvar cancer, Waldenstrom macroglobulinemia, and Wilms tumor Including but not limited to.

  Medical diagnosis can identify, for example, genetic diseases. Examples of hereditary diseases are undiagnosed physical conditions, cystic fibrosis, Duchenne muscular dystrophy, hemochromatosis, Tay-Sachs disease, Prader-Willi syndrome, Angelman syndrome, neurofibromatosis, phenylketonuria , Canavan disease, pediatric steatosis, type 1 Gaucher disease, Gaucher disease, Charcot-Marie-Tooth disease, color blindness, catless syndrome, renal cyst, cephalopathy, familial adenomatosis, adrenal disease, muscle atrophy Lateral sclerosis (ALS), Alzheimer's disease, Parkinson's disease, anemia, ataxia, telangiectasia ataxia, autism, bone marrow disease, Bonnevie Ulrich syndrome, brain disease, von Hippel-Lindau disease, congenital heart Disease, Crohn's disease, dementia, myotonic dystrophy, Fabry disease, fragile X syndrome, galactosemia, hereditary lung qi , Retinoblastoma, Pendred syndrome, Usher syndrome, Wilson disease, neuropathy, Huntington's disease, immune system disease, gout, X-linked spinal and spinal muscular contraction, learning disorder, Lee Fraumeni syndrome, type 1 high lipo Proteinemia, Lou Gehrig's disease, Marfan syndrome, metabolic disease, Niemann-Pick disease, Noonan syndrome, bone fragility, Poitz-Jegers syndrome, Pfeiffer syndrome, porphyria, progeria, Rett syndrome, tuberous sclerosis Including, but not limited to, speech communication disorders, spinal muscular atrophy, Trier Collins syndrome, trisomy, and monosomy.

Computer Configurations Various computer configurations are suitable for use with the present invention. FIG. 3 is a block diagram illustrating a first example configuration of a computer system 300 that may be used in connection with example embodiments of the invention. As illustrated in FIG. 3, an example computer system may include a processor 302 that processes instructions. Examples of processors are the Intel Corei 7 ™ processor, Intel Core 5 ™ processor, Intel Corei 3 ™ processor, Intel Xeon ™ processor, AMD Opteron ™ processor, Samsung 32-bit RISC ARM 1176JZ (F)- Includes S v1.0 ™ processor, ARM Cortex-A8 Samsung S5PC100 ™ processor, ARM Cortex-A8 Apple A4 ™ processor, Marbell PXA930 ™ processor, or functionally equivalent processor. Not limited. Multithreading may be executed for parallel processing. Some embodiments use multiprocessors or multicore processors distributed within a single computer system, within a cluster, or over a network comprising multiple computers, mobile phones, and / or personal digital assistants. can do.

  As illustrated in FIG. 3, a high speed cache 301 may be connected or incorporated into the processor 302 to provide high speed memory for recently used or frequently used instructions or data by the processor 302. . The processor 302 is connected to the north bridge 306 by a processor bus 305. The north bridge 306 is connected to a random access memory (RAM) 303 by a memory bus 304 and manages access to the RAM 303 by the processor 302. The north bridge 306 is also connected to the south bridge 308 by a chipset bus 307. The south bridge 308 is similarly connected to the peripheral bus 309. The peripheral bus may be, for example, PCI, PCI-X, PCI Express, or other peripheral bus. The North Bridge and South Bridge are often referred to as processor chipsets and manage data transfers between the processor, RAM, and peripheral components on the peripheral bus 309. In some configurations, instead of using a separate North Bridge chip, North Bridge functionality may be incorporated into the processor.

  In some embodiments, the system 300 can include an accelerator card 312 attached to the peripheral bus 309. The accelerator may include a field programmable gate array (FPGA) or other hardware that speeds up certain processes.

  Software and data may be stored in the external storage device 313 and loaded into the RAM 303 and / or the cache 301 for use by the processor. System 300 includes an operating system for managing system resources. Examples of operating systems are Linux, Windows (trademark), MACOS (trademark), BlackBerry OS (trademark), iOS (trademark), and other functionally equivalent operating systems, and application software running on the operating system Including but not limited to.

  In this example, system 300 is a network connected to a peripheral bus to provide a network interface to external storage devices, such as network attached storage (NAS) and other computer systems that may be used for distributed parallel processing. Interface cards (NIC) 310 and 311 are also included.

  FIG. 4 is a diagram illustrating a network 400 having a plurality of computer systems 402a and 402b, a plurality of mobile phones and personal digital assistants 402c, and network attached storage (NAS) 401a and 401b. In some embodiments, systems 402a, 402b, and 402c can manage data storage devices and optimize data access to data stored in network attached storage (NAS) 401a and 402b. The data can use mathematical models and can be evaluated by distributed parallel processing across computer systems 402a and 402b and mobile phones and personal digital assistants 402c. Computer systems 402a and 402b and mobile phones and personal digital assistants 402c can also provide parallel processing for adaptive data reconstruction of data stored in network attached storage (NAS) 401a and 401b. FIG. 4 is exemplary only and various other computer configurations and systems may be used in conjunction with various embodiments of the invention. For example, a blade server can be used to provide parallel processing. The processor blades can be connected through a backplane to provide parallel processing. The storage device can also be connected to the backplane, or it can be connected via another network interface as network attached storage (NAS).

  In some embodiments, the processor maintains a separate memory space and can send data over a network interface, backplane, or other connector for parallel processing by other processors. In some embodiments, some or all processors may use a shared virtual address memory space.

  FIG. 5 is a block diagram of a multiprocessor computer system using a shared virtual address memory space. The system includes a plurality of processors 501 a-501 f that can access a shared memory subsystem 502. The system incorporates a plurality of programmable hardware memory algorithm processors (MAPs) 503 a-503 f within the memory subsystem 502. Each MAP 503a-503f may comprise memory 504a-504f and one or more field programmable gate arrays (FPGAs) 505a-505f. The MAP can provide configurable functional units and can provide specific algorithms, or portions of algorithms, to the FPGAs 505a-505f in order to work closely with each processor. In this example, each MAP is globally accessible from all processors for these purposes. In one configuration, each MAP can access the associated memory 504a-504f with direct memory access (DMA), which allows tasks to be performed independently of each microprocessor 501a-501f and asynchronously. It becomes possible to execute. In this configuration, a MAP can give results directly to another MAP in order to execute the algorithm in parallel in a pipelined manner.

  The above computer configurations and systems are exemplary only, general purpose processors, coprocessors, FPGAs and other programmable logic devices, system on a chip (SOC), application specific integrated circuits (ASICs), and other processing and logic elements Various types of other computer, mobile phone, and personal digital assistant configurations and systems may be used in connection with example embodiments, including systems using any combination of. Any type of data storage medium implemented, including random access memory, hard drives, flash memory, tape drives, disk arrays, network attached storage (NAS), and other local or distributed data storage media and systems It may be used in the context of example forms.

  In example embodiments, the computer system may be implemented using software modules that execute on any of the above or other computer configurations and systems. In other embodiments, the functionality of the system may be partially or fully firmware, programmable logic devices such as field programmable gate arrays (FPGA) as referenced in FIG. 5, system on chip (SOC), application specific It can be implemented within an integrated circuit (ASIC) and other processing and logic elements. For example, the set processor and optimizer can implement hardware acceleration by using a hardware accelerator card, such as the accelerator card 312 illustrated in FIG.

Example
Example 1: A subject who requests interpretation of medical records is notified by a doctor in charge of a treatment policy proposal for the subject's physical condition. The subject seeks a second opinion, and the subject accesses the online platform of the present invention. The subject creates a profile of the subject within the online platform of the present invention, and the subject uploads the subject's electronic medical records, including the subject's case media. The subject submits a request for interpretation of the uploaded medical record for the invention described in this specification.

  The system and method of the present invention receives the request and assigns the selected group member as a dedicated contact support partner for the case. The computer program product of the present invention searches a database of qualified medical providers with qualified medical professionals who are proficient in providing interpretation of medical records based on the subject's uploaded medical records. . Computer program products rank qualified health care providers based on their expertise, length of expertise, medical reputation, and / or referrals from other physicians. A dedicated group member assigned to the case utilizes the computer program product of the present invention to request interpretation of the received medical records by at least one of the identified qualified medical providers.

  A qualified physician receives a message from a dedicated group member assigned to the present invention (FIG. 6, 601) and prompts the qualified physician to submit an interpretation of the medical record. This message explains the new case to the doctor group 602. When the physician opens a description of the new case 603, a brief summary of the case is presented to the physician, including the requested task and scope. When the doctor clicks the link to a new case 603a, the doctor forwards to an online secure location within the present invention with a more comprehensive description of this patient's stage IV appendix signet ring adenocarcinoma diagnosis Is done. This message also provides the doctor with information of the date of the last update by the subject 603b, who can choose to delete the message 604a or close 604b.

  A qualified physician clicks on a link to a new case 603a that explains the diagnosis of a sign IV adenocarcinoma of the patient's stage IV appendix. FIG. 7 illustrates the configuration of an online page with a more comprehensive case description 701 that is accessed by a qualified physician. The clinical summary 702 of the case includes all medical records, medical information, and past history provided by the subject seeking medical interpretation. The clinical summary 702 of the subject who was diagnosed with signet ring adenocarcinoma of stage IV appendix includes the subject's history, examination and test results, evaluation and planning by the subject's physician, questions from the subject, and , Including placeholders for review by at least one expert. The medium 703 of the subject's case diagnosed as a signet ring adenocarcinoma of stage IV appendix is a CT scan with abdominal and pelvic contrast, a CT scan without abdominal and pelvic contrast, a coronal body related medium, Contains sagittal body related media and information related to them. A qualified physician reviewing a request for medical interpretation may, for example, access case comments and questions posted by the subject 704. A qualified doctor reviewing a request for medical interpretation can view a summary of patient information, including age and gender, and the qualified doctor can access a link 705a with additional patient information. Based on the case, a qualified physician may choose to provide an expert review for case 706, or a qualified physician may choose not to provide an expert review for the case.

  A qualified doctor is an oncologist with broad expertise in adenocarcinoma. A qualified physician chooses to provide expert review on the case. By accepting the case review, a qualified physician will have access to an expert case summary 801 in a secure location within the website of the present invention. Thus, a qualified physician will be referred to as an expert associated with the case. The expert reviews the patient's medical history 802a, examination and test results 802b, the physician's assessment and planning 802c, links to questions 802d, and qualified professionals provided by other qualified doctors 802e Can review expert review. In reviewing a case, the expert can refer to supplemental insights, comments, and expert opinion 802f by another expert doctor authorized to review this particular case.

  A qualified physician will continue to provide an assessment for this patient 803 diagnosis of stage IV appendiceal signet ring adenocarcinoma. Qualified physicians provide recommendations that include new diagnoses, and qualified physicians suggest different treatment strategies.

Example 2: Virtual Medical System Module An online physician community is accessed from a virtual online community by a physician. The module of the virtual medical system is a library of important cases (FIG. 9, 901). The online community provides physicians with access to an online location that includes a library 902 of important cases. The doctor evaluates medically relevant cases in the library 902. The doctor examines the cases currently listed in the library 902 in detail. The doctor creates a new post for a particular case, and the doctor clicks an online link that provides the doctor with a tool to create a new post 902a. The physician is interested in the cases currently provided in the library 902, and the physician decides not to click on the deregistration 902b of the link associated with any of these cases.

  The doctor enters information on a virtual location 903 that provides the doctor with a tool to create a new post. The doctor seeks additional feedback from the peer or colleague, and the doctor decides to make the case visible to select the group user 903a. Authorized physicians and group users are associated with the physician group news 904 associated with this case, multiple cases 905 associated with the library, multiple case media 906 associated with the library, and associated with the library Post comments to multiple files 907. Some authorized physicians and group users further provide links to related files 908 of similar / related cases that are likely to be viewed for comparison with newly created posts.

  The module of the virtual medical system is a case management module (FIG. 10, 1001). The doctor manages the request for medical interpretation in the virtual medical system through the case management 1001 module. The physician accesses the case management module 1001 so that the physician sees an active consultation 1001 that the physician has agreed to review. The doctor also makes active cases visible within the doctor's group. The doctor clicks on an active consultation 1001. The physician makes the information associated with the clicked active case 1002 visible. Information associated with an active case includes a case name 1002a, a last update date 1002b, a case state 1002c, a comment 1002d, a physician role 1002e, a service 1002f, and an actionable item 1002g. The doctor confirms that the actionable item requires the doctor to write an expert report. The doctor then writes an expert report.

  The module of the virtual medical system is a peer group module (FIGS. 11, 1101). The physician interacts with peers in the virtual medical system, and the physician accesses the peer group module 1102 link. The doctor clicks a link to the entry page of the peer group 1103 and the doctor makes the description posted by the doctor's peer, such as a case of oncology, visible. The doctor also makes the comment posted by the peer visible about the surgical cases posted in the past by the doctor in the peer group link 1103. Within the peer group module 1103, the physician makes the memorandum associated with the posted case and the set of guidelines in the note 1103a visible. The physician chooses to click on an additional link that makes the subgroup in peer community 1103b visible.

Embodiments The following embodiments provide non-limiting examples of the present invention, but do not limit the scope of the present invention.

Embodiment 1
A method for requesting interpretation of a medical record comprising: a) receiving a medical record associated with a subject by a computer system; b) searching a database of medical providers based on the medical record; Each health care provider in the database is independently associated with a discipline to provide at least one qualified health care provider, and the qualified health care provider is qualified to interpret the medical record. And the computer system comprises a processor, wherein the search is performed by the processor, c) requesting a requested interpretation of the medical record by the qualified medical provider, and d) the qualified medical care. Receiving the requested interpretation of the medical record by the supplier, and e) requesting the requested to provide a ranking of interpretations It said method comprising, the method comprising: ranking the relative at least one alternative interpretation by different medical suppliers interpretation.

Embodiment 2
The method of embodiment 1, wherein the qualified medical provider has expertise associated with the medical record.

Embodiment 3
3. The method of any one of embodiments 1 and 2, wherein the requested interpretation is ranked based on the level of expertise.

Embodiment 4
4. The method as in any one of embodiments 1-3, wherein the requested interpretation is based on a virtual collaboration between the qualified medical provider and an additional medical provider.

Embodiment 5
5. The method of any one of embodiments 1-4, wherein the qualified medical provider and the additional medical provider are anonymous with respect to each other.

Embodiment 6
Embodiment 6. The method of any one of embodiments 1-5, wherein the interpretation of the medical record comprises a diagnosis.

Embodiment 7
Embodiment 7. The method of any one of embodiments 1-6, wherein the interpretation of the medical record comprises treatment recommendations.

Embodiment 8
8. The method of any one of embodiments 1-7, wherein the interpretation of the medical record comprises a diagnostic review to provide a second opinion.

Embodiment 9
9. The method of any one of embodiments 1-8, wherein the interpretation of the medical record comprises a review of treatment recommendations for providing a second opinion.

Embodiment 10
10. The method as in any one of embodiments 1-9, further comprising providing a user with access to the ranking of interpretations.

Embodiment 11
The medical record includes a physical condition, and the computer system receives the requested interpretation from the qualified medical provider and associates the qualified medical provider with a future medical condition associated with the physical condition. 11. The method as in any one of embodiments 1-10, wherein the method is placed in a queue for receiving a request.

Embodiment 12
Searching a database of medical resources based on the information of the medical record, thereby identifying a related medical resource, and requesting the related medical resource to be qualified upon requesting the requested interpretation. 12. The method according to any one of embodiments 1-11, provided to a medical provider.

Embodiment 13
13. The method of embodiment 12, wherein the relevant medical resource is added to the subject's online personal medical profile.

Embodiment 14
14. The method of any one of embodiments 1-13, further comprising claiming a second opinion of the ranking of interpretation to a physician.

Embodiment 15
15. The method as in any one of embodiments 1-14, further comprising providing access to the medical record and the requested interpretation to an online physician community via a virtual network.

Embodiment 16
16. The method according to any one of embodiments 1-15, wherein the medical record is received via a medical request from the subject.

Embodiment 17
17. The method according to any one of embodiments 1-16, wherein the medical record is received from an online personal medical profile of the subject.

Embodiment 18
Embodiment 18. The method of any one of embodiments 1 through 17, wherein the medical record comprises a preliminary diagnosis.

Embodiment 19
The search identifies a plurality of qualified healthcare providers, and each qualified healthcare provider of the plurality is ranked and ranked by qualified healthcare provider from highest to lowest rank. Embodiment 19. The method of any one of embodiments 1-18, wherein a set is provided.

Embodiment 20.
20. The method of embodiment 19, wherein the request comprises querying the ranked set of qualified medical providers sequentially from the highest-ranked qualified medical provider.

Embodiment 21.
21. The method of any one of embodiments 19 and 20, wherein the request comprises querying the ranked set of qualified medical providers in a random order.

Embodiment 22
22. The method of any one of embodiments 1-21, wherein a qualified healthcare provider is queried after at least one other qualified healthcare provider responds positively to the request. .

Embodiment 23
Embodiment 23. The method of any one of embodiments 1-22, further comprising providing the subject with a therapeutic intervention associated with the requested interpretation.

Embodiment 24.
a) providing a virtual medical system, the virtual medical system comprising i) an input module, ii) a database, the database comprising a plurality of medical providers, iii) a search module, and iv) a ranking module V) a request module, and vi) an output module, b) receiving an electronic medical record from a user by the input module, and the input module receiving the medical record from the medical record And c) searching the database by the search module based on the information, the search module identifying a subset of medical providers associated with the information from the database. And d) run the subset of health care providers through the ranking module. And thereby the ranking module ranks each health care provider of the subset of health care providers based on their relevance to the information and provides a set of ranked health care providers. E) requesting a requested interpretation of the medical record from at least one of the ranked medical providers by the request module; and f) at least one requested interpretation, Receiving by the request module; and g) ranking the received requested interpretation with respect to at least one alternative interpretation by the ranking module to provide a set of ranked interpretations. And h) outputting the ranked set of interpretations via the output module. A computer program product comprising applied to run for instrumentation, a media computer readable with code computer executable encryption.

Embodiment 25
25. The computer program product of embodiment 24, wherein each medical provider of the subset of medical providers associated with the information of step c) is independently associated with the information based on a discipline.

Embodiment 26.
26. The computer of any one of embodiments 24 and 25, wherein the ranking of the set of ranked interpretations of step g) is correlated with the ranking of the set of ranked medical providers. Program product.

Embodiment 27.
The virtual medical system of step a) further comprises a medical resource database and a medical resource search module, wherein the medical resource search module searches the database of medical resources based on the information to identify related medical resources. 26. The computer program product of any one of embodiments 24-25, wherein the associated medical resource is provided to the ranked medical provider in the request by the request module.

Embodiment 28.
27. The computer program product according to any one of embodiments 24-26, wherein the virtual medical system comprises an online portal, the online portal providing access to the medical records for an online community.

Embodiment 29.
29. The computer program product of embodiment 28, wherein the online community comprises a subset of physicians.

Embodiment 30.
30. The embodiment of any of embodiments 28 and 29, wherein the virtual medical system further comprises a medical imaging module, the medical imaging module providing the online community with access to medical images associated with the medical records. Said computer program product.

Claims (30)

A method for requesting interpretation of medical records,
a) receiving a medical record associated with the subject by a computer system;
b) searching a database of medical providers based on the medical records, and each medical provider in the database independently with a specialized field to provide at least one qualified medical provider; And the qualified medical provider is qualified to interpret the medical record, the computer system comprises a processor, and the search is performed by the processor,
c) requesting the requested interpretation of the medical record by the qualified medical provider;
d) receiving the requested interpretation of the medical record by the qualified medical provider; and
e) ranking the requested interpretation against at least one alternative interpretation by different health care providers to provide a ranking of interpretations.   The method of claim 1, wherein the qualified health care provider has expertise associated with the medical record.   The method of claim 2, wherein the requested interpretation is ranked based on the level of expertise.   The method of claim 1, wherein the requested interpretation is based on a virtual collaboration between the qualified healthcare provider and an additional healthcare provider.   5. The method of claim 4, wherein the qualified medical provider and the additional medical provider are anonymous with respect to each other.   The method of claim 1, wherein the requested interpretation of the medical record comprises a diagnosis.   The method of claim 1, wherein the interpretation of the medical record comprises treatment recommendations.   The method of claim 1, wherein the interpretation of the medical record comprises a diagnostic review to provide a second opinion.   The method of claim 1, wherein the interpretation of the medical record comprises a review of treatment recommendations for providing a second opinion.   The method of claim 1, further comprising providing a user with access to the ranking of interpretations.   The medical record includes a physical condition, and the computer system receives the requested interpretation from the qualified medical provider and associates the qualified medical provider with a future medical condition associated with the physical condition. The method of claim 1, wherein the method is placed in a queue for receiving a request.   Searching a database of medical resources based on the information of the medical record, thereby identifying a related medical resource, and requesting the related medical resource to be qualified upon requesting the requested interpretation. The method of claim 1, wherein the method is provided to a medical provider.   The method of claim 12, wherein the associated medical resource is added to the subject's online personal medical profile.   The method of claim 1, further comprising claiming a second opinion of the ranking of interpretation to a physician.   The method of claim 1, further comprising providing access to the medical record and the requested interpretation to an online physician community via a virtual network.   The method of claim 1, wherein the medical record is received via a medical request from the subject.   The method of claim 1, wherein the medical record is received from an online personal medical profile of the subject.   The method of claim 1, wherein the medical record comprises a preliminary diagnosis.   The search identifies a plurality of qualified healthcare providers, and each qualified healthcare provider of the plurality is ranked and ranked by qualified healthcare provider from highest to lowest rank. The method of claim 1, wherein a set is provided.   20. The method of claim 19, wherein the request comprises inquiring the ranked set of qualified medical providers sequentially from the highest-ranked qualified medical provider.   20. The method of claim 19, wherein the request comprises querying the ranked set of qualified medical providers in a random order.   20. The method of claim 19, wherein a qualified health care provider is queried after at least one other qualified health care provider responds positively to the request.   The method of claim 1, further comprising providing the subject with a therapeutic intervention associated with the requested interpretation. a) providing a virtual medical system, the virtual medical system comprising:
i) an input module;
ii) a database and said database comprises a plurality of medical providers;
iii) a search module;
iv) a ranking module;
v) a request module; and
vi) an output module;
b) receiving an electronic medical record from a user by the input module;
The input module transmits information from the medical record to the search module;
c) searching the database by the search module based on the information, the search module identifying a subset of medical providers associated with the information from the database;
d) ranking the subset of health care providers by the ranking module, whereby the ranking module assigns each health care provider of the health care provider to the degree of relevance to the information; Providing a complete set of ranked health care providers,
e) requesting the requested interpretation of the medical records from at least one of the ranked medical providers by the request module;
f) receiving at least one requested interpretation by the request module;
g) ranking the received requested interpretation with respect to at least one alternative interpretation by the ranking module to provide a set of ranked interpretations; and
h) outputting a set of ranked interpretations via the output module, comprising computer-executable encrypted code adapted to be executed to implement a method comprising: A computer program product comprising a computer readable medium.   25. The computer program product of claim 24, wherein each medical provider of the subset of medical providers associated with the information of step c) is independently associated with the information based on a discipline.   25. The computer program product of claim 24, wherein the ranking of the set of ranked interpretations of step g) is correlated with the ranking of the set of ranked medical providers.   The virtual medical system of step a) further includes a medical resource database and a medical resource search module, and the medical resource search module stores the medical resource database based on the information in order to identify related medical resources. 25. The computer program product of claim 24, wherein the retrieved medical resources are provided to the ranked medical provider in the request by the request module.   25. The computer program product of claim 24, wherein the virtual medical system further comprises an online portal, the online portal providing access to the medical records for an online community.   30. The computer program product of claim 28, wherein the online community comprises a subset of physicians.   30. The computer program product of claim 28, wherein the virtual medical system further comprises a medical imaging module, wherein the medical imaging module provides the online community with access to medical images associated with the medical records.

Images