Working process with feedback

FIELD: medicine.

SUBSTANCE: invention relates to medical working process of visualisation. System contains: control unit (114), containing processor (116); and multitude of processing executives (102), connected with it, with processor (116) realising control of realisation with feedback of plane of medical visualisation working process by means of multitude of processing executives (102), and processor (116) is made with possibility of inquiring electronic medical information, dealing with and/or not dealing with visualisation from one or more processing executives; formation of plan of visualisation procedure working process by means of visualisation procedure, based on information inquired; reception of signal, indicating due date of planned visualisation procedure; downloading visualisation protocol, corresponding to visualisation procedure, into visualisation system, used for visualisation procedure; realisation of scanning by means of visualisation system; and updating plan of visualisation procedure working process.

EFFECT: increased reliability of patient diagnostics.

15 cl, 9 dwg

 

Following, in General, relates to a medical workflow, and described in particular application to the workflow visualization; however, it is also possible to amend for use in other medical workflows, and for use in other business processes outside the sphere of healthcare.

Usually, the process for medical imaging begins when the Clinician makes the decision about the need for visualization of the patient, for the purpose of obtaining the answer to a clinical question about a patient and ends when the rendered results reported by the Clinician. The process can be divided into primary scheduling by a Clinician, the preparation procedure of visualization, preparation of complex visualization, post procedural training, the creation of the radiologist report and forwarding the report to the Clinician. Preliminary procedure can be complex, involving several people and not integrated computer systems, it is necessary to arrange to receive quality and efficiency. Also, the complexity it adds the number of interactions between people and computer systems.

Examples of interactions of staff include: filling and submission of requests for information about the patient; determining imaging applied by the doctor-clinici�and the message "clinical question" the radiologist; scheduling of imaging studies; design of the patient in the study; determining the appropriate processing results visualization; transmission addressed the Clinician, etc. Examples of interaction with computer systems include request information from a hospital's information system (HIS); providing information about schedules in the radiology information system (RIS); providing information about the study in the host billing; configuring imaging systems for scanning; scanning; save and view data visualization in the system of archiving and transmission of images (PACS), etc.

As a result of the complexity of the above interactions may be inefficient use of medical personnel (e.g., personnel, inputting data, filling in and sending requests for information, etc.), wasted effort of the patient (e.g., patient waiting retrieval and entry personnel information and hardware configuration, etc.), the choice of imaging in the absence of relevant information about the patient (for example, caused by difficulties in obtaining information, the incompatibility of electronic formats, raw data, etc.), monitoring the implementation of the workflow, etc.

Aspects of the present�rd application decide how the above mentioned challenges, and others.

In accordance with one aspect, the system includes a control unit with a processor and a multitude of manufacturing artists associated with it. The CPU carries out control of implementation with feedback plan the workflow of medical imaging using a variety of manufacturing executives.

In another variant implementation, the method includes implementing the medical plan of the workflow for the patient, using the processor of the control unit connected with many manufacturing performers that handle parts of the process through feedback control.

In another embodiment of the implementation, a computer-readable storage medium with computer-executable instructions that, when performed by a processor of a computer, instruct the computer to control the implementation of the plan the workflow of medical imaging, by means of a plurality of machining performers workflow.

The invention may take form in various components and arrangements of components and various steps and combinations of steps. The drawings are only for purposes of illustrating preferred embodiments, and should not be due to a limitation of the invention.

Fig. 1 illustrates exemplary systems And enabling�I control unit to control the working process with the help of many performers.

Fig. 2 illustrates an exemplary control unit.

Fig. 3 illustrates an exemplary interface(s).

Fig. 4 illustrates an exemplary machine(s).

Fig. 5 illustrates an exemplary node(nodes).

Fig. 6 illustrates an exemplary device(s) data.

Fig. 7 illustrates an exemplary device(s) communication.

Fig. 8 illustrates an exemplary vault(s).

Fig. 9 illustrates an exemplary workflow.

The following describes the working process with feedback, in combination with the use in the visualization. In this context, the workflow with feedback, in General, relates to computer system management events (and changes, additions, and deletions) that occur from the point in time at which prescribed the procedure of visualization, and to perform at least imaging. Further, the workflow can continue to create and/or transmission to the appropriate therapist, report detections in the image data from the procedure. Although the following is described in conjunction with the application when rendering, you need to understand that the workflow with feedback can also be used in conjunction with other applications.

Fig. 1 illustrates an exemplary system 100, with a lot of component manufacturing performers 102, participating in the implementation of the workflow.

Performers 102 include one or more user interfaces 104, which, at least, accept user input corresponding to the running process. One or more user interfaces 104 may include web, console, mobile phone, and/or other application executed by the processor(s), and includes graphical and/or command line interfaces. Also, performers 102 include one or more machines 106 that receive and/or process information related to the workflow. At least one of the machines 106 may be based on hardware and/or software.

Additional performers 102 may include one or more computing devices 108 of the node. Examples of such devices 108 include a computer node in billing, which stores account information of a patient associated with a workflow, the computer in the receiving unit, which stores information about the patient associated with the workflow, the computer laboratory node storing laboratory patient information associated with the workflow, etc.

Additional performers 102 include one or more devices 110 for data processing, which process data from one or more comply�her 102, and/or provide the processed data to one or more other artists 102. Additionally, performers 102 includes storage data 112 that stores the information used and/or provided to one or more other artists 102. Storage data 112 may comprise a single storage device or multiple storage devices, including distributed data storage.

Additional performers include the control unit 114, which controls the implementation of the workflow with one or more other artists 102. The control unit 114 may include one or more processors 116 and machine-readable storage media (storage device) 118 for storing computer-executable instructions. The control unit 114 can be centralized or distributed across multiple platforms. Also, the illustrated control unit 114 is configured to communicate with one or more devices 120 communicate such as pager, cell phone, radio frequency identification tag (RFID), electronic mail, text message, instant message, and/or other means of communication.

You need to understand that, in one case, the use of the control unit 114 for controlling the implementation of the workflow with the help of performers 102 on�allows to reduce inefficiencies in the implementation workflow to improve the quality of the workflow and/or increase the interaction of performers, in comparison with the configuration in which the control unit 114 is not used. As a non-limiting example, in one case, when the control unit 114 is not used, at least two of the performers 102 are not connected with each other, and the person, or another agent manually transfers the information between the two performers 102, which takes time and that is a source of error in the transmission of information.

First refer to Fig. 9, which illustrates an exemplary workflow using the system 100 shown in Fig. 1. This example is described in the context of the workflow of medical imaging, for the purpose of brevity and clarity, and is not limiting. However, it provides other workflows, including the use of non-medical imaging and/or medical use. Additionally, actions, and procedures are not limiting. As such, other options for implementation may include more or less, and/or similar or different steps, and one or more actions may occur in a different order.

In step 902 determines that the rendering can provide useful information regarding the patient. For example, you can determine FR� data visualization can facilitate the diagnosis, or the answer to a clinical question about a patient. The decision can be taken on the basis of various information such as, but not limited, the findings from imaging, laboratory information and/or health information, diagnosis, patient history, genetics, etc. Additionally, the rendering may be a primary rendering for the new workflow visualization, or a part of the continuation of an existing workflow.

In step 904, for example, from the storage data 112, by means of a control unit 114 that receives the patient record for the patient. Approximate patient record may include demographic information, patient history, family history, list of previous scheduled and/or performed medical procedures (such as procedures based on imaging, and procedures that are not based on visualization), whether the patient was the patient of a certain medical institution, etc. If the entry does not exist, for the patient to create a patient record.

In step 906 from the storage data 112, by means of the control unit 114, receive other medical information about the patient. Such information may include information related to the insurance company providing medical insurance to the patient (e.g., company name, plan, Franchi�and, paid the deductible, amount of coverage, co-financing, etc.), does the patient have unpaid bills, the employer of the patient, nutritional information, Allergy, etc. As noted in this document, this information can be obtained from various secondary storage, using many different communication protocols.

In step 908 identify one or more imaging procedures to the patient, based at least in part, information relating to visualization and non-visualization of vault 112. One or more imaging procedures may include the same renderer and/or different means of visualization. Examples of such visualization tools include, without limitation listed, CT, PET, SPECT, US, radiography, MRI, combined scanners, etc. one or more Specific imaging procedures can be selected on the basis of various information such as, without limitation listed, the availability of the patient, the urgency of the study, the effectiveness, the image renderer, bandwidth, priority, optimization, etc. Again, data visualization can facilitate the diagnosis, or the answer to a clinical question about a patient.

In step 910, the control unit 114 controls the generation of the workflow in�salesale for imaging. This may include entering a particular imaging, anatomical structure of interest to the scan, and/or clinical question, using the interface 104. This information is supplied to the control unit 114, which generates a plan workflow visualization, which usually includes steps or events required for imaging.

The workflow can be generated based on the workflow by default, the previous workflow for the patient, the workflow to another patient, and/or to re-create. Also, the workflow can be generated based on the information health insurance company, whether the patient has unpaid bills, etc. Also, a workflow can consist of a variety of derivative workflows, to be derived from one or more core business processes, to be related workflow with one or more workflows. Workflow visualization can be saved in the repository(s) 112 of the data.

In step 912, the control unit 114 notifies the radiologist about workflow, imaging, and radiologist confirms the rendering in the workflow visualization. For example, a radiologist may determine whether the identified rendering solved for�I clinical issue or more suitable information will provide a rather different procedure visualization. If you identified the perfect plan, a radiologist confirms or verifies rendering. Otherwise, the radiologist identifies an alternative plan and/or updates the workflow, or reject the workflow. One or more additional or alternative performers (e.g., referring physician, physician on call, specialist, etc.) you can also notify and/or seek answers about the similar types. Workflow visualization can be updated to reflect the fact that the visualization procedure was checked or replaced.

The control unit 114 also provides the implementation of any changes in the workflow before or during the implementation workflow. Suitable modifications include, without limitation listed, the extension of the process to include one or more additional imaging procedures (e.g., the same and/or other visualization tools), the abolition of imaging, division of imaging two or more procedures, based on the visualization, the addition of one or more procedures that are not based on the visualization, such as laboratory tests (e.g., blood, urine, etc.), stress test, electrocardiogram, including proizvodi�e workflows adding workflow to another workflow, etc., based on one or more of the sources mentioned in this document or other sources.

In step 914, the control unit 114 is a graph of imaging on the basis of at least the distance of the patient, availability of the scanner, and/or availability of the radiologist. In one case, the medical staff (e.g., office staff Clinician), communicates with the control unit 114 for scheduling imaging. For example, medical personnel may enter the availability of the patient or to select one or more days and time convenient for the patient. In another case, the patient interacts with the control unit 114 to schedule the procedure, for example, by using a home or other computer.

Also, the control unit 114 provides any changes in schedule. Suitable modifications include, without limitation listed, change the date and/or time on the basis of a patient, personnel radiological site, availability of the imaging system and/or priority information from the host billing, laboratory results, etc., the control Unit 114 also provides the other changes in the work process, such as one or more of the above changes. Workflow visualiz�tion can be updated to reflect the prescribed schedule imaging.

In step 916, the control unit 114 provides a schedule, using the device(s) 120 provide communication, the patient, who applied to the Clinician, radiology node, the scanner, the radiologist and/or other relevant person. Also, the control unit 114 can be configured to send reminders to these artists, when you have reached a pre-determined time interval prior to imaging. Also, the control unit 114 can be used for messages that are relevant to the performers, any amendments provided for in the schedule date and time of procedure. Such changes may occur because of detections associated with the patient identified after the preparation of chart, change the information about available personnel and/or system resources, conflict with higher priority, etc. Additionally, the control unit 114 can notify the patient, technician, radiologist, etc., of any instructions, prior to either completing the procedure (for example, the prohibition to eat after midnight, to drink the contrast dye for an hour before the procedure, lie down after the procedure in a horizontal position for at least one hour, etc.).

In step 918 assuming that this was due to the schedule of the day, the patient is registered in the node visualization for imaging. In one case, the patient notifies staff of node a visa�implementation, and confirms the appointment of staff and patient records as ready to scan. In another case, a patient is recorded by the computer console Desk. In another case, to determine the presence of a patient using wireless technology. In this case, the patient can automatically register and/or notify to confirm his registration by using wireless technology. Workflow visualization can be updated to reflect the arrival of a patient for imaging.

In step 920, the control unit 114 notifies the technician assigned to perform imaging, computer system site radiological, radiologist, and the scanner of the arrival of the patient. Computer system 108 radiological node may include this information in an electronic "dashboard" or the mechanism used to control the scanning and/or resources technicians in the node. In cases where the patient is a communication device 120, such as a pager or the like, the control unit 114 can notify the patient about various information such as when the patient should take the contrast, when the patient needs to go into the room of the study, delayed the procedure and how, and/or other information, prior to the procedure.

In the case of�GDSs availability of the imaging system is changed, an event happened greater priority has been identified for a more efficient workflow, the workflow was cancelled pre-procedure event has not occurred, the workflow was interrupted by the staff of the institution, the procedure of visualization was detained, the system or the renderer was changed, etc., the control unit 114 provides a workflow modification and/or notifies relevant parties of changes and coordinates the implementation of changes to the work process. Workflow visualization can be updated to reflect the current status of imaging.

In step 922, the scanner configured to perform imaging. For example, the control unit 114 can identify the scanner Protocol visualization for imaging. In cases where the patient is the device 120 of the communication, such as RFID tag unit 113 of the management and/or the scanner can tell what kind of a patient is approaching the scanner and run the scanner at this time to download the Protocol in preparation for scanning the patient. Of course, the technician can change the Protocol and /or one or more parameters. In another case, the technician notifies the visualization system that the patient is ready for visualization and the visualization system automatically loads the appropriate Protocol.

p> In step 924 the patient scan. This includes performing one or more scans (e.g., single or multi-layer), using one or more visualization tools. Workflow visualization can be updated to indicate that the procedure imaging was performed. Other procedures based on imaging or procedures not based on the visualization, which still need to assign and/or perform, are still in process.

In step 926, the control unit 114 transfers the data rendering device(s) 110 of data processing that processes data visualization. Device(s) data processing process data visualization based on different processing algorithms, including, without limitation listed, 2D, 3D, 4D, MIP, MPR, etc. algorithms. Additionally or alternatively, the device(s) 110 of the data processing process data visualization based on the type of scanner and/or scan. Additionally or alternatively, the device(s) data processing process data visualization based on predetermined preferences of the radiologist that reads the data visualization. Workflow visualization can be updated to indicate that the imaging data were processed.

In step 928, the control unit 114� applies the device(s) 120 communication to notify the radiologist, what data visualization is available for viewing. Also, the control unit 114 may use the device(s) 120 communication to notify other devices about the availability of data visualization. Workflow visualization can be updated to reflect the processed data ready for reading.

In step 930, the control unit 114 applies the device(s) 120 communication for notification requesting Clinician and/or other performers that processed data visualization and the radiologist report is available for viewing. Workflow visualization can be updated to indicate that the image data and the report is ready to view.

In step 932, the control unit 114 communicates with different performers. For example, the control unit 114 can communicate with the node invoicing, receiving node, the node patient records, lab node, insurance company, pharmacist, imaging system, and/or other performers. You must understand that such communication may occur before, during, and after the workflow has been implemented.

For example, in this case, the control unit 114 informs payable designated in the schedule of meetings, such as the scheduled procedure imaging, laboratory tests, stress test, ECG, etc., and �à ¤ thereof, in the host billing. Node invoicing can use this information to automatically generate invoices and send them to the patient, the insurance company providing the patient with health insurance, third parties, and/or other performers. Also, the node invoicing can use this communication to start resending outstanding invoices, notification of the collection Agency, notification control unit 114 and/or other service provider of any unpaid bills, update the status of the account, change the amount on the invoice, etc.

The control unit 114 may apply the set of rules in the Bank rules to determine the appropriate action (including action or inaction) for the data received from the host billing. In one case, the information causes the notification unit 114 management of a patient of an unpaid bill. Additionally or alternatively, the control unit 114 may notify a graph node for inspection of the patient. Also, the node can remind the patient about the unpaid bill. Also, the node may delay or revoke the procedure (based on, for example, urgency or importance of the procedure) to partial or full payment of the account.

Fig. 2-8 describe performers 102 in the context of the example workflow procedures copper�Inskaya visualization. However, by analogy with Fig. 9, it is necessary to understand that the performers 102 may include executives on the implementation of other medical workflows associated or not associated with the visualization, and medical workflows.

Referring to Fig. 2, the control unit 114 includes a translator 202, a logical mechanism 204, the router 206, the generator 208 workflow, the scheduler 210, and the notifier 212 that can be implemented by the processor 116, executing instructions stored in storage device 118.

Translator 202 allows the control unit 114 to communicate electronically with various different artists 102 configured to communicate using different and/or incompatible communication protocols. Translator 202 allows the control unit 114 can receive, read, write, repackage, reformat, send, and/or process data stored in formats digital imaging and communications in medicine (DICOM), Health Level 7 (HL7), private, and/or other formats, otherwise.

Logical mechanism 204 is responsible for communication with one or more other artists 102. Such communication may include information relating to the extraction or creation of the patient record, getting saved and/or preservation of the newly adopted medical and�formation about the patient (for example, data visualization, lab results, family history, etc.), etc. Usually, the logical mechanism 204 is notified when one of the performers 102 information becomes available and/or when one of the performers 102 may use information from other artists 102.

Logical mechanism 206 prompts the router 206 to route data to various artists 102 or from them. This may include providing information requested by a contractor 102 from another of the performers 102, such as storage data 112, one of the machines 106, etc. Also, it can include sending data taken from one of the participants 102 with one or more other performers 102, for example, from one of the machines 106 one of the devices 110 of data processing.

The generator 208 workflow generates a workflow for the patient. The workflow may include various actions to be taken, for example, from the patient appointment schedule for imaging to deliver the results of imaging tests, including a report of a radiologist who sent the Clinician. Workflows can be stored in the storage 112 of the data, and update, as various workflow actions execute and/or modification.

PL�cerovsek 210 provides for the appointment of imaging in the workflow visualization. In one case, the scheduler 210 assigns a rendering based on the availability of the patient, scanner, scanner operator, the radiologist who reads the resulting image, referring physician, and/or other information. Also, the scheduler 210 can be used to transfer imaging.

Notifier 212 notifies various artists 102 of the events relating to the workflow. For example, after the schedule is created, the scheduler 210 may send the schedule and/or reminders relevant to the performers 102, using various devices 120 communicate. Also, the notifier 212 can notify the executors 102 about any schedule changes and/or conflicts.

Turning to Fig. 2, the user interface 104 includes a user interface 302 extraction/creation of the patient record. This interface may use the authorized medical personnel to identify to the patient. This may include providing, interface 302, using the input device such as keyboard, mouse, numeric keypad, perform software speech recognition, screen with tactile input, etc., patient name, unique identifier (UID) (e.g., social security number of the patient), and/or other information � the patient.

Input information is provided to the control unit 114 that requests, via a router 206, a data store 112 of a patient record corresponding to the identified patient. When the record is found, using the user interface 302 of extraction/creation of the patient record, submit confirmation signal and/or the patient record. When the patient record is not found in the data store using the user interface 302 of extraction/creation of the patient record, present a message indicating this. In the latter case, the user interface 302 of extraction/creation of the patient record can be used to create a record for the patient, in which the storage data 112.

The user interface 302 of extraction/creation of the patient record can be used in a doctor's office, the emergency Department in a medical facility, etc. As briefly noted above, the user interface 302 of extraction/creation of the patient record can be implemented using web and/or a console application.

Interface 304 view data allows the Clinician to view medical information (such as images, reports, medical history, etc.) stored in the repository 112 data corresponding to the patient adopted or created the record. Viewing and�formation can be applied in various ways, for example, for determining the need for passage of patient procedures(s) visualization and what procedure(s) rendered.

Interface 306 create a workflow provides the plan creation workflow visualization, which includes procedures(s) visualization, in conjunction with the generator 208 of the workflow.

The interface 308 of the workflow validation provides validation procedures(s) of the visualization to the procedure(s) rendered. This may entail determining't let another procedure visualization to provide more useful information. In one case, a radiologist uses interface 308 checks the workflow to view imaging and either confirm or replace procedure visualization.

Interface 310 patient registration used to register patients in the Department of visualization in the visualization.

Turning to Fig. 4, the machine(s) 106 include various imaging scanners, such as computed tomography (CT) 402, positron emission tomography (PET) 404, single photon emission computed tomography (SPECT) 406, ultrasound (US) 408, magnetic resonance imaging (MRI) 410, radiography 412, and/or other scanners. The control unit 114 can communicate with different scanners, to identify and� availability and accessibility based on the electronic calendar protocols load, and/or to communicate with scanners other way. Also, the machine(s) 106 may include one or more devices that are not related to the visualization.

Turning to Fig. 5, the Department(s) 108 include various different nodes that contribute to the implementation of the workflow. Examples of such nodes include, without limitation listed, doctor's office 502, the receiving node 504, radiological node 506, laboratory node 508, such as, for example, the node pathologies, the node 510 billing, insurance node 512, etc.

Turning to Fig. 6, the device(s) 110 data include various algorithms for data processing. Such processing may include the processing of data visualization, on the basis of the plan of the workflow, preferences, Clinician, etc. Examples of suitable algorithms include, without limitation listed, multi-layered reformatting (MPR) 602, the projection of the maximum (minimum) intensity (MIP) 604, 2D 606, 3D 608, 4D 610, segmentation 612, the registration/combining images 614, window/level 616, axial sections 618, sagittal sections 620, coronary sections 622, and/or other processing. Device(s) data may include a desktop computer or computer workstation with one or more processors and memory for �various data processing.

Turning to Fig. 7, the device(s) 120 provide communication different types of communication, including, without limitation listed, pagers, cell phones, email, RFID tags, etc. Notifier 212 may use various channels of communication to notify the relevant performers on the schedule, actions, prior to the procedure (e.g., dietary restrictions, taking a contrast agent, etc.), behavior, imaging, procedures, final rendering, and/or other actions.

Turning to Fig. 8, vault(s) 112 include one or more auxiliary storage, including storage of data visualization, such as the archiving system and provide images (PACS), radiology information system (RIS), and/or the like, and stores data that is not related to the visualization, such as hospital information system (HIS), electronic medical record (EMR), and/or the like. Data not relevant to imaging include, without limitation listed, patient history, laboratory results, patient questionnaires, family history, and/or other data not related to the visualization. Vault(s) 112 can also include storage 814 workflow.

The above can be implemented by and�ponemah computer instructions, which, when executed by a computer processor(s) cause the execution processor(s) of the described actions. In this case, the instructions stored on computer-readable storage media, associated, available or otherwise, relevant to the computer.

Herein the invention has been described with reference to various implementation options. After reading this booklet describe, others may experience modifications and changes. The invention should be considered as including all such modifications and changes as long as they fall within the scope of the applied claims of the invention or its equivalents.

1. System for workflow control, including:
unit (114) management, which includes a processor (116); and
many manufacturing performers (102) associated with it,
wherein the processor (116) controls the implementation of the feedback plan the workflow of medical imaging through multiple machining performers (102), wherein the processor (116) configured to
requesting one or more machining performers (102) electronic medical information concerning and/or relating to visualization;
form a plan workflow imaging using procedures� visualization, based on the requested information;
planning imaging;
receiving the signal indicating the date the planned procedure visualization;
download Protocol visualization corresponding to the procedure of visualization, the visualization system used for imaging tests;
the implementation of the scan using the imaging system; and
update plan workflow imaging.

2. A system according to claim 1, in which the unit (114) management is capable of managing the implementation with feedback plan the workflow of medical imaging from planning imaging to provide interpretations to one or more images obtained by imaging tests.

3. A system according to any one of claims.1-2, in which the unit (114) is a control with the possibility of notifying at least one of the performers (102) about the progress on the plan of the workflow.

4. A system according to any one of claims.1-2, in which the unit (114) is a control with the possibility of changing the process based on one or more events affecting the plan of the workflow.

5. A system according to claim 4, in which the unit (114) is a control with the possibility of notifying at least one of the performers (102) on change in terms of work % �pas.

6. A system according to claim 4, in which the unit (114) is a control with the possibility of extension plan of work process, based on the detection result from the imaging tests or procedures not related to the visualization.

7. A system according to claim 6, in which the procedure is not related to visualization, is a laboratory procedure.

8. A system according to claim 4, in which the unit (114) is a control with the possibility of changing the process, on the basis of a change in availability of one or more resources involved in the implementation of the plan of the workflow.

9. A system according to any one of claims.1-2, in which the unit (114) management is capable of providing a web application for communication between the unit (114) management and many performers (102).

10. A system according to claim 9, in which the web application is configured to receive input indicating acceptance or rejection of the plan workflow by authorized personnel.

11. A system according to any one of claims.1-2, in which the unit (114) management is capable of ensuring the transfer of information between at least two of a host of performers (102), using incompatible communication protocols.

12. A system according to any one of claims.1-2, in which the contractor (102) notifies the unit (114) management about the presence of a performer (102) of information available to at least one service� other performer (102).

13. A system according to claim 12, in which the information is automatically routed to at least one other performer.

14. A system according to any one of claims.1-2, in which one of the performers (102) represents a node billing, and unit (114) is a control with the possibility of transmission to the node billing information on at least one of the prescribed schedule or procedure performed, be paid.

15. A method of controlling a work process that includes a stage on which:
implements the medical plan of the workflow using the processor (116) of the block (114) of the control associated with the set manufacturing performers (102) that handle parts of the process through feedback control, and the health plan workflow includes:
querying one or more machining performers (102) electronic medical information concerning and/or relating to visualization;
developing the plan of work process procedures visualization using the visualization procedure based on the requested information;
plan process visualization;
the reception of the signal indicating the date the planned procedure visualization;
the download Protocol visualization corresponding to the procedure of visualization in the visualization system, used for imaging tests;
the implementation of the scan using the imaging system; and
update plan workflow imaging.



 

Same patents:

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to systems and methods of conducting a transaction to acquire available goods or services using stored means associated with designation. The methods include: receiving, at a point of sale, identifiers of goods or services selected for acquisition, and designation; determining if the goods or services comprise available goods or services; calculating the sum required to acquire the available goods or services; determining if the stored means are enough to acquire the available goods or services; using the stored means to acquire the available goods or services; and using an additional funding source provided by the customer to acquire any goods or services which are not available goods or services. The system implements said methods.

EFFECT: high accuracy and reliability of a transaction, which includes an additional alternative source.

18 cl, 9 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to a computer-readable data medium of a web configuration system, a method of customising a welding system and a web configuration system for customising a welding system. The web configuration system includes at least one processor and one or more tangible, computer-readable media at least collectively including or storing instructions executable by the at least one processor. The instructions include instructions to limit configuration options for a welding system based on user selection of a power source for the welding system, instructions to calculate a weld cable size for the welding system based on the user selection of the power source and user selection of input voltage, instructions to assign weld cable characteristics based on the weld cable size and a user selected cable length, and instructions to assemble a welding system order based at least on the user selection of the power source and the weld cable characteristics.

EFFECT: obtaining a computer-readable data medium of a web configuration system.

20 cl, 10 dwg

FIELD: medicine.

SUBSTANCE: invention relates to control of sugar level in blood. Method contains the following stages: multitude of measurements of glucose level in user's blood is carried out by means of microprocessor; multitude of measurements of glucose level in blood is stored in memory device; it is determined whether the last measurement of glucose level in blood, performed at specified moment of time during the day, is lower than the first threshold, which constitutes about 70 mg of glucose per decilitre of blood, or higher than the second threshold, which constitutes about 150 ml of glucose per decilitre of blood; it is estimated by means of microprocessor if, at least, one measurement of glucose level from multitude of measurements, carried out in time interval approximately 3-hour long relative to specified time, at which the last measurement of glucose level in blood for previous days, was lower the first threshold or higher than second threshold; it is notified that for the same time period for previous days multitude of measurements of glucose level in blood shows the tendency of reduction of glucose level in blood relative to the first threshold or of increase of glucose layer relative to the second threshold.

EFFECT: increased accuracy of determination of user's state for control of diabetes course.

24 cl, 17 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to technology of automatic selection of extra data, for example, ad, guide data, extra data, data on operating performances. Thus, processing, storage and/or transmission resources can be saved. This device for automatic selection of extra data to be included in content comprises classifier connected with user profile and selection means connected with extra data base. Extra data of definite category is placed in appropriate or contrasting context depending on used interest in thus goods category. Profiles of user are automatically classified as profiles with either pronounces or weak interest in this category.

EFFECT: adapted selection of extra data to be included in the content for twofold decrease in total volume of extra data.

11 cl, 2 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention describes a system, an apparatus and a method of processing payment transactions performed using a mobile device having a contactless component, such as a microchip. The method is carried out using a wireless (cellular) network as a channel for transmitting data by an issuer to a mobile device, which is particularly advantageous in cases when the contactless component has no communication with a reading device or a point of sale terminal in which a near-field wireless communication means is used. Data transmitted between the mobile device and the issuer may be encrypted or decrypted to provide additional security and protection of data from access by other users or applications. If encryption keys are used for encryption or decryption, the keys may be allocated by a key allocation server or another suitable object through a mobile gateway which participates in data encryption and decryption operations.

EFFECT: invention enables to update, correct or synchronise data on operations, which are supported by an issuer, with data stored in the device.

27 cl, 6 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to prompting message update for a network client device user. The method includes: determining, by a client device, the number of update prompting symbols according to the number of updated messages provided by a server; generating the update prompting symbols according to the determined number of prompting symbols; adjusting state parameters of the generated update prompting symbols; displaying the update prompting symbols according to the adjusted state parameters on the display of the client device; determining if at least one updated message has been viewed, and if it is determined that neither of said updated messages is viewed, updating, by the client device, adjusted state parameters, otherwise changing the number of updated messages according to the determined number of viewed messages.

EFFECT: high efficiency of prompting message update to a network client device user.

13 cl, 6 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medical monitoring. Method contains stages, at which: with application of medical device (10) in time interval obtained are patient's data which contain patient's data (50) before the interval, followed in time by time interval (52), during which patient's data are not obtained, and following in time patient's data (54) after said interval; received are one or more recordings (56, 58) of patient's ID with time labels, associated with obtained patient's data; information of first patient's ID is associated with patient's data before interval; and information of second patient's ID is associated with patient's data after interval; operations of association are based on time positions of one or more recordings (56, 58) of patient's ID with time labels, associated with patient's data, relative to time interval, with operations of association being performed by digital processor.

EFFECT: reduction of patient's data loss, as well as of medical mistakes, conditioned by ambiguity of patient's identifier (ID).

12 cl, 5 dwg

FIELD: personal use articles.

SUBSTANCE: method of virtual selection of clothes is performed based on at least two photos of the body of the subject dressed in a elastic template with the reference marking. When computer processing of photos, a mathematical three-dimensional model of the subject's body is obtained, which is entered into a database under its identification number, available to the buyer, the seller and the manufacturer of clothing. The method is suitable for the selection of clothes to both humans and animals. The individual graphic elements of a certain shape are applied on the elastic template with the reference marking, based on the measured ratio between which the three-dimensional model of the subject's body is formed. The models of clothes are selected from the databases of clothes, which match the parameters of the three-dimensional model of the subject. The consumer gets the three-dimensional images of its body in selected models of clothes on the computer screen.

EFFECT: creation of a virtual three-dimensional dummy with the individual proportions of the subject, selection of clothing suitable in size and type of figure from the databases from different manufacturers.

7 cl, 9 dwg

FIELD: instrumentation.

SUBSTANCE: invention relates to the device for execution of customs check. The device contains a housing, buttons connected to sensors for reading of psychophysical parameters of a person, an electronic unit and a power unit, an electronic board, and also at least two buttons for the device switching-on fixed on the housing with additional function of setting of service language, a dialog box with a possibility of displaying of questions which are answered by means of buttons with labels in various languages "yes" and "no" connected to the sensors for reading of psychophysical parameters of a person and transmission of their signals to the electronic unit of reception, storage, analysis, comparison and display of results, and by each pressing of the named buttons the electronic unit saves the data on a psychophysical state of a person transmitted from the sensors connected with this unit for reading of psychophysical parameters of a person connected with the respective buttons with labels "yes" and "no" in the memory for further comparison of psychophysical state of a person when answering neutral questions and specific questions on participation in a crime, a window of results.

EFFECT: improvement of reliability of the received results of the conducted survey due to receiving of information from sensors of psychophysical state of a person during interrogation and the analysis of these data by means of computer.

2 cl, 1 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to a system and a method of evaluating the progress of the advertising market of goods and services using mobile versions of websites. The evaluation method is characterised by creating and storing a catalogue on a server, said catalogue containing visitor-satisfying information on geo-objects, goods and services on which search is to be made. Through a mobile terminal, a visitor on the site selects the desired geo-object to whose address the visitor is subsequently transferred. At the address of said geo-object, the visitor uses their own mobile terminal to enter the site of said object where login is performed using one of available social networks. The server records and stores in a database of statistics of the mobile site information about the user clicking the link of the means of performing the desired action, the date and time of the click, the geographic location of the visitor, the IP address of the visitor, the model of the mobile terminal of the visitor and information on successful execution of the service. The efficiency of using geo-object search is evaluated by comparing previously obtained data with later data on visitors over a defined period of time.

EFFECT: high efficiency of marketing goods and services, bringing them closer to the consumer and easier search for goods and services for the consumer.

2 cl, 1 dwg

FIELD: medicine.

SUBSTANCE: clinical research aimed at detection arterial hypertension is performed. Echocardiographic examination with the detection of signs of sclerogenic changes of the aorta is carried out. A value of function F is calculated. 2 demographic parameters - sex and age are taken into account, 1 clinical parameter is arterial hypertension and 1 echocardiographic parameter - presence of the sclerogenic injury of the aorta. Then the value of a probability level P is calculated. Patients with unchanged coronary arteries have the value P lower or equal 0.204. In patients with non-obstructive coronary-sclerosis it is over 0.204.

EFFECT: method makes it possible to exactly, at early stages of the disease, carry out non-invasive diagnostics, determine indications for effective treatment actions, ensures the prevention of complications due to the application of available clinical and instrumental methods, including in calculation most significant clinical signs, application of methods of determining the probability of the presence of non-obstructive coronary-sclerosis.

2 dwg, 2 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: blood pressure is measured according to the standard procedure on the brachial artery by means of the Riva Rocci Korotkoff sphygmomanometer. The vegetative status is assessed by the rest heart rate variability parameters. The endothelial vasomotor function is described as a percentage measure of a resistance index after inhalation of Salbutamol 400 mcg, an endothelium-dependent vasodilator as related to a basal resistance index by photoplethysmography. The derived data are used to determine an adequate basal pulse wave velocity and a pulse wave velocity following the sublingual administration of nitroglycerin 500 mcg, for each patient individually by original formulas.

EFFECT: method enables providing the more accurate determination of the adequate basal pulse wave velocities and the pulse wave velocity following the administration of nitroglycerin taking into account the vegetative status.

2 dwg, 1 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine, namely to organising and conducting insulin therapy for a patient. Determining a user's dose of basal insulin is ensured by using a device for insulin administration and a portable device for diabetic data control. The method involves measuring the number of the user's blood glucose concentrations over the number of time intervals. The collected data are used to state if the user has performed the minimum number of measurements of the fasting blood glucose concentration over at least one of the four time intervals prescribed. That is followed by stating if the collected data indicate one of the first schedule showing the low blood glucose concentration, and the second schedule showing the lower blood glucose concentration than in the first schedule showing the low glucose concentration. Thereafter, the method provides considering if the basal insulin dose correction in the portable device for the first and second schedules correspond to each other; the user is warned, and the basal insulin dose correction is prohibited in any of the devices. Taking preventive measures aiming at measuring the basal insulin dose by means of the devices involves collecting the data, and the preventive measures are taken to avoid the user's hypoglycaemic state.

EFFECT: group of inventions enables rendering aid in the patients suffering from diabetes by means of the devices for determining the basal insulin dose and controlling the blood dose level in an insulin dose and taking the preventive measures.

27 cl, 11 dwg

FIELD: medicine.

SUBSTANCE: neurovisualisation examination of brain is carried out, Cirs comorbidity index and Kaplan-Feinstein comorbidity index are determined, cochleovestibular syndrome, eye-moving impairments, type of diabetes mellitus are identified. Value of discriminate function (D) is calculated. If D value is higher than zero, diagnosed are consequences of ischemic brain stroke (IBS) with hyperhomocysteinemia (HH), if D is lower than zero, consequences of IBS without HH are diagnosed.

EFFECT: method makes it possible to increase reliability of diagnostics of IBS consequences, which is achieved due to complex analysis of said parameters.

2 ex

FIELD: medicine.

SUBSTANCE: invention relates to control of sugar level in blood. Method contains the following stages: multitude of measurements of glucose level in user's blood is carried out by means of microprocessor; multitude of measurements of glucose level in blood is stored in memory device; it is determined whether the last measurement of glucose level in blood, performed at specified moment of time during the day, is lower than the first threshold, which constitutes about 70 mg of glucose per decilitre of blood, or higher than the second threshold, which constitutes about 150 ml of glucose per decilitre of blood; it is estimated by means of microprocessor if, at least, one measurement of glucose level from multitude of measurements, carried out in time interval approximately 3-hour long relative to specified time, at which the last measurement of glucose level in blood for previous days, was lower the first threshold or higher than second threshold; it is notified that for the same time period for previous days multitude of measurements of glucose level in blood shows the tendency of reduction of glucose level in blood relative to the first threshold or of increase of glucose layer relative to the second threshold.

EFFECT: increased accuracy of determination of user's state for control of diabetes course.

24 cl, 17 dwg

FIELD: medicine.

SUBSTANCE: individual's back relief is visualised by stereophotographying followed by the stage of digital modelling and colour relief mapping. The stereoimage relieves of frontal and dorsal body parts are used to construct a set of cross sections of the front and back body parts at the different levels to form the full cross section of the body. Positions of sternum, spinal column and its spinous processes are marked by drawing a body boundary line on the right and left parts through them. That is followed by calculating areas of the right- and left-sided components of the full section of the body, coordinates of their geometrical centres to assess a displacement of each of the mentioned parameters and the spines in relation to a vertical drawn from an apex of gluteal fold That is followed by assessing variations of the body shape or its segments, whereas the derived parameters are used to assess the progression of a pathology or to assess the correction effect.

EFFECT: accurate detection and assessment of the individual's body shape asymmetry in any segment.

6 dwg

FIELD: medicine.

SUBSTANCE: invention relates to means for glucose level control. The method of presenting information about the analyte concentration consists in the following: a value of concentration of at least one analyte, present in each of a multitude of physiological samples, taken during the first preliminarily determined time interval, is measured by means of an analyte sensor, the values of the analyte concentration are stored, the accordance of the quantity of the stored values of the analyte concentration to the minimal threshold value is determined, current measurement of the analyte concentration is presented simultaneously with at least one of the two selected headlines of the message, containing an overview of the stored values of the analyte concentration for the preliminarily determined time interval or a model of tendency in the change of the stored values of the analyte concentration, and the message is demonstrated after the selection of a message headline for the model of change tendency for the second preliminarily determined time interval. The second version of the method includes an additional notification by the message after the selection of the heading for an overview of the stored values of the analyte concentration, showing the distribution of values for one of the preliminarily determined ranges, the first threshold or the second threshold, exceeding the first threshold values. The third version includes the estimation, after the determination of the correspondence of the quantity of measurements to the minimal threshold value, of the correspondence of the stored values of the analyte concentration to one or several rules, preliminarily stored in a measuring device, in order to form the message, which contains some of the stored values as a part of the message, sent to the user, with the presentation of the current analyte measurement and simultaneous demonstration of the message to the user as the first message, received by the user before receiving any other messages. In the fourth version of the method implementation, after the determination of the accordance of the quantity of measurements to the minimal threshold value, estimated is the correspondence of the stored values of the analyte concentration to one or several rules, preliminarily stored in the measuring device, in order to form the message, which contains some of the stored values as a part of the message, sent to the user, with the presentation of the current measurement of the analyte concentration from the measurement stage and simultaneous demonstration of the message to the user after the measurement stage. In the fifth version the tendency of change of glucose concentration values towards a decrease, identified on a particular day, in which at least one value of the glucose concentration is lower than the second preliminarily determined threshold on each of the three last days is additionally automatically identified for the particular day, the tendency of change of the glucose concentration values towards an increase, identified on a particular day, on which at least one value of the glucose concentration is higher than the first preliminarily determined threshold on one of the three last days within one and the same time interval, with sending to the user a multitude of dates, on each of which there is only one corresponding message, with such a corresponding message containing data about either the tendency of change of the values towards the increase or the tendency of change of the values towards the decrease, and if on one particular date both tendencies are identified, the user is informed only about the tendency of change of the values towards the decrease.

EFFECT: application of the invention makes it possible to simplify control and increase the accuracy of measuring the glucose level in blood.

18 cl, 8 dwg

FIELD: medicine.

SUBSTANCE: patient's oral health is examined. A caries intensity index (CII), a Fedorov-Volodkina's hygienic index, and a degree of caries activity according to G. Nikiforuk's classification. The examination is performed twice: for the first time - at the gestational age of 8-12 weeks; for the second time - at the gestational age of 20-22 weeks. The patient's oral state dynamics is assessed that is ensured by determining absolute values based on the findings of the two examinations: CII index (ΔCII), hygienic index (ΔHI) and degree of caries activity (ΔDCA). A dental health value (DHV) is calculated by formula: DHV=0.73+0.09×ΔCII+0.35×ΔHI+0.76×ΔDCA. Provided 0.73≤DHV<1.00, the pregnant woman's dental health is stated to be: "healthy"; provided 1.00≤DHV<2.00, "the group of risk" is stated; 2.00≤DHV<3.00 shows "the compensated state"; if observing 3.00≤DHV<4.00, "the subcompensated state" is diagnosed, whereas DHV≥4.00 enables stating "the decompensated state".

EFFECT: method enables determining the dental health in the pregnant women by determining the considerable oral parameters.

5 ex

FIELD: medicine.

SUBSTANCE: method involves finding anamnestic data, clinical signs, work experience in allergically harmful production factors, elimination symptom, symptoms of the disease immediately during employment and deterioration after return to the harmful conditions, total blood serum IgE concentration. Each parameter is appraised by points. The points are summed up, and the derived total score is used to predict a low risk of occupational allergodermatosis, a moderate risk or a high risk.

EFFECT: method enables more accurate prediction ensured by determining significant parameters.

3 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: method involves an integrated urodynamic examination (IUDE) preceded by pelvic prolapse reduction including profilometry, filling and emptying cystometry, and urethrocystometry. The prolapse reduction is performed by means of the Sims's vaginal speculum. If the IUDE shows absent or corrected neuromuscular dysfunctions, the "КТД" findings are to be estimated by the profilometry. If the "КТД" findings are less than 100%, the simultaneous sling operation is predicted to be necessary.

EFFECT: method provides the more accurate prediction of the necessity of the simultaneous sling operation by surgical management by diagnosing the latent urinary incontinence in the females suffering from urine-holding pelvic prolapse.

2 cl, 1 dwg, 2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: method involves carrying out ultrasonic scanning examination of subclavian artery over its whole extent in physiological arm position with arterial blood pressure being measured in the middle one third of the arm. Next, when applying compression tests, blood circulation parameters variations are recorded in distal segment of the subclavian artery with arterial blood pressure being concurrently measured. Three degrees of superior thorax aperture syndrome severity are diagnosed depending on reduction of linear blood circulation velocity and arterial blood pressure compared to their initial values. Mild one takes place when linear blood circulation velocity reduction reaches 40% and arterial blood pressure 20% of initial level, moderate one when linear blood circulation velocity reduction reaches 70% and arterial blood pressure 50% and heavy one when linear blood circulation velocity reduction is greater than 70% of initial level and arterial blood pressure is greater than 50% to the extent of no blood circulation manifestation being observed in the subclavian artery.

EFFECT: high accuracy of diagnosis.

Up!