Pre-examination medical data acquisition system

FIELD: information technology.

SUBSTANCE: pre-examination patient information gathering system comprises an electronic user interface including a display and at least one user input device, and an electronic processor configured to present an initial set of questions to a patient via the electronic user interface, receive responses to the initial set of questions from the patient via the electronic user interface, construct or select follow-up questions based on the received responses, present the constructed or selected follow up questions to the patient via the electronic user interface, and receive responses to the constructed or selected follow up questions from the patient via the electronic user interface. A physiological sensor may be configured to autonomously measure a patient physiological parameter as the patient interacts with the electronic user interface.

EFFECT: high efficiency of a medical facility.

11 cl, 3 dwg

 

The invention relates to medical skills, medical diagnostic skills, medical administrative skills, etc.

Typical medical center, serviced by a physician or group of physicians, works on the basis of the reception where the patient is planning a reception, arrives at a medical center for a few minutes before the appointed time, waiting in the waiting room before the appointed time and examined by the doctor at the appointed time. Ideally, every patient is examined by a physician within the allotted time, and the doctor now moves to the next scheduled patient.

In practice, however, it is known that medical facilities sometimes behind schedule. This can occur when there is an emergency situation because of the critical condition of the patient, installed during the examination, or arrival in the form of unscheduled patient "without reservation". However, we also know that medical facilities sometimes behind schedule even when there is an emergency, because the normal examination of the patients still sometimes exceed the allotted time. One cause of such excess is ineffective to transmit information about the patient's attending physician.

It is also known that in such a typical medical center patients, who came to see the doctor, waiting in the waiting room, the eye doctor is not available for inspection. These expectations are not problematic when a medical item is working on the schedule, but can be annoyingly long, when a medical item is behind schedule. In addition to anxious patients lagging behind medical center contributes to inefficient use of valuable time qualified doctors.

The branch of medicine has recognized that there is the opportunity to improve the patient can transmit relevant information, waiting in the waiting room, so that when the patient was examined by the doctor, the survey was accelerated. May occur synergy - the patient transmits the information, waiting in the waiting room, which speeds up the examination, which, in turn, reduces waiting for the next patient in the waiting room.

Thus, it is known to cause the Secretary to give each incoming patient form medical information and the handle, and for the patient to fill out the form requested medical information. The patient completes the form and returns it to the Secretary.

Unfortunately it is known that the expectations of the patients are annoyingly long. Forcing patients to complete forms with medical information does not seem to significantly increase the efficiency of the clinic. Although information is collected, it is not valid to examination the patient is and. Consider the case in which the patient records that he or she is experiencing chest pain. The doctor will probably want to continue with additional information requests: What is the nature of chest pain? Where it is localized? This periodic sharp penetrating pain or a dull constant pain? It is accompanied by shortness of breath? But the doctor there is no opportunity to ask these next questions prior examination of the patient, and is implemented so little or no increase efficiency.

Doctors to some extent acknowledged that, although the use of paper forms as a way of gathering information about the patient during the preliminary examination remains popular. Medical centers have tried to overcome this bottleneck analysis information using assistants to physicians. They relate to the medical staff who is not a doctor, but who have some medical training. They can be licensed nurses (RN), consultants, doctors, etc. the idea Here is that the patient does not expect all the time in the waiting room, but instead, when it comes time for the examination, the patient is accompanied to the office for examination, usually a room, to be used by the physician to examine the patient. There's the medical assistant obtains information about the patient. In opalanie for dealing with issues physician assistants are usually trained to obtain some physiological parameters, usually of vital signs such as pulse, blood pressure, weight and so on.

Unfortunately it is known that the expectations of the patients are annoyingly long. Forcing patients to undergo a "pre-survey"conducted by the assistant to the doctor, does not seem to significantly increase the efficiency of the clinic. Physician assistants are not trained or at least not authorized to make independent decisions based on the results of a preliminary survey. For example, if the patient asks the physician assistant a simple question, such as whether good this indicator activity, physician's assistant will usually rely on the doctor to make that determination. Also these preliminary examinations are usually held in the same Cabinet as the final examination of the patient conducted by the doctor. This means that the medical item is a must have several offices of the survey, each equipped to perform a complete examination of the patient. Moreover, time physician assistant is also expensive, though not so expensive as the time of the doctor.

Thus, doctors have widespread recognition that long waiting PA the rate in the waiting room are incorrect. In addition to the above-mentioned inconvenience of the patient, the waiting room is an unfortunate mixture of a variety of airborne and surface oposredstvovanii infectious diseases, and the likelihood that patients will be infected with communicable diseases from each other increases with longer patients ' expectations. There is yet another recognition that medical questionnaire form and a preliminary survey conducted by the assistants of doctors, even though promising, in practice not much reduce long waiting patients.

The following provides improvements that overcome the above and other problems.

In some embodiments, the implementation disclosed in this document as explanatory examples, the disclosed system for collecting patient information during the preliminary survey, containing electronic user interface comprising a display and at least one user input device; and an electronic processor configured to represent the initial set of questions to the patient via the electronic user interface, receiving responses to the initial set of questions from the patient via the electronic user interface, compilation or selection of the subsequent questions on the OS is ove accepted answers representation made or selected subsequent questions to the patient via the electronic user interface, and receive answers to composed or selected follow-up questions from the patient via the electronic user interface.

In some embodiments, the implementation disclosed in this document as explanatory examples, a disclosed method for collecting patient information during the preliminary survey, containing phases, which represent the initial set of questions to the patient via the electronic user interface comprising a display and at least one user input device; receive responses to the initial set of questions from the patient via the electronic user interface; electronic form or select subsequent questions based on the received answers; present the following questions to the patient via the electronic user interface; and receive answers to subsequent questions from the patient via the electronic user interface.

In some embodiments, the implementation disclosed in this document as explanatory examples, a disclosed method for collecting patient information during the preliminary examination, comprising stages on which place electronic Phi is biologicheskii sensor in a medical center so to electronic physiological sensor can measure a physiological parameter of the patient; and Autonomous actuate the electronic physiological sensor, in order to measure a physiological parameter of the patient.

In some embodiments, the implementation disclosed in this document as explanatory examples, the disclosed system for collecting patient information during the preliminary examination that contains the user interface for presentation to the patient's questions and receiving answers from the patient; and an electronic physiological sensor made with the possibility unobtrusive measurement of the physiological parameter of the patient, until the patient interacts with the user interface.

One advantage lies in the more efficient operation of the medical item.

Another advantage is the reduced waiting time of the patient in medical offices.

Another advantage lies in the more efficient use of the precious time of the doctor.

Another advantage is the probability that can be assembled the most comprehensive information that could be collected less qualified medical practitioners. In some cases, automatic sensor can receive parameters that are difficult or impossible on actinovate or accurately measure medical practitioner.

Other advantages of the present invention will be appreciated by an ordinary specialist in the art after reading and understanding the following detailed description.

The drawings are intended only to illustrate preferred embodiments and should not be construed as limiting the invention.

Figure 1 schematically shows a medical center, which includes kiosks to enable the patient to provide information about the patient during the preliminary examination.

Figure 2 schematically shows a system for collecting patient information during the preliminary examination, using one of the kiosks Fig. 1.

Figure 3 schematically shows a system for collecting patient information during the preliminary survey, using a home computer as the user interface.

With reference to figure 1 medical center 10 includes a region 12 examination of the patients, which in the illustrated embodiment, includes a set of one or more circumspectly private rooms for the examination (not shown)located behind a wall or partition 14 having a window 16 of the Secretary and the door 18. Medical center 10 additionally includes a region 20 waiting outside the scope of the 12 surveys. When using the AI in this document, the term "medical center" is intended to include any institution, in which physicians, doctors or other medical personnel conduct the examination of the patient for medical diagnosis, clinical assessment, clinical observation, assessment endurance or another medical purpose. In the process the patient arrives and reports to the Secretary in box 16 of the Secretary. When used in this document the term "patient" is intended to include a person using the system and methods of gathering information about the patient during the preliminary examination disclosed in this document, to provide medical information before a prospective examination of the patient. When used in this document the patient in some cases, you may suffer from a specific disease or symptom, which should be the subject of examination of the patient, or the patient may be in good condition from a medical point of view and may, for example, to only come for the examination of the patient containing the standard General medical examination. In any case, it is assumed that the patient arrives, at least for a few minutes before the scheduled appointment examination of the patient and, accordingly, shall be sent by the Secretary to expectations in the area of 20 out.

To speed up the medical center, the patient is asked to answer selected questions preliminary survey in DOS is publicly accessible electronic kiosk 22 while waiting in region 20 expectations. In the explanatory embodiment of figure 1 there are three kiosk 22 in the region of 20 expectations in order to simultaneously accommodate up to three patients; however, the number provided kiosks can be one, two, three, four, five, or more. The patient interacts with the electronic kiosk 22 to provide answers to questions, and in some embodiments, the implementation in order to facilitate the collection of other information about the patient. Once completed gathering information about the patient during the preliminary examination, the patient may take provided for illustrative chairs 24 or may decide to stand or otherwise take time. When available, the physician, doctor or other appropriate medical subject, the Secretary calls the patient, and the patient is in the range of 12 evaluation of patients through the door 18, and the doctor examines the patient in the office for examination or other suitable part of the region 12 examination of patients. When conducting the examination, the physician appropriately refers to information collected from the patient when waiting in region 20 standby using one of the electronic kiosks 22.

In a typical medical center the physician examines the patient on the basis of consistently planned admissions, in which methods for the examination of the patient planned the sequence with the to take most of the time the doctor. In this mode of operation, the physician usually does not consider the information gathered from the patient through the kiosk 22, until the patient is admitted in region 12 evaluation of patients for examination or perhaps shortly before such permission. However, in some embodiments, the implementation provides a functional connection 26 connecting the kiosks 22 area 12 examination of patients. Illustrated functional connections 26 are wired connections, such as wired local area network (LAN) or a dedicated wired connection, passing through the ceiling or other infrastructure of the medical unit 10; however, it is also assumed functional wireless connection, such as a wireless local area network (WLAN) or a special combination of wireless transmitter/receiver. Electronic kiosks 22 in these cases implementation has autonomy sufficient for recognition of certain States, which can be a critical medical condition is highly contagious condition or some other recognizable condition, suggesting that the patient should be examined immediately or move in the schedule. When the kiosk 22 detects this condition, then the appropriate signal, the data set orother information is transmitted by functional connections 26 in region 12 examination of patients, where is activated by a suitable signal 28 alarm. The signal 28 anxiety can be a light, sign or indication that is visible inside the scope of the 12 survey of patients, but invisible from the region of 20 waiting for the Secretary or other personnel in the area of 12 evaluation of patients have been reported about this condition. Alternatively or additionally, the signal 28 of the alarm may include an audible alarm, a pop-up window on your computer (not shown)managed by the Secretary, or other suitable alarm. The physician is notified of an alarm situation and can take appropriate action, such as calling the patient for immediate examination of the patient or isolate the patient, if alarming situation indicates that the patient is highly contagious, etc.

With reference to figure 2, the system of collecting information about the patient during the preliminary survey describes the relative explanatory of one of the stalls of the electronic kiosks 22. Illustrated kiosk 22 includes an interface 30 of the user, which may be, for example, a computer or terminal having a display 32 and at least one user input device, such as a keyboard 34, the touch panel 36, etc. is Provided a fence or curtain 40 for privacy, to ensure that the responses of the patient p is zestawienie questions remain confidential or private. In the illustrated embodiment, the patient sitting on a stool, 42. Alternatively, could be provided to other furniture or the patient could stand at the kiosk 22. Shown kiosk 22 is an explanatory example, and assumed a variety of variations. For example, the kiosk may be a cubicle or small room with a table bearing a computer or a computer terminal, or a portable computer, tablet computer or the like used by the patient, sitting on one of the chairs 24, or the like, the Term "kiosk" when used herein is intended to include any device that includes an electronic user interface, located in the medical center (10) and configured for use by a patient to provide information about the patient during the preliminary examination.

Electronic processor 50 controls the process of gathering information about the patient during the preliminary examination. The processor is schematically indicated in figure 2 and can be implemented in different ways in the form of suitable software running on the illustrated computer-implemented interface 30 of the user in the form of a computer or server located in region 12 examination of the patient (not shown) and associated with the kiosk 22 by means of a functional connection is the link 26, as the web server or the like, the Module 52 input/output (I/O) request serves as a means of communication between the electronic processor 50 and the interface 30 of the user to format questions for presentation to the patient and transmitting the received response back to the processor 50. Module 52 (I/O) request may also be implemented differently, for example, in the form of software running on the illustrated computer-implemented interface 30 of the user, the software operating on or in conjunction with a processor 50, etc. In some embodiments, the implementation of the interface 30 of the user, the CPU 50 and the module 52 (I/O) request can be combined as a single module, for example, implemented as a separate computer running suitable software.

Other components, not necessarily included in the system of collecting information about the patient during the preliminary examination, include the database initial questions 54, the database further questions 56 (which may be combined or not with base 54 data entry issues) and a card reader 58 physiological sensors. And again each of the components 54, 56, 58 may be implemented in various ways. For example, base 54, 56 data can be component of a storage medium (e.g. hard disk, optical disk, flexible disk, solid inner and outer rings which give rise to mass storage device remote server and so on) at the interface 30 of the user or the electronic processor 50, or can stand-alone or separate storage unit, which stores the initial question and subsequent questions for presentation to the patient through an interface 30 of the user. Optional reader 58 physiological sensors can be stand-alone hardware unit, a suitable card data retrieval or communication interface, combined with the interface 30 of the user or processor 50, etc. moreover, the reader 60 fingerprint or other biometric identification device may be provided for receiving or confirm the identification of the patient.

In the work of the illustrated system of collecting information about the patient during the preliminary examination module 52 (I/O) request is first works in conjunction with the interface 30 of the user to represent the patient's initial questions stored in the database initial questions 54. The initial questions are intended to represent all patients regardless of their medical condition or other factors. Some approximate initial questions may include requests patient's name, address, health insurance company, health insurance, information about any drug allergies, questions on IP the Oria disease or other Optional questions can be presented as hyperlinks, so if the user clicks on the question, using the mouse pointer or the like, the pop-up window provides additional explanation or information about the issue. Module 52 (I/O) request optional checks the answers. For example, the question "What is your height?" can be checked for validity on the basis of the range, with growth of less than three feet or more than eight feet generates a validation error. The reader 60 fingerprint or other biometric identification device can be used optional to verify that the answer is correct identification of the patient (for example, name of the patient). Additionally or alternatively, the interface 52 (I/O) request can configure the view of some questions to limit responses acceptable format. For example, a question that can be answered with "Yes" or "no"can be represented with Windows mark, activated to select "Yes" or "no"so that the user could not enter anything other than "Yes" or "no". Similarly, the issue of drug Allergy may present a list of common drug allergies with selection fields, optional with extra window for the option "Other, which causes the formation of a line to enter any not listed drug Allergy, which can be patient. Optionally, the module 52 (I/O) request may apply to an existing database of patients (not shown) and fill in the questions with default answers, relevant information already stored in the database. For example, the address of the patient and information health insurance, currently available, can be provided as a default response.

The responses received from the patient, are introduced into the analyzer 66 responses in the processor 50 for analysis, optional, after validation module 52 (I/O) request. The analysis determines whether to specify one or more subsequent questions. For example, if the patient responds "Yes" to the question about the numbness in the extremities (indicating that the patient is actually experiencing this numbness), and the patient responds affirmatively in response to the question about affected if the patient is allergic to the substance "X", then the analyzer 66 responses recognizes that the numbness is an indication of an allergic reaction to the substance "X", and additionally recognize that the patient is allergic to the substance "X", respectively, or retrieves from the database 56 data possible follow-up questions set such follow-up questions, Rel is sasisa possible routes of exposure the substance "X". For example, the following questions can be posed, did the patient some food, known as containing the substance "X".

One suitable approach to enable selection of the subsequent questions based on the received responses as follows. In the 56 data each possible follow-up question is followed by answers or by combinations of answers that should cause the selection of a possible follow-up for presentation as a follow-up question. For example, the initial questions may include:

Q11: currently you are experiencing chest pain?

Q12: do You suffer from vertigo?

Q13: Do you have numbness in the hands or feet?

Base 56 data possible follow-up questions may include the following question:

Q122: You have palpitations? [Q11=Yes, Q12=Yes and Q13=Yes]

where the label [Q11=Yes, Q12=Yes and Q13=Yes] indicates that you should choose the next possible Question Q122 from the base 56 of the data for presentation as a follow-up question, if the answer to the Question Q11 is "Yes" or a comma (indicating disjunction in the explanatory view labels)if the answer to both questions Q2 and Q3 is "Yes". Otherwise, the question Q122 not selected for presentation as a follow-up question. Labels identifying the responses or combinations from the billing purposes, which should cause the view given any further question, are selected appropriately by physicians or other medical professionals (in combination with the support of a programmer or other technical personnel)to subsequent questions are presented on the basis of labels, reproduced subsequent questions that may be asked the doctor.

Continuing to refer to figure 2, the analyzer 66 responses analyzes the received responses, as described, and is or selects the next questions 68, which are presented to the user via the interface 30 of the user. Optionally, this process may be repeated within one, two, three or more repetitions. For example, on the basis of the replies received some follow-up questions, search for tags in the database 56 data subsequent issues may cause the selection of further follow-up questions for presentation to the patient. You should also take into account that the process of Raman selection on the basis of marks is one suitable embodiment, but can also use other approaches to the composition or selection of the subsequent questions. For example, possible follow-up questions can be arranged in the base 56 of the data in accordance with classification issues, and some class of possible subsequent matters the owls can be selected according to specific accepted answer. For example, the class of questions relating to States of the heart, can be selected when receiving a response indicating that the patient has a family history of heart failure.

The open approach of selective presentation subsequent questions based on the received responses mainly reduces the total number of questions presented to the patient by avoiding the submission of questions that are not related to the patient. This approach speeds up the process of gathering information about the patient during the preliminary survey, compared with paper forms that do not provide such a sample survey, and also mostly avoids tangling of patients by presenting irrelevant questions.

Optionally, the system of collecting information about the patient during the preliminary survey also includes one or more physiological sensors configured to measure physiological parameters of the patient. Physiological sensors are placed accordingly in the kiosk 22, or along with him, for measuring the physiological parameter of the patient, when the patient interacts with at least one user device 34, 36 of the input. In the explanatory example of physiological sensors include scale 70 of the patient, the built-in stool 42, so that the weight of the patient submenu is on and offline is measured, when the patient sits at the kiosk 22. If the patient is standing at the kiosk, the scales of the patient can similarly be embedded in the floor where the patient is. As another example, an infrared camera 72 may be configured to image the patient sitting in the kiosk 22, and the reader 58 physiological sensors may be configured to analyze infrared images to detect areas with abnormal body temperature or templates, which can be indicating problems blood circulation or other medical conditions. Similarly, sensitive to visible light camera 74 may be configured to image the patient sitting in the kiosk 22, and the reader 58 physiological sensors may be configured to analyze the image of the visible light to detect abnormal movements of the body, which may be pointing Parkinson's disease or medical condition. Chemical sensor 76 can be made with the possibility of detecting presence in the air of chemical substances (for example, indicator tube)coming from the patient sitting in the kiosk 22, for example, chemicals used in chemotherapy or radiation therapy, alcohol, indicating possible alcohol intoxication, or other Similarly chemical d is tchiki, built-in keyboard 34 or the touch panel 36 may be configured to detect chemical substances transferred by contact.

You will need to take into account that the physiological sensors 70, 72, 74, 76 are offline, unobtrusive sensors that measure the desired physiological state quietly and offline until the patient interacts with the interface 30 of the user. Under "offline" means that the sensors operate without exposure performed by the medical staff of paragraph 10, except, perhaps initiating actions, such as power for reader 58 sensors. Under the "subtle" means that the sensor detects the condition, not requiring affirmative action on the patient, aimed at measuring. For example, the patient sits in a booth 22 and enters the answers to the presented questions. This is an action by the patient, and they are actions that can facilitate the measurement by placing the patient in the vicinity of the sensor, but these actions are not aimed at measuring, but rather is directed to enter answers to questions.

Besides, some physiological sensors can work offline, but not subtle. For example, a microphone 78 may be configured to detect language difficulties, such as n is legible speech, that may be pointing alcohol intoxication. User with a message on the display 32 is asked to pronounce the selected verbal expression, such as verbally count from one to ten. Thus the measurement is not subtle, because it entails an affirmative action from the patient's oral account), aimed at measuring. On the other hand, if the user interface is configured to receive oral answers to questions and microphone 78 is used to control these responses, the microphone 78 refers to the unobtrusive sensor, because in this case the verbal expression is not focused on the measurement, but rather to provide answers to questions.

As another example, the physiological sensor that is not subtle, the sensor 80 SpO2worn on the tip of your finger, may be intended for use by the patient. Again we employ a user action directed to the dimension in which the user places the sensor 80 SpO2worn on the fingertip, the fingertip to measure pulse rate and blood oxygen saturation.

The system of collecting information about the patient during the preliminary survey collects information about the patient in the form of accepted answers to presented questions is s, and optionally also in the form of physiological parameters, measured offline and need not be unnoticed. In some embodiments, the implementation of this information is collected, stored (for example, in a database of electronic medical records in the medical item 10) and submitted to the physician during or prior examination of the patient, but the information collected is not further processed.

Continuing to refer to figure 2, in some embodiments, the implementation of the collected information is further processed. In the explanatory example, the electronic processor 50 is additionally configured to set clinical systems (CDSS) 90 decision support configured for creating the information content of clinical support on the basis of the received answers and do not necessarily measured physiological parameters. CDSS 90 may be configured, for example, in the form of the mechanism of conclusions, which makes the conclusion about the possible presence of a medical condition based on a received response or measured physiological parameter, or based on a combination of the received answers, the measured physiological parameters, or both. For example, in the above example, a patient with Allergy to the substance "X" CDSS 90 may conclude that the patient is suffering from allergic reactions to the impact of substance "X" on the basis of (i) the patient affirmatively indicate allergic to substances the creation of "X" and (ii) of the patient, Yes indicates numbness (which in this example is an indication of an allergic reaction to the substance "X"), and (iii) instructions in the answer to the subsequent question of what the patient ate food, known as containing the substance "X". You will need to take into account that although the analyzer 66 responses and CDSS 90 shown in Fig. 2 as separate components, in practice, these components may be combined. For example, if the mechanism conclusions CDSS 90 recognizes that he needs some information to accept or reject the conclusion, he accordingly makes the analyzer 66 responses to choose or make a follow-up question to view configured to request a response from the patient, providing this information.

On the basis of the findings of optional CDSS 90, optional report 92 CDSS, which provides the physician summaries of the conclusion or conclusions in a readable format in English, in the form of a table or other format or combination of formats understood by the doctor. Not necessarily, if the conclusion suggests that some string action might be appropriate, CDSS 90 can activate signal 28 alarm, located in the region of 12 examination of the patient.

Disclosed systems and methods of collecting information about the patient during the preliminary survey, the Finance have significant advantages over existing approaches using a paper questionnaire forms, preliminary examination by a nurse or other medical assistant or other Kiosks 22 are outside the scope of the 12 survey of patients and in 20 patients expectations and therefore do not take up a useful and well-equipped classrooms examination of patients. No nurse or other medical assistant is not used, which reduces costs and allows these valuable medical professionals to perform other tasks. The patient is not easily provoked task of re-issues complete forms or task irrelevant questions. Use follow-up questions, composed or selected based on the received responses, ensures that the information collected about the patient during the preliminary examination is evidence of the patient. It also ensures that the doctor seems relevant information, then as a doctor, analyzing a paper form filled out by the patient, takes a significant amount of irrelevant questions and answers, which should have the answers (usually relatively small), the most important assessment of the patient to be examined. Moreover, because the answers are accepted in electronic form from the patient through an interface 30 of the user, they are easily collected and stored in electronic patient records. Moreover, since e is but a possibility readily available for inclusion in this customized, automatic acquisition of parameters which can be difficult (requiring experienced diagnosticians), or impossible (not amenable to direct observation by the people), it can be collected comprehensive and deep data.

Despite these significant advantages, the obvious difficulty here is that some patients may resist the use of kiosks 22 to provide information about the patient during the preliminary examination. One way to reduce this reluctance is to increase the efficiency of the process, for example, by filling out the questions with default answers retrieved from the electronic medical records, and selection of the following questions using the analyzer 66 responses on the basis of previously accepted answers that the patient was not forced to answer many inappropriate questions, and by having the physiological sensors 70, 72, 74, 76, made with the possibility invisible dimension of a selected physiological parameters of the patient, without causing the patient's aimed at measuring. However, it is impossible not to note that some patients may resist the use of kiosks 22 despite these advantages in efficiency.

Accordingly, in some embodiments, the implementation of the configured line 94 connection kiosk is 22 with a supplier 96 rewards to encourage provider 96 incentives to provide encouragement in response to the interaction of the patient with the system of collecting information about the patient during the preliminary examination. For example, line 94 connection may pass through the Internet with the health insurance company and configured to induce the insurance company to provide a cash discount in response to the completion of the patient session information using the system of collecting information about the patient during the preliminary examination. Additionally or alternatively, line 94 connection may be with the marking mechanism, such as a printer (not shown)located in a medical center 10 and configured to induce a marking mechanism to form the printed coupon to be exchanged for cash assistance after the completion of the session information. The coupon can be exchanged for a non-medical subject, such as food or gasoline, or may relate to health or medical equipment (for example, equipment glucose control for patients-diabetics) or refill medication prescription. As another example, there may be a line of communication with the Secretary in the field of 12 examination of patients (for example, through functional connections 26), and with the Secretary or other office Manager performs the function provider 96 incentives by providing incentives in the form of reduced waiting time for the patient, if the patient uses a system of collecting information about the patient during the preliminary survey to provide information about the patient.

In embodiments, the implementation described with reference to figures 1 and 2, the interface 30 of the user in the system of collecting information about the patient during the preliminary examination is a medical item 10 and is used by the patient upon arrival at the medical station 10 for a scheduled examination of the patient. However, in other embodiments, implementation of the user interface may be located otherwise.

With reference to figure 3, in another embodiment, the interface 130 is designed in the form of a home computer, located in the house 132 of the patient and connected via the Internet 134 to the processor 50, the module 52 I/Q query and bases 54, 56 data, which in this embodiment are located on the web server 136, available via the Internet 134. The Internet server 136 may be located in a medical item 10 of figure 1 or may be available from the medical point 10 via the Internet 134. Similarly, an optional line 94 connection with an optional provider 96 rewards accordingly passes through the Internet 134.

In the embodiment of figure 3 the patient accesses the system for collecting patient information during the preliminary examination and the use of a home computer 130 as the user interface. In this embodiment, need to take into account that the term "patient" means a person who plans or are considering a visit to a medical center for 10 examination of the patient. In some embodiments, the implementation of the corresponding location on figure 3, it is assumed that CDSS 90 may conclude that the patient does not need to come to the medical center 10 for medical examination; such a person is still considered to be "patient" when used in this document, because the patient uses the system for collecting patient information in the course of preliminary investigations in order to provide medical information before a prospective examination of the patient. The decision reached CDSS 90 in relation to whether the patient to schedule the examination of the patient in the medical item 10, appropriately communicated to the patient via a home computer 130.

In some embodiments, the implementation of CDSS 90 provides assessment, which is considered a health item 10 as a factor in determining how soon you should schedule the patient for the examination of the patient. For example, if CDSS 90 indicates an emergency (for example, of a type that would ask signal 28 alarm options exercise of figures 1 and 2), the medical item 10 is inclined to the planning of the patient, it is Lenogo reception or receive in the shortest possible time. (In some embodiments, the implementation in which the conclusion is dangerous emergency condition, for CDSS 90 is supposed to activate the signal 28 alarm message service medical emergency requiring immediate dispatch ambulance to the house of 132 patients). On the other hand, if CDSS 90 concludes that the state is not critical (for example, skin rashes without other symptoms), the medical item 10 accordingly inclined to scheduling the patient for prima uncritical way, for example, in the following readily accessible reception interval.

Describes the preferred options for implementation. Some after reading and understanding the preceding detailed description can be modifications and changes. Understood that the invention should be construed as including all such modifications and alterations in so far as they are included in the scope of the attached claims of the invention or its equivalents.

1. The system of collecting information about the patient during the preliminary survey, containing
electronic interface (30, 130) of the user, including a display (32) and at least one user device (34, 36) of the input; and
the electronic controller (50)configured to represent the initial set of questions (54) to the patient via e who Tronic user interface, receiving responses to the initial set of questions from the patient via the electronic user interface, preparation or subsequent choice questions (68) based on the received replies, views, composed or selected subsequent questions to the patient via the electronic user interface, and receive answers to composed or selected follow-up questions from the patient via the electronic user interface; and
line (94) provider (96) rewards configured to induce provider incentives to provide incentives in response to the completion of the session, gathering information, using a system of collecting information about the patient during the preliminary examination, and line (94) provider (96) incentives includes at least one of:
the line of communication with the company that is configured to induce the company to provide a cash discount in response to the completion of the patient session information using the system of collecting information about the patient during the preliminary examination;
a line with a marking mechanism configured to urge the marking mechanism to form a printed coupon to be exchanged for cash assistance, in response to completion of the patient session information gathering system using the SRB is as patient information during the preliminary examination.

2. The system of collecting information about the patient during the preliminary examination according to claim 1, additionally containing
kiosk (22), comprising an electronic interface (30) user located in a medical center (10).

3. The system of collecting information about the patient during the preliminary examination according to claim 2, in which the kiosk (22) includes a fence or curtain (40) for privacy.

4. The system of collecting information about the patient during the preliminary examination according to claim 2, additionally containing
signal (28) alarm configured to alert medical unit (10) provided that the accepted answer, or a combination of the received response corresponds to an alarm situation.

5. The system of collecting information about the patient during the preliminary examination according to claim 2, in which the electronic interface (30) user further comprises
physiological sensor(70, 72, 74, 76, 78, 80), configured for Autonomous measurement of the physiological parameter of the patient, and the physiological sensor is placed in the kiosk (22) or together with him to measure the physiological parameter of the patient, when the patient interacts with the electronic user interface.

6. The system of collecting information about the patient during the preliminary examination according to claim 1, additionally containing
base (56) data storing possible PEFC is blowing questions the processor (50), which selects the subsequent questions of possible follow-up questions stored in the database based on the received responses.

7. The system of collecting information about the patient during the preliminary examination according to claim 1, additionally containing
module (52) input/output request, is configured to verify the received responses.

8. The system of collecting information about the patient during the preliminary examination according to claim 1, in which the electronic processor (50) is additionally configured to prioritize patients for examination of the patient by the doctor based on the received responses.

9. The system of collecting information about the patient during the preliminary examination according to claim 1, in which the electronic user interface further comprises
physiological sensor(70, 72, 74, 76, 78, 80), configured for Autonomous measurement of the physiological parameter of the patient.

10. The system of collecting information about the patient during the preliminary examination according to claim 9, in which the electronic processor (50) is additionally configured for composing or selecting at least one follow-up question based on the physiological parameter of the patient, the measured physiological sensor(70, 72, 74, 76, 78, 80).

11. The system of collecting information about the patient during the preliminary examination according to claim 1, in which Elektronnyi processor (50) is additionally configured to set clinical system (CDSS) (90) decision support, configured to draw a conclusion about a potential medical condition based on at least the received answers.



 

Same patents:

FIELD: information technology.

SUBSTANCE: apparatus includes a subject record database, a time-dependent relationship identifier, an event predictor, a coded subject record database, a decision support system processor and a user interface. The time-dependent relationship identifier processes the data in the subject record database to identify time-dependent relationships in the data. Information indicative of the identified relationships is processed by the processor and presented to a user via the user interface.

EFFECT: identifying relationships in subject information which includes event data indicative of an event experienced by the subject, outcome data indicative of an outcome experienced by the subject, and intervention data indicative of an intervention applied to the subject.

8 cl, 7 dwg

FIELD: physics.

SUBSTANCE: method involves determining current time characteristics, taking into account the state of the atmosphere, determining the spatial position of the imaging means, based on data from spatial positioning means, the obtained image is compared with three-dimensional models of the surrounding environment and electronic maps stored in a dynamically populated knowledge base, identifying objects of the surrounding environment that are part of the image using means of recognising and identifying samples associated with said base, where said base is constantly populated and improved with knew data obtained from identification of said objects.

EFFECT: high accuracy of displaying artificial objects on an image of the surrounding environment in real time owing to analysis of dynamic changes in the surrounding environment.

5 cl, 1 dwg

FIELD: information technology.

SUBSTANCE: portable storage device has a data management application which receives and processes data with measurement results from a measuring device which measures an analysed substance. The portable device can use an interface protocol which directly provides compatibility of the portable device with different operating systems and hardware configurations. The data management application is launched automatically upon connecting the portable device with a master computer.

EFFECT: managing medical data using different processing devices without the need for pre-installation of additional programs, clients, device drivers or other program components on separate processing devices.

60 cl, 19 dwg

FIELD: medicine.

SUBSTANCE: group of inventions relates to medicine. In realisation of methods implanted gastric restricting device is implanted into patient's body. Data, containing information about values of parameter, perceived inside the body, are collected for a time period. In the first version of method realisation determined are values of perceived parameter, which exceed the first threshold, are below the first threshold or below the second threshold in such a way that pulse is determined by time between values, which exceed the first threshold and values, which are below the first threshold or below the second threshold. In the second version of the method additional values of perceived parameter, accompanied by decreasing values, are determined. In the third version of the method areas under the curve of pressure dependence on time are determined, compared and the result of comparison is correlated with the state. In the fourth version of the method values of perceived pressure are formed for demonstration on display or further analysis. In the fifth version of the method average value of pressure for time X within the specified time period is calculated on the basis of values of perceived pressure within the window of averaging in specified period of time.

EFFECT: group of inventions makes it possible to increase treatment safety and efficiency due to control of implanted device.

32 cl, 77 dwg

FIELD: medicine.

SUBSTANCE: group of inventions relates to medical equipment. Wireless system of cardiac control contains ECG monitor and mobile phone. ECG monitor contains transceiver for wireless transmission of ECG signal data. ECG monitor contains connected with transceiver unit of notification about status for transmission of notification in case of change of ECG monitor status. Mobile phone contains electronics, transceiver for wireless reception of ECG signal data or notifications from ECG monitor and controller for transmission of ECG signal data into the control centre by electronics via mobile connection net. Controller can respond to notification from ECG monitor by communicating notification to patient by means of mobile phone or transmission of notification into the control centre. Notification is communicated to patient by means of mobile phone display, tone signal or verbal prompt, formed by mobile phone. Controller can delay transmission of specified notification into the control centre to give time for reception of notification about status of disorder elimination. When patient is informed about change in status patient is given possibility to answer immediately or to delay respond to notification.

EFFECT: invention makes it possible for patient to recognize and correct situation with changed status without transmission of notification or response of the control centre.

6 cl, 38 dwg, 1 tbl

FIELD: oil and gas industry.

SUBSTANCE: system contains one or more sources providing data representing aggregated fractures in formation, processor of computer connected to one or more sources of data, at that processor of computer contains carriers containing output code of the computer consisting of the first program code for selection of variety of materials to control drill mud losses out of list of materials in compliance with data representing total number of fractures in formation and the second program code related to the first program code and purposed for determination of optimised mixture for selected materials to control drill mud losses to apply them for fractures; at that optimised mixture is based on comparison of statistical distribution for selected sizes of materials to control drill mud losses and sizes of aggregated fractures.

EFFECT: reducing loss of materials and improving operational efficiency of wells.

20 cl, 6 dwg

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine. System of cardiac monitoring contains battery-supplied ECG monitor, which is worn by patient and has processor of patient's ECG signal, device for identification of arrhythmia and wireless transceiver for sending messages about the state and obtaining information about configuration of device of arrhythmia identification. System of cardiac control additionally contains mobile phone, which has electronic devices of mobile phone, transceiver and controller. In the process of method version realisation, parameter of specified arrhythmia to be identified, and limit of switching on alarm signals for specified arrhythmia, are determined and stored in configuration file in the centre of monitoring. ECG monitor is fixed to patient and activated to start ECG monitoring. Message about state is sent by wireless communication line from ECG monitor into the centre of monitoring. Reply to message, which includes only configuration file, is sent to ECG monitor. Configuration file is used to adjust device for arrhythmia identification.

EFFECT: invention makes it possible to provide completely wireless ECG monitoring to increase patient's comfort and convenience.

18 cl, 48 dwg, 1 tbl

FIELD: information technologies.

SUBSTANCE: in the method a type of the map is built and placed using logics determined by the map type component, corresponding to each visual element, besides, such logics may depend on one or more values of parameters of the map type component. Some of these values of parameters correspond to available values of map model parameters, and other ones are calculated using a model, which determines analytic ratios between parameters of the map model. Sequence of operations for building of map type may be fully controlled by data and may include a mechanism for canonisation of input data and linkage of canonised input data to model parameters.

EFFECT: expansion of functional capabilities, due to provision of generation of a layout controlled by infrastructure data, which depends on input data.

20 cl, 16 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine. In method realisation current values of each of parameters of clinical data characterising current state of cardiovascular system are measured and fixed. Results of assessment of values of clinical data parameters are transformed. Results of assessment of current values of each parameter of clinical data are fixed depending on time of performed measurements. Results of transformation of assessment of current values of each parameter of clinical data are visualised on plane, coinciding with plane of displaying multicolour screen of videomonitor. Information about dynamics of cardiovascular system state is obtained. Also performed is digitisation and weighting of fixed instant values of each parameter of clinical data in physical values. Three-dimensional image of cardiovascular system state AN(t) is created in form of totality of geometrical places of points in N-dimensional space of cardiovascular system states, with coordinates of each point of N-dimensional space of cardiovascular system states being determined by totality of non-invasively and invasively measured in physical values digitised instant values of various clinical data, which characterise current state of cardiovascular system. Two-dimensional images of cardiovascular system states A2(t) are formed in form of projections of formed AN(t) on plane, coinciding with plane of displaying multicolour screen of videomonitor. Coordinates in 2-dimensional state of cardiovascular system states of each point of formed A2(t) are memorised. Virtual three-dimensional models of various nosologic forms of cardiovascular system diseases Bi are built in form of totality of M-geometrical places of points in N-dimensional space of cardiovascular system state, where i=1; 2; 3;…M is the number of displayed diseases of cardiovascular system. Coordinates of each point of each of B are determined by totality of values of various clinical data in physical values, describing characteristic clinical-morphological picture of corresponding disease and degree of CVS pathology manifestation, respectively. Coordinates in N-dimensional space of cardiovascular system state of all points of three-dimensional images Bi are memorised. Two-dimensional models of various nosologic forms of cardiovascular system diseases B2i are formed in form of projections, formed by B2i on plane, coinciding with plane of displaying multicolout screen of videomonitor. Coordinates in 2-dimensional space of cardiovascular system state of all points formed by B2i are memorised. Formed B2i are visualised on screen of multicolour videomonitor in such a way that colour of each point B2i in visible ranges of wavelengths Δλr, Δλo, Δλy, Δλg, Δλb…Δλ,m corresponds to certain type of disease, and degree of pathology is characterised by value, inversely proportional to wavelength of respective range. Visualisation on screen of multicolour videomonitor of successively formed in time values A2(t) is also performed, with each previous value A2(t) being connected by means of straight lines with their following values, and colour of A2(t) and connecting straight lines is formed by addition of red (Δλr), green (Δλg) and blue (Δλb) colours with similar amplitude proportion. Check of satisfaction of set of conditions A2(t) ⊂ B2i is carried out. Decision about cardiovascular system disease is taken in case of satisfaction of a condition from set A2(t) ⊂ B2i. Ambiguity of taking decision about cardiovascular system disease is excluded if mutual intersections B2i are present, when instant value A2(t) simultaneously belongs to two and more B2i, by formation on screen of multicolour videomonitor of each of new images of state A2k(t) and non-intersecting images of diseases в2ik by respective k transmissions of origin of coordinates of N-dimensional space of cardiovascular system state into selected by cardiologist points on plane of multicolour screen of videomonitor and carrying out procedure of projecting A(t) and Bi on plane coinciding with plane of displaying multicolour screen of videomonitor and after each of k transmissions of origin of coordinates of N-dimensional space of cardiovascular system state, where k=1; 2; 3;…j. Formed A2k(t) and в2ik are visualised on screen of multicolour videomonitor. procedure of A2k(t) and в2ik formation is stopped when condition, when A2k(t) belongs only to one в2ik is satisfied. Decision about absence of disease is taken if condition A2(t) ⊄ B2i is satisfied. Assessment of dynamics of change of cardiovascular system state is performed by results of analysis of preliminarily determined values of quantities Δτ=A2(t1)-A2(t2) and dΔτdτ for specified time interval, where t1; t2 are moments of time of beginning and end of specified time interval respectively.

EFFECT: invention makes it possible to simplify process of operative analysis of clinical data by set of measured clinical signs and avoid mistakes in generation of medical control decision for diagnosing.

5 dwg

FIELD: medicine.

SUBSTANCE: invention relates to means for diagnosing neurodegenerative diseases. Device contains module of obtaining images which receives visual data about patient's brain state, and image analyser, made with possibility of determining quantitative index, which shows degree of development of neurodegenerative disease of patient's brain on the basis of visual data with application of probability mask for determination of studied areas on the image, specified by visual data. Method of clinical assessment includes stages of obtaining visual data and their analysis for determination of quantitative index, which makes it possible to assess degree of development of neurodegenerative diseases of patient's brain with application of probability mask. Software carrier contains computer programme, settings of data processing device for its performance of at least one of method stages.

EFFECT: invention facilitates early diagnostics and control of neurodegenerative diseases, for instance, Alzheimer's disease.

25 cl, 8 dwg

FIELD: computers.

SUBSTANCE: device has decoder, registers, AND groups elements, delay elements, memory blocks, counter, trigger, signs input block, comparators.

EFFECT: higher productiveness.

2 dwg

FIELD: advertisement.

SUBSTANCE: method includes, before transfer of combined video and audio signal from remote center to multiple control servers, selection of blocks of video and audio information about goods, in remote center, which goods are present in trading location, where appropriate control server is positioned, and playback is performed continuously on each display by means of respective controls server, at least portion of selected blocks of video and audio information about advertised goods is played, which are appropriate for goods present in trading location, wherein appropriate controlling server is located and matching display, after that analysis of blocks of video and audio information indicated on displays, is performed, and report information is formed.

EFFECT: higher efficiency.

2 cl, 1 dwg

FIELD: computers.

SUBSTANCE: device has registers, comparators, signs input block, counters, adder, decoder, memory block, means for determining support test address, triggers, AND elements, groups of AND elements, OR elements, delay elements.

EFFECT: higher precision.

4 dwg

FIELD: biochemistry, proteins, pharmacy.

SUBSTANCE: invention relates to a computer method for identifying peptides that can be used as targets for medicinal agents. Method involves creating peptides library from protein sequences of different organisms and the following comparison is carried out for identification of retained conservative peptide motifs that are identified by the direct comparison of sequences for different microorganisms and host genomes being without any suggestions. Method is useful for identifying possible targets for medicinal agents and can be used for screening antibacterial medicinal agents of broad spectrum. Also, method can be used for carrying out the specific diagnosis of infections and, in addition, for conferring functions to proteins with unknown functions using indices of invariant peptide motifs. The advantage of invention involves accelerating method for identification of peptide motifs.

EFFECT: improved method for identifying peptide motifs.

11 cl, 4 dwg, 8 ex

FIELD: devices for processing data with copyrights.

SUBSTANCE: device for processing data, realizing a method for processing of data with copyrights within limits of given rights, contains memory device for distributed data, means for recording data concerning rights and data, means for converting data, means for realization of processing method.

EFFECT: higher efficiency.

3 cl, 60 dwg

FIELD: computer science.

SUBSTANCE: device has main processor, auxiliary processor, main module body, display, while auxiliary processor is made with possible receiving in parallel format of controlled data from multiple sensors and outputting signals in serial format to main processor.

EFFECT: computer can possibly receive signals from large set of sensors without increase of contacts amount on main module body.

3 cl, 12 dwg

FIELD: computer science.

SUBSTANCE: method includes performing a block of operations along N1 channels, where N1 is selected from 1 to 2256, wherein received information is separated on logically finished fragments, encoded on basis of preset algorithm, to produce a block of N-dimensional sets adequate for converted source information Aj with elements like {Bm, X1, X2,...,Xn}, where j - order number of set in range from 1 to 2256, Bm - identifier, X1-Xn - coordinate of element from its coordinates center, m and n are selected from 1 to 2256; received block of sets is compared to already accumulated and/or newly produced sets from multiple channels, intersecting portions of sets are found and cut out; after that cut intersections and sets remaining after cutting are distributed among databases, placing each same set into database appropriate for it and each of sets different with some parameter to databases appropriate for them and identifiers of databases storing these sets are substituted in place of cut sets.

EFFECT: higher speed of operation, higher precision, lower costs, broader functional capabilities, higher efficiency.

9 dwg

FIELD: economical processes modeling technologies.

SUBSTANCE: system has block for calculating sells, block for profit distribution, block for distributing savings, block for modeling distribution coefficients, block for modeling full costs of production and taxes, block for modeling costs of main funds, block for modeling external borrowings, block for modeling consumption, block for analyzing total supply and demand and control.

EFFECT: higher precision.

3 dwg

FIELD: technologies for realization of an additional useful effect during purchase of consumer goods.

SUBSTANCE: method for realization of additional useful effect includes dispensing an individual code to consumer, providing access to commonly accessed data transfer network by means of appropriate data processing device, while wherein a software storage is present. Access to storage is performed by means of individual code, launched selected software remains accessible for a certain time, and after anticipated number of accesses individual code is blocked for any further access.

EFFECT: expanded functional capabilities and range of technical means of communication network for users, purchasing goods.

3 cl

FIELD: engineering of information-gathering and controlling systems, possible use for accumulation and processing of information, completing missions and generating controlling commands for weapon systems and technical equipment, in particular, for naval weaponry.

SUBSTANCE: automated workplace for naval weapon control complex operator contains computing machines, long-term memorizing devices, adapters of multiplex information exchange channels, system interface mains, device for input of discontinuous signals, device for outputting discontinuous signals, devices for displaying graphic information, isolated transformer of serial interfaces, local network adapters, local network commutator, buttons block, indication devices block, keyboard, coordinate-pointing device, temperature indicator, device for synchronization of signals of temperature indicator, device for commutation of keyboard signals and coordinate-pointing device, connected by appropriate links.

EFFECT: improved reliability and fault tolerance.

5 dwg

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