Computerized medical diagnostic system including re-enter function and sensitivity factors

Claim 2

In an automated medical advice system including a computer, and input and output devices, a method of re-entering a diagnosis of a patient's medical problem, comprising the steps of: performing an initial diagnostic consultation with the patient, thereby collecting patient information; identifying a situation wherein the patient is to consult the system again wherein an indicator associated with programmed re-enter criteria is set in the computer; automatically instructing the patient to consult the system at a predetermined time in the future based upon the identified situation; performing one or more additional diagnostic consultations with the patient, thereby collecting and storing additional patient information, wherein the execution path of the additional diagnostic consultation is responsive to the stored patient information and the indicator of satisified re-enter criteria; and formulating a diagnosis from said collected patient information during a one of the diagnostic consultations.

Claim 3

The method defined in claim 1, wherein the step for identifying the situation provides for monitoring the symptoms of the patient over time.

Claim 4

The method defined in claim 1, wherein the step for identifying the situation makes an identification when the system fails to make a diagnosis based on the available patient information.

Claim 5

The method defined in claim 1, additionally comprising the step of assessing the severity of the problem during at least one of the consultations.

Claim 6

The method defined in claim 1, additionally comprising the step of identifying a person consulting the system after the initial consultation as a re-enter patient.

Claim 7

The method defined in claim 1, additionally comprising the step of determining that the initial consultation and each additional diagnostic consultation provides patient information for only one medical problem.

Claim 8

The method defined in claim 1, wherein the step of performing additional consultations results in adding the additional information to a medical record of the patient.

Claim 9

The method defined in claim 1, additionally comprising the step of identifying a patient needing immediate medical attention during any one of the additional diagnostic consultations.

Claim 10

The method defined in claim 1, additionally comprising the step of confirming a diagnosis made during one of the consultations based on the additional patient information.

Claim 11

The method defined in claim 9, additionally comprising the step of informing the patient when a change in treatment is available for the confirmed diagnosis.

Claim 12

The method defined in claim 1, additionally comprising the step of referring the patient to a physician if a diagnosis made during one of the consultations cannot be confirmed based upon any one succeeding consultation.

Claim 13

The method defined in claim 1, additionally comprising the step of automatically contacting the patient at preselected times so as to monitor the condition of the patient.

Claim 14

In an automated medical advice system including a computer, and input and output devices, a method of symptom severity analysis, comprising the steps of: performing a first diagnostic consultation with a patient for a problem by a diagnostic process, thereby collecting patient information; quantizing a severity of a symptom of the patient based upon the first consultation; identifying a situation wherein the patient is to consult the system again wherein, if a programmed re-enter criteria is satisified, an indicator associated with the programmed re-enter criteria is set in the computer; automatically instructing the patient to consult the system at a predetermined time in the future based upon the identified situation; performing a second diagnostic consultation with the patient for the problem by the diagnostic process; quantizing the severity of the symptom of the patient based upon the second consultation; analyzing changes in a level of severity and rate of change of severity over time based upon the quantized severities and providing instructions to the patient based on the analysis of changes in a level of severity and rate of change of severity over time.

Claim 15

In an automated medical advice system including a computer, and input and output devices, a method of symptom severity analysis, comprising the steps of: performing a first diagnostic consultation with a patient for a problem by a diagnostic process, thereby collecting patient information; quantizing a severity of a symptom of the patient based upon the first consultation; identifying a situation wherein the patient is to consult the system again wherein, if a programmed re-enter criteria is satisified, an indicator associated with the programmed re-enter criteria is set in the computer; automatically instructing the patient to consult the system at a predetermined time in the future based upon the identified situation; performing a second diagnostic consultation with the patient for the problem by the diagnostic process; quantizing the severity of the symptom of the patient based upon the second consultation; analyzing changes in a level of severity and rate of change of severity over time based upon the quantized severities and providing instructions to the patient based on the analysis of changes in a level of severity and rate of change of severity over time.

Claim 16

The method defined in claim 13, additionally comprising the step of providing selected medical advice if the rate of change of severity exceeds a preselected threshold.

Claim 17

The method defined in claim 13, additionally comprising the step of requesting the patient to consult with the system at a predetermined later time if the rate of change of severity does not achieve a preselected threshold.

Claim 18

The method defined in claim 13, additionally comprising the steps of: performing a third diagnostic consultation with the patient for the problem by the diagnostic process; and quantizing the severity of the symptom of the patient based upon the third consultation.

Claim 19

The method defined in claim 16, additionally comprising the steps of: analyzing any change in the rate of change of severity over time; and providing medical advice if the change of rate of change of severity exceeds a preselected threshold.

Claim 20

In an automated medical advice system including a computer, input and output devices, and a set of medical algorithms, a method of modifying sensitivity so as to change the advice of the system, comprising the steps of: receiving through at least one of said input devices data indicative of physical symptoms of a patient; establishing a sensitivity factor representative of relative importance of a selective field of interest having a cost/benefit tradeoff recognized by a healthcare organization in at least one medical algorithm; changing a threshold value in at least one of the medical algorithms by use of the sensitivity factor, wherein the new threshold value affects a branching decision in the medical algorithm and wherein the medical algorithm uses physical symptoms of the patient to generate a diagnosis; communicating the diagnosis through the output device; and changing the sensitivity factor over time to affect the sensitivity of the system thereby improving the advice given by the system.

Claim 21

In an automated medical advice system including a computer, input and output devices, and a set of medical algorithms, a method of modifying sensitivity so as to change the advice of the system, comprising the steps of: receiving through at least one of said input devices data indicative of physical symptoms of a patient; establishing a sensitivity factor representative of relative importance of a selective field of interest having a cost/benefit tradeoff recognized by a healthcare organization in at least one medical algorithm; changing a threshold value in at least one of the medical algorithms by use of the sensitivity factor, wherein the new threshold value affects a branching decision in the medical algorithm and wherein the medical algorithm uses physical symptoms of the patient to generate a diagnosis; communicating the diagnosis through the output device; and changing the sensitivity factor over time to affect the sensitivity of the system thereby improving the advice given by the system.

Claim 22

The method defined in claim 18, wherein the sensitivity factor comprises a system-wide sensitivity factor affecting all threshold calculations throughout the system.

Claim 23

The method defined in claim 18, additionally comprising the steps of: establishing a problem sensitivity factor; and changing threshold calculations in a selected one of the medical algorithms by use of the problem sensitivity factor.

Claim 24

The method defined in claim 18, wherein the sensitivity factor is selected from the following sensitivity factors: system-wide, anatomic system, cause, problem, question, organization, or patient, or combinations thereof.

Claim 25

The method defined in claim 21, wherein the step of changing the sensitivity factor over time includes changing any combination of the sensitivity factors.

Claim 26

The method defined in claim 18, wherein the value of the sensitivity factor is initially set to one.

Claim 27

The method defined in claim 18, wherein the changing threshold calculations step includes a multiplication of the sensitivity factor times a threshold value.

Claim 28

In an automated medical advice system including a computer, and input and output devices, a method of re-entering a diagnosis of a patient's medical problem, comprising the steps of: performing an initial diagnostic consultation with the patient, thereby collecting patient information; identifying a situation wherein the patient is to consult the system again, wherein, if a programmed re-enter criteria is satisfied, an indicator associated with the programmed re-enter criteria is set in the computer; automatically instructing the patient to consult the system at a predetermined time in the future based upon the identified situation; performing one or more additional diagnostic consultations in response to the indicator of satisfied re-enter criteria such that additional information collected from the patient is associated with one medical problem; and formulating a diagnosis from said collected patient information during a one of the diagnostic consultations.

Claim 29

In an automated medical advice system including a computer, and input and output devices, a method of re-entering a diagnosis of a patient's medical problem, comprising the steps of: performing an initial diagnostic consultation with the patient, thereby collecting patient information; identifying a situation wherein the patient is to consult the system again, wherein, if a programmed re-enter criteria is satisfied, an indicator associated with the programmed re-enter criteria is set in the computer; automatically instructing the patient to consult the system at a predetermined time in the future based upon the identified situation; performing one or more additional diagnostic consultations in response to the indicator of satisfied re-enter criteria such that additional information collected from the patient is associated with one medical problem; and formulating a diagnosis from said collected patient information during a one of the diagnostic consultations.