System and method for predictive and preventative treatment guidance for secure storage electronic medical records
Inventors
Dempers, Ramon • Frieder, Ophir
Assignees
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Publication Number
US-10950330-B2
Publication Date
2021-03-16
Expiration Date
Abstract
A system and method that facilitates the automated replication of electronic medical record information between a patient and a health-care provider (HCP), such as a doctor, pharmacy, drug manufacturer, biologic manufacturer, or medical device manufacturer. The system uses: a cloud-based infrastructure that includes databases, mathematical models, and configuration information; a patient's electronic health record system providing personal data around a patient's individual personal electronic medical record (PEMR); and a server used to coordinate and authenticate the replication of data between the cloud-based infrastructure, the PEMR, and the EMR/EHR system of the HCP. The system provides support and security, such as by geographically distributed data fragmentation, for mobile platforms and web-based platforms and sophisticated mechanisms for the transmission of data between these systems.
Core Innovation
The invention consolidates and synchronizes a patient’s personal electronic medical record by automatically fragmenting the personal electronic medical record into a plurality of data fragments. The fragments are stored distributed across one or more databases, and the personal electronic medical record is reassembled for display of the personal electronic medical record via a computer system of a health-care provider upon the patient checking-in for a patient appointment at the health-care provider.
The updated personal electronic medical record replaces the personal electronic medical record for the storing across the one or more databases. Upon the patient checking-out for the patient appointment, the updated personal electronic medical record is automatically fragmented into a second plurality of data fragments for storage across the one or more databases, with the updated personal electronic medical record closing on the computer system of the health-care provider.
The reassembling only occurs during active treatment of the patient by the health-care provider during the patient appointment, and no copy of the personal electronic medical record or the updated personal electronic medical record remains on any user component of the computer system of the health care provider upon closing. The system further uses secure authentication mechanisms coordinated by a remote server apparatus to authorize access and enable reassembly only during active treatment.
The disclosed approach emphasizes secure channels and encryption for communications and geographically distributed secure fragmentation, including distributed data fragment objects and sequencing/authentication backed by block chain code/block chain database. Additional capabilities described include predictive/preventative analytics and real-time alerts, along with consent/digital signing and enabling emergency personnel access to the PEMR with restricted viewing.
Claims Coverage
The relevant material includes one independent claim directed to a method of consolidating and synchronizing a patient’s personal electronic medical record by fragmenting, distributed storage, time-bounded reassembly for provider display, and replacing stored fragments while ensuring no provider-side copy remains after closing. The dependent claims further refine the independent claim with nine inventive features related to provider viewing-device restrictions, cloud data server implementation, distributed fragment object storage and synchronization, fragment distribution with sequence generation and blockchain-coded access/authentication, and mobile-device authenticator-based access tied to patient check-in to control the timing of reassembly.
Automatic fragmentation and distributed fragment storage of PEMR
automatically fragmenting a personal electronic medical record for the patient into a plurality of data fragments; storing the plurality of data fragments distributed across one or more databases
Provider check-in reassembly for display limited to active treatment
reassembling the plurality of data fragments for display of the personal electronic medical record via a computer system of a health-care provider upon the patient checking-in for a patient appointment at the health-care provider; reassembling only occurs during active treatment of the patient by the health-care provider during the patient appointment
Update-and-replace workflow with re-fragmentation on check-out
updating the personal electronic medical record with data from the health-care provider to form an updated personal electronic medical record for the patient, wherein the updated personal electronic medical record replaces the personal electronic medical record for the storing across the one or more databases; upon the patient checking-out for the patient appointment at the health-care provider, automatically fragmenting the updated personal electronic medical record for the patient into a second plurality of data fragments for storage across the one or more databases; storing the second plurality of data fragments distributed across the one or more databases in place of the plurality of data fragments across the one or more databases
No provider-side PEMR copy remains after closing
upon the patient checking-out for the patient appointment at the health-care provider the updated personal electronic medical record closing on the computer system of the health-care provider, wherein the reassembling only occurs during active treatment of the patient by the health-care provider during the patient appointment at the health-care provider, and no copy of the personal electronic medical record or the updated personal electronic medical record remains on any user component of the computer system of the health care provider upon closing of the updated personal electronic medical record at the checking-out
Viewing-device restriction on storing or forwarding reassembled EMR
displaying the reassembled personal electronic medical record on a viewing device of a health-care provider, where the reassembled electronic medical record cannot be stored on or forwarded from the viewing device
Cloud-based data server performs fragmentation, storage, and reassembly
The method of claim 1 is performed by a cloud-based data server that automatically fragments, stores, and reassembles a personal electronic medical record
Distributed data fragment objects with synchronization and multi-provider request gating
storing the plurality of data fragments as distributed data fragment objects, synchronizing those objects in a local electronic medical record, and storing the updated patient personal electronic medical record as a second plurality of distributed data fragment objects until requested by one of two health-care providers
Random distribution of fragment objects with sequence generator and blockchain-coded/authenticated access
randomly distributing data fragment objects across one or more databases, attaching a sequence generator to each distributed fragment for reassembly, and authenticating patient electronic health record access using a patient-assigned authenticator and blockchain code for the distributed fragments and their sequence
Mobile device authenticator via computer-readable indicia tied to patient check-in and reassembly timing
providing a patient mobile device authenticator (as computer-readable indicia) to enable authorized access to distributed data fragments in one or more databases, automatically transmitting the authenticator to a remote server upon patient check-in so that reassembly occurs only during active treatment by the health-care provider
Across the independent method and its refinements, the claims cover fragmenting a patient PEMR into distributed data fragments, reassembling those fragments for provider display only during active treatment at check-in, updating and replacing the stored fragments after provider interaction, and ensuring no complete PEMR copy remains on provider user components after closing at check-out. Dependent features add provider viewing-device constraints, cloud-based execution, distributed fragment-object synchronization and multi-provider request gating, random fragment-object distribution with sequence generation and blockchain-coded/authenticator-based access, and a mobile-device computer-readable indicia authenticator that is transmitted at patient check-in to limit reassembly timing.
Stated Advantages
No copy of the personal electronic medical record or the updated personal electronic medical record remains on any user component of the computer system of the health-care provider upon closing.
Reassembling only occurs during active treatment of the patient by the health-care provider during the patient appointment.
Reassembled electronic medical record cannot be stored on or forwarded from the viewing device of a health-care provider.
Secure authentication and authorization are provided for access to distributed data fragments, including blockchain code and a patient-assigned authenticator.
Documented Applications
EMR synchronization across a patient PEMR cloud store and multiple health-care provider EMR systems during patient appointments, using check-in/check-out workflow with provider active-treatment time-bounded reassembly.
Emergency personnel access to the PEMR with view-only access (as described in the provided document summary content).
Predictive/preventative analytics and real-time alerts including drug contraindication detection, adherence and adverse event reporting, and recall/early outbreak detection (as described in the provided document summary content).
Consent/digital signing and encrypted, logged communications using secure channels for patient-provider interactions (as described in the provided document summary content).
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