Longitudinal electronic record system and method with task-based workflow
Inventors
Naeymi-Rad, Frank • Charlot, Regis J P • OGANESOVA, Alina E. • HAINES, David O. • BODAL, Aziz M. • YOUNG, JR., Andre L. • Kobashi, Masayo • SCHAEFER, Stephanie J. • KANTER, Andrew Stuart • MEYERS, Kim Charles • MALDONADO, JR., Jose Antonio
Assignees
Samsung Electronics Co Ltd • Intelligent Medical Objects Inc
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Publication Number
US-8751501-B2
Publication Date
2014-06-10
Expiration Date
Abstract
A system and method for keeping, organizing and managing electronic records, comprising generating a first instance of data objects comprising data elements during a first encounter, the elements comprising a first instance identifier and temporal identifiers; linking a data object to a summarization reference with a pointer; creating an additional instance of data objects also comprising data elements comprising an additional instance identifier and temporal identifiers during a later encounter; and providing continuity for the first instance data objects over time. Continuity may be provided by tracking a relationship between the first instance data object and an additional instance data object and repointing the pointer to point between the summarization reference and the additional instance data object. The additional instance data object may be a revision of the first instance data object, and tracking may occur by back-linking the revision to the first instance data object.
Core Innovation
The invention relates to a longitudinal electronic medical record (LEMR) system and method for electronic record keeping, organizing and managing. It collects visit level information for administrative use, including data items representing demographic information, subjective information, objective information, assessment information and plan information, and it maintains a list of items relating to an individual while assuming management of follow up items.
A key aspect is creating a revision history of the list of items over time so that the record maintains continuity across encounters. The creating step links a data item of information created during a first visit and a data item of information created during a second visit, directly or indirectly, using a pointer, and the second visit data item is designated as current.
The linked data items are stored in a directed graph data structure. The described architecture also includes a privacy protocol, providing a task-based workflow, supporting secure data exchange, and supporting resource-based tasking, with a directed graph data structure implemented for storage in a relational database using an Adaptive Data Manager (ADM), including metadata-to-schema translation and directed-graph-to-list virtual arrays for current patient lists and reporting.
Claims Coverage
The partial content identifies one independent claim (clm-00001). Across that independent claim, the coverage includes collecting visit-level information, managing item lists and follow-up items with revision history, and implementing privacy with a task-based workflow, secure data exchange, and resource-based tasking; it also links visit data using pointers and stores the linked data in a directed graph data structure.
Linking visit data with pointers and current designation
Linking a data item of information created during a first visit and a data item of information created during a second visit, directly or indirectly, using a pointer, and designating the second visit data item as current.
Storing linked visit data in a directed graph data structure
Storing the linked data items in a directed graph data structure.
Collecting and managing visit-level information with follow-up revision history
Collecting visit level information for administrative use, said visit level information comprising data items representing at least one of the following: demographic information, subjective information, objective information, assessment information and plan information; collecting and maintaining a list of items relating to an individual; assuming management of follow up items; and creating a revision history of said list of items over time.
Executing a privacy-protected task-based workflow with secure exchange and resource-based tasking
Implementing a privacy protocol; providing a task-based workflow; supporting secure data exchange; and supporting resource-based tasking.
Independent claim clm-00001 covers an electronic record keeping method that links visit-specific data across time using pointers and designates the second-visit item as current, with the linked items stored in a directed graph data structure, while also collecting visit-level demographic, subjective, objective, assessment-plan information, managing follow-up items with revision history, and operating under a privacy protocol with task-based workflow, secure data exchange, and resource-based tasking.
Stated Advantages
Continuity over time across encounters by creating revision history and linking first-visit and second-visit data items.
Privacy protocol with audit of database activity, role-based record access, and encryption of sensitive data.
Documented Applications
Not explicitly described in patent.
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