Creation of database and structured information

Abstract

A system through which verbal information can be utilized to create structured data with tags or inserted codes such as an XML code or the like provides hand held capability for easy adoption via CE, cell telephone, or other data entry devices. A visual display at the time of dictation can provide checklists, prompts or otherwise shape the entry to comport to a selected data context. The visual display can also be part of a transcriptionist system. By providing data in a coded fashion, analysis can be easily conducted such that alerts, bioterror alerts (e.g. evolving symptom or trend information for anthrax or the like) can be rapidly and perhaps automatically identified, and acted upon such as in providing health care alerts or locationally oriented statistical analysis information. A central database reporting function to a central authority (e.g., to the CDC or law enforcement) can be included for terrorist and other event management.

Description

[0001] Generally, this invention relates to a computer-based system for transcription and related information and other security and data intensive information or the like. Specifically, the invention may focus on applications, methods, software, hardware, services, and even business methods which can provide a variety of functions important in transcribing or handling information, such as medical information, including but not limited to convenient transcription with menu data tailoring as may be of interest to some of the users of the particular information involved. It may involve handling the information through a network such as the global information network or Internet. Specifically, the invention focuses on applications, methods, software, hardware, services, and even business methods which can provide a variety of functions important in the handling of the information, including but not limited to access, research, and other such functions. It can provide a variety of funct...

AI Technical Summary

Benefits of technology

[0016] One task in solving the problem is in simply capturing the data. The invention includes elements designed to tap into the vast amount of data and information that every moment in every office in America is dictated into a hand held portable tape recorder. The invention can marry the two concept of coding and a checklist by placing the custom templates directly on the screen of a hand held device such as a pocket PC. The invention can permit dictation directly "into" a pre-chosen template on a pocket PC, thus creating a digital .wav or other file of structured data that is then sent to a secure site such as via the Internet. An existing network of local independent transcriptionists can be leveraged (in many cases it may be the medical transcriptionist the doctor is already using) to access that structured data via the web and plug it into templated data fields as he or she is transcribing or editing the note. Surprisingly this can be accomplished simply and seamlessly. To the transcriptionist, it is an opportunity to provide a solution to their clients and save their careers doing much the same work they have always done, but they no longer need to drive to the site of practice, pick up tapes and because the technology can interface seamlessly with existing practice management software: they also no longer face the nightmare of matching demographic information to dictated tapes. Now the data (coding, for example) can be shaped, captured, and structured in one seamless process that leverages existing networks and does so without increasing cost to the physician or decreasing compensation to the transcriptionist. In fact, the technology can be further leveraged to save the physician or other person substantial time (through the use of customized macros), money (through more accurate coding) and to relieve the burden of fragmented, inaccessible patient data by collecting the information in a secure site accessible from any Internet portal. Further, using an XML model and leveraging semi-automation, the invention can allow an interface with existing systems. In one embodiment, wireless, portable remote hand held units can function as two-way data and information portals.

[0017] The hand held data entry device can be used to record pertinent data of any kind such as disease surveillance data, ICD-9 or CPT coding information, physical examination, history or lab data. Because the system is portable and voice driven, and because the data can be shaped and structured with templates and checklists, there is optimum flexibility and a very flat learning curve (i.e., as easy as dictating into a tape recorder with a checklist at your fingertips) and therefore, should have high adoption rates. The data can also be securely stored in a central database in XML format where it can be aggregated and then queried to serve a variety of needs. Further, the template model can allow any entity to create custom templates and checklists downloaded from the web to shape data entry such that specific critical data elements can be captured and tagged. In addition, the solution can work both ways. Not only can customized templates be deployed via the Internet to all hand held data entry devices, but they can also receive health alerts, updates and pertinent templates immediately in real time, dramatically shortening the information cycle in both directions. Remote systems with radio wireless technology can be used to keep remote sites connected to the central data processing repository and the health alert network in real time.

Problems solved by technology

One of the more inefficient environments in which to capture data is that from verbal information.

Because verbal or perhaps dictated information can use a variety of words or phrases for a singular meaning and because verbal information can be highly originator dependent, it can be challenging to capture in a structured data format.

This is compounded by the professional not having the time to enter the data manually.

Moreover, the threat of bioterrorism has become the reality of a bioterrorist attack.

Although the technology used to attack was quite simple, the consequences of the ensuing terror have been far reaching and profound.

It has become vividly clear that attacks cannot be entirely prevented.

In but one application, it can be understood that healthcare in general and physician practices in particular, have not kept abreast of dramatic improvements in the technology of data capture and management.

As a direct result, all stake holders from patient to providers are suffering.

Technology solutions have not been adopted by the vast majority of physicians, who for the most part, function as independent small groups focused on patient interaction and patient care, and have little time or patience with high tech solutions.

It is, however, quite clear that this is a fragmented market and a giant of a market waiting breathlessly for a palatable solution.

Driving the revenue loss is the stem gaze of the government and the threat of monetary and even criminal penalties should physicians err on the side of over-charging for their services.

Incomplete fragments of patient information are literally hidden in inaccessible paper files in hospital and physician practices around the country and tens of millions of dollars are wasted annually in trying to manage this paper nightmare.

The need for a solution is staggering, and yet no one has yet solved this puzzle.

Doctors know they have a problem and are indeed in pain.

But the pain of the solutions offered have to date been greater than the pain of the existing problem.

With more patients stacking up to be seen, there is precious little time to accomplish this task, so the vast majority of physicians must dictate the results of the encounter, often very rapidly, with no time left to edit or review before the next patient encounter.

Physicians do not, will not, cannot learn new methods of data entry that are less flexible and more time consuming.

Keyboards, pen charts and inaccurate, unedited voice recognition programs cannot serve their needs and so they rely on an existing transcription system and somewhat haphazard coding solution to help them document and justify each encounter.

Many such technologically advanced solutions exist now, and in large part they have been ignored or quickly abandoned.

The threshold of entry is simply too great.

Technology alone is not enough.

They realize that eventually technology will replace them, and yet they don't know when.

Their very careers are at stake, but because they are small and fragmented, they do not have the individual resources to solve doctors problems alone.

Likewise, coding solutions are many, varied and fragmented and likewise, though they are aware of physician suffering; professional coders don't have the insight or resources to comprehensively address the need.

In the context of sharing information, one of the problems appears to be the fact that healthcare in general and physician practices in particular have not kept abreast of dramatic improvements in the technology of data capture and management.

The events of September 2001 however, make it equally clear that a fragmented state-by-state approach may get us there by 2010, but we no longer enjoy the luxury of time.

Furthermore, a key component in the electronic chain has not been adequately addressed by these important recommendations or by the health alert network.

Unfortunately, technology solutions have not been adopted by the vast majority of physicians who, for the most part, function independently.

As a result, incomplete fragments of patient information are buried in inaccessible paper files in hospital and physician practices around the country.

Not only are tens of millions of dollars wasted in trying to manage this paper nightmare, but literally billions of dollars are lost due to our inability to capture the data and glean critical information on public health, treatment efficacy and the early detection of health trends so that effective and rapid solutions can be deployed.

If the information cannot be captured, it cannot be managed.

If it cannot be managed, then care cannot be optimally improved.

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