摘要:
Described herein is a framework for predicting development of a cardiovascular condition of interest in a patient. The framework involves determining, based on prior domain knowledge relating to the cardiovascular condition of interest, a risk score as a function of patient data. The patient data may include both genetic data and non-genetic data. In one implementation, the risk score is used to categorize the patient into at least one of multiple risk categories, the multiple risk categories being associated with different strategies to prevent the onset of the cardiovascular condition. The results generated by the framework may be presented to a physician to facilitate interpretation, risk assessment and/or clinical decision support.
摘要:
Inclusion of a patient in a medical category is determined by triggering an analysis of an electronic medical record of the patient in response to an input of data into the electronic medical record. Identifying characteristics that indicate inclusion in the medical category with the analysis, and determining a probability the patient belongs to the medical category based on the identified characteristics.
摘要:
A predictive model of medical knowledge is trained from patient data of multiple different medical centers. The predictive model is machine learnt from routine patient data from multiple medical centers. Distributed learning avoids transfer of the patient data from any of the medical centers. Each medical center trains the predictive model from the local patient data. The learned statistics, and not patient data, are transmitted to a central server. The central server reconciles the statistics and proposes new statistics to each of the local medical centers. In an iterative approach, the predictive model is developed without transfer of patient data but with statistics responsive to patient data available from multiple medical centers. To assure comfort with the process, the transmitted statistics may be in a human readable format.
摘要:
Automatic mapping of semantics in healthcare is provided. Data sets have different semantics (e.g., Gender designated with M and F in one system and Sex designated with 1 or 2 in another system). For semantic interoperability, the semantic links between the semantic systems of different healthcare entities are created (e.g., Gender=Sex and/or 1=F and 2=M) by a processor from statistics of the data itself. The distribution of variables, values, or variables and values, with or without other information and/or logic, is used to create a map from one semantic system to another. Similar distributions of other variable and/or values are likely to be for variables and/or values with the same meaning.
摘要:
Hospital readmissions may be prevented. Readmission is prevented by predicting the probability of a given patient to be readmitted. The probability alone may prevent readmission by educating the patient or medical professional. The probability may be predicted during a patient stay and used to generate a workflow action item to reduce the probability, to warn, to output appropriate instructions, and/or assist in avoiding readmission. The probability may be specific to a hospital, physician group, or other entity, allowing prevention to focus on past readmission causes for the given entity.
摘要:
Computer-based patient management is provided for healthcare. Patient data is used to determine a severity, assign a patient to a corresponding diagnosis-related group, and provide a timeline for care at a medical facility. Reminders or alerts are sent to maintain the timeline for more cost effective care. Reminders, suggestions, transitions between care givers, scheduling and other risk management actions are performed. As more data becomes available as part of the care, the care and timeline may be adjusted automatically for more efficient utilization of resources. Accountable care optimization is provided as part of case management. Automated care before any injury or illness and automated care after discharge is provided to optimize the health and costs for a patient. The patient is assigned to the cohort based on the patient data.
摘要:
An adverse event may be prevented by predicting the probability of a given patient to have or undergo the adverse event. The probability alone may prevent the adverse event by educating the patient or medical professional. The probability may be predicted at any time, such as upon entry of information for the patient, periodic analysis, or at the time of admission. The probability may be used to generate a workflow action item to reduce the probability, to warn, to output appropriate instructions, and/or assist in avoiding adverse event. The probability may be specific to a hospital, physician group, or other medical entity, allowing prevention to focus on past adverse event causes for the given entity.
摘要:
Physician orders are automatically processed. Rather than requiring entry with a user interface in a computerized order entry system, physician orders may be handwritten on a piece of paper or entered on another handwriting device. The orders are scanned or transmitted. Using a lexicon limited to the vocabulary of possible orders, handwriting recognition is applied to the scanned order. By limiting the lexicon, the accuracy of the optical character recognition may be increased. The lexicon may be further limited by determining a diagnosis and/or treatment or imaging modality for the patient and selecting a lexicon limited to orders associated with the diagnosis or modality. The recognized order is then implemented by the computerized order entry system.
摘要:
Medical treatment is automatically surveyed. Drugs or other treatments may be monitored post-market. This surveillance may be accomplished in two ways: (1) Identify patients that potentially match templates consistent with possible adverse reactions, possibly including adverse reactions not associated with the treatment. Potentially, if the match is good enough, a single patient may be sufficient to raise an alert. Alternately, multiple patients partially matching a template may cause an alert. (2) Identify patient clusters with unusual patterns. Multiple patients associated with greater rates of adverse events or event severity not expected with the treatment are identified. The data for surveillance is acquired from multiple sources, so may be more comprehensive for early recognition of adverse effects. Data gathering and surveillance are computerized, so early, cost effective recognition may be more likely.
摘要:
Hospital readmissions may be prevented. Readmission is prevented by predicting the probability of a given patient to be readmitted. The probability alone may prevent readmission by educating the patient or medical professional. The probability may be predicted during a patient stay and used to generate a workflow action item to reduce the probability, to warn, to output appropriate instructions, and/or assist in avoiding readmission. The probability may be specific to a hospital, physician group, or other entity, allowing prevention to focus on past readmission causes for the given entity.