Patent Application
20210407694
Embodiments described herein relate generally to providing healthcare data to a user device. More specifically the embodiments relate to methods, systems, and computer programs for transmitting healthcare data to a user device configured for use in analysing medical information.
Medical guidelines provide recommendations for how people with specific medical conditions should be treated. Medical guidelines may indicate which diagnostic or therapeutic steps should be taken when treating a patient with a specific condition and what follow-up procedures should be performed dependent on the results of the diagnostic or therapeutic steps. Some medical guidelines provide information about the prevention, prognosis of certain medical conditions as well as the risk and/or benefits, and take in account the cost-effectiveness associated with diagnostic and therapeutic steps in the treatment of a patient. The information contained within a guideline is generally specific to a particular medical domain.
Data pertaining to patients being treated for a medical condition are typically generated during diagnostic and therapeutic steps. This data is typically stored in disparate sources relating to the locations, such as clinical centres or hospitals, in which the data is generated. Data pertaining to patients may be encoded to relate the raw data or values with the respective clinical steps which generated the data. Data may be encoded using clinical coding systems such as SNOMED CT, LOINC, SiemensĀ® internal coding system, among other coding systems.
Patient conditions and diseases do not always conform with recommendations and clinical pathways provided in Medical guidelines. Medical guidelines are regularly updated to reflect changes and improvements in clinical pathways for diseases. A clinical pathway, also called a disease pathway, may include secondary prevention, screening, diagnostics, diagnosis, therapy decisions, therapy and follow-up treatments or decisions. As such, a medical guideline alone may not always be sufficient to enable sufficient analysis.
Therefore, it is desirable to improve ease and accessibility of medical information that is transmitted to a user device for analysis.
A system for generating a decision graph based on medical guidelines is described in US 2016/0321402 A1, wherein decision graphs reflecting the logic encoded in the medical guideline are evaluated with respect to patient records.
In a first embodiment, there is provided a system operable to transmit healthcare data to a user device the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the first plurality of nodes being connected to at least one further node of the first plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph based at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
In a second embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph based at least on the one or more differences and the first directed graph,
transmitting data representing the second directed graph for receipt by the user device.
In a third embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different, plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph; and
generating a second directed graph based at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
In a fourth embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and the computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined context parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
In a fifth embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
In a sixth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
In a seventh embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code configured to, with the at least one processor, cause the system at least to perform the steps of:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
In an eighth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
In a ninth embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information associated with a patient, the method comprising:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graph;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
In a tenth embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one of the set of directed edges for receipt by the user device.
In an eleventh embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node:
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one directed edge of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one directed edge for receipt by the user device.
In a twelfth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, data representing a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one directed edge of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one directed edge for receipt by the user device.
In a thirteenth embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the patient treatment report for receipt by the user device.
In a fourteenth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the treatment report for receipt by the user device.
In a fifteenth embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the treatment report for receipt by the user device.
In a first embodiment, there is provided a system operable to transmit healthcare data to a user device the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the first plurality of nodes being connected to at least one further node of the first plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph based at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
The healthcare data (also referred to as medical or clinical data and/or information) may comprise data related to a medical guideline such as text comprised in a medical guideline and/or directed graphs representing medical guidelines. Healthcare data also comprises secondary information relating to medical conditions such as research papers, results from clinical trials, data collected from patients in the course of ongoing treatment of medical conditions. Healthcare data also comprises data relating to specific patients collected during clinical steps. Healthcare data may comprise electronic records of one or more patients, patient and/or disease registries comprising data relating to chronic conditions.
Therefore, the user device may be provided with an updated version of at least part of a medical guideline in the form of a directed graph to use when analysing medical information relating to a patient being treated for a medical condition associated with the medical guideline.
The system may determine that an updated version of the medical guideline is available by comparing metadata associated with the first medical guideline with meta data associated with one or more further, different, medical guidelines stored at one or more medical guideline repositories. Thereby the system may automatically determine that an updated version of the medical guideline is available at a medical guideline repository. The medical guideline repository may comprise all medical guidelines relevant to a particular medical condition, or to a particular country or practice group.
In examples, each of the first plurality of nodes represents a clinical step. In some examples each of the first set of directed edges represents a conditional parameter value resulting from the clinical step associated with one of the first plurality of nodes connected thereto. Thereby a user of the user device may review an updated directed graph comprising indications of each of the clinical steps to be performed during the treatment of a patient with a particular medical condition and what conditions must be satisfied when moving from one clinical step to a next clinical step.
The system may additionally: generate a second, different, set of associations, each being between one of a second, different, set of directed edges of the directed graph that may represent at least part of the second version and a respective part of the second version; identify, based on the second set of associations, one or more further differences between the second set of directed edges and the first set of directed edges; and generate the second directed graph dependent at least on the one or more further differences and the first directed graph.
Thereby, the system may update the directed graph based on differences in the conditional parameter values which determine when a patient may move from one clinical step to another clinical step or in some cases the pathway a patient may take between different clinical steps described in the medical guideline may change.
The system may additionally: responsive to the determination compare a first textual excerpt of the first version of the medical guideline to a corresponding second textual excerpt of the second version of the medical guideline; and transmit data representing a result of the comparison for receipt by the user device.
Thereby healthcare data in the form of textual excerpts from medical guidelines may be updated and relevant medical information may be transmitted to the user device.
Generating the second directed graph may comprise: based on a user input indicative of a decision in respect of at least one of the one or more differences, selectively using at least part of the first version or the second version to generate a respective part of the second directed graph.
The first directed graph may comprise data indicative of at least one local modification made by a user of the system. This allows the guidelines used in treating patients to be customised, for example, to cater to patient requirements and/or policies.
In an example, a part of the second directed graph may be based on the at least one local modification.
The system may additionally: maintain, in a database, a patient model comprising healthcare data associated with a patient; and determine, based on the combination of the first directed graph and the patient model, a first clinical pathway represented by at least some of the first plurality of nodes and at least one of the first set of directed edges. The healthcare data comprised in the patient model may comprise test results from diagnostic tests or therapeutic treatments performed on the patient. Thereby the system enables monitoring of a clinical pathway associated with a patient.
Generating the second directed graph may comprise determining, based on a combination of the first clinical pathway and the one or more identified differences, a second clinical pathway represented by at least some of a third, different, plurality of nodes comprised in the second directed graph and at least some of a third, different, set of directed edges comprised in the second directed graph. This may enable the status of the patient to be identified in accordance with the updated version of the medical guideline. This allows the first clinical pathway of the patient to be mapped to the second directed graph.
Determining the second clinical pathway may comprise transmitting data indicative of a comparison between the first clinical pathway and the one or more differences for receipt by the user device; receiving, from the user device, data indicating a command; and determining, the second clinical pathway based at least on the received command. Thereby a user of the user device, such as a medical practitioner, may be able to review differences which alter the mapped status of the patient along the first clinical pathway and manually modify the second clinical pathway e.g. override one or more of the consequential changes in the second clinical pathway.
In a second embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph based at least on the one or more differences and the first directed graph,
transmitting data representing the second directed graph for receipt by the user device.
In a third embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different, plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph; and
generating a second directed graph based at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
In a fourth embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and the computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined context parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
This enables selection of a directed graph based on a medical condition and a context parameter, which allows a more suitable and/or tailored medical guideline to be provided to the user device when analysing medical information, for example, associated with a patient.
In an example, each of the nodes represents a clinical step. In an example, each of the directed edges represents a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
The system may additionally maintain, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient.
Thereby the system may centralise healthcare data, such as test results, relating to a patient collected from a plurality of disparate sources.
The context parameter may comprise data indicative of one of the plurality of patient models. This allows the selected graph which is chosen to be specific to a particular patient, and thereby the selected directed graph may be configured to provide tailored healthcare to a particular patient based on, for example, the patient's preferences or needs.
The context parameter may comprise data associated with at least one patient entry. This may enable selection of a patient model and thereby a directed graph using a patient entry without requiring identification of a patient. For example, a test result from a clinical step performed on the patient may be used to identify the patient and thereby the directed graph to be selected.
The system may additionally: select, based on the context parameter and the data identifying the medical condition, a further directed graph from the plurality of directed graphs; and transmit data indicative of the selected further directed graph for receipt by the user device. Thereby, in cases wherein two directed graphs may be suitable for use in analysing medical information associated with a patient, both directed graphs may be transmitted to the user device for review.
The healthcare data comprising data identifying a medical condition received from the user device may be received via a network interface over a wide area network. Thereby, the user device may remotely access the system to select a directed graph.
The context parameter may comprise an indication of a location of the user device and/or an indication of a medical practitioner using the user device. Thereby the system may select a directed graph which is specific to the location of the user device, for example, a particular hospital having a specific medical guideline for treating a disease, or specific to the user of the user device, for example, a medical practitioner running a clinical trial in which a tailored medical guideline is needed.
The selected directed graph may comprise data indicative of a local modification of at least one of the nodes and/or at least one of the set of directed edges of the selected directed graph. This allows the selected directed graph to help provide tailored care to a patient using modifications by a user of the system.
The system may additionally: maintain, in a database, a plurality of textual excerpts from at the least one medical guideline; select, based on the medical guideline represented by the selected directed graph, at least one textual excerpt from the plurality of textual excerpts; and transmit data indicative of the textual excerpt for receipt by the user device. This allows the system to provide relevant healthcare data in the form of excerpts from a medical guideline to a user device when the user device is used in analysing medical information associated with a patient.
The system may transmit data to the user device over a wide area network via network interface. This allows the user device to receive relevant healthcare data when the user device is remote from the system such as when the system is located at a different hospital to the user device, or when the user device is being used remotely from a medical centre.
In a fifth embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
In a sixth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
In a seventh embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code configured to, with the at least one processor, cause the system at least to perform the steps of:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
Thereby the system may be configured to automatically retrieve relevant healthcare data, dependent on the combination of the selected patient model and the selected directed graph. This allows relevant and helpful healthcare data to be transmitted to the user device to be displayed on the user device when a medical practitioner is analysing medical information, for example, test results. Thereby the user device may be provided with explicit instructions and/or medically relevant information for making decisions relating to a patient.
Further healthcare data may comprise at least one of: a textual excerpt from the medical guideline associated with the selected directed graph; statistical information relating to a patient cohort associated with the selected patient model; a medical research paper; and consensus based supplementary medical data. Thereby the user device may be provided with supplementary information relevant to a specific context.
In some examples, each of the nodes represents a clinical step. In some examples, each of the directed edges of the selected directed graph represents a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
The system may additionally maintain, in a database, at least one association between the further healthcare data and at least one directed graph, and wherein the further healthcare data is retrieved according to the at least one association. Thereby the further healthcare data which is retrieved is relevant to the medical condition associated with the directed graph at the user device.
The at least one association may be between the further healthcare data and the node, and wherein the further healthcare data is retrieved according to the at least one association. This allows the further healthcare data to be more specifically relevant to a particular clinical step being reviewed at the user device when analysing medical information.
Retrieving the further healthcare data may be dependent on a status of at least one of the plurality of nodes and/or at least one of the set of directed edges of the selected directed graph.
The status of the node is dependent upon availability of data associated with a clinical step represented by the node. The status of the directed edge is dependent upon a combination of data associated with a clinical step represented by the node connected thereto and a conditional parameter value represented by the directed edge. Thereby, the further healthcare data may be retrieved dependent on the status of the patient. For example, further healthcare data may be retrieved if the patient has failed a test and the user of the user device needs more information to determine the next steps for the patient.
The patient model may comprise a plurality of patient entries and wherein determining a status of the node and the directed edge connected thereto comprises the steps of:
maintaining a first association between at least one of the patient entries and an identifier from a plurality of identifiers;
maintaining a second association between at least one of the nodes and an identifier from the plurality of identifier;
selecting, based on the first and second associations, the attribute value associated with the node; and
determining, based on a comparison of the attribute value associated with the node to a conditional parameter value represented by the directed edge, whether the conditional parameter value represented by the directed edge is satisfied.
Retrieving further healthcare data may be dependent on a determination that a further, different, the directed graph based on the selected patient model does not correspond with the selected directed graph. Thereby, the system may provide a user of the user device with supplementary information for improving healthcare provided to a patient even when the patient does not conform to standard medical guidelines.
The system may retrieve further healthcare data dependent on a determination that the status of at least one of the nodes and/or at least one of the set of directed edges of the selected directed graph cannot be determined based on the selected patient model. This may allow the system to retrieve further healthcare data to be used in determining the status of the at least one node or at least one directed edge which cannot be determined based on the plurality of attribute values.
The system may additionally: maintain, in a database, an association between a plurality of state parameters and the further healthcare data, the state parameters being for use in processing a decision at the node of a directed graph; receive, from the user device, data indicating a rating associated with the retrieved further healthcare data; and process the rating to modify the state parameter based on the received rating. The state parameters may be used to determine the suitability of further healthcare data retrieved when analysing medical information such as a particular node and or directed edge. Thereby, the system may allow a user to rate the suitability of further healthcare data to particular situations.
In an eighth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
In a ninth embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information associated with a patient, the method comprising:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graph;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
In a tenth embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one of the set of directed edges for receipt by the user device.
As discussed above, determining a status of at least one node and at least one directed edge of the selected directed graph based on the selected patient model allows the status of the patient to be determined such that a user of the user device is provided with an overview of the clinical steps a patient has undergone, and the current status of the patient, which may allow the user to determine best practice future clinical steps to be performed on a patient. Further, the determined status may allow the user to see how to conform to the medical guideline the patient, represented by the patient model, has been treated in the past and whether results from clinical steps performed on the patient deviate from the medical guideline.
In some examples, each of the nodes represents a clinical step. In some examples, each of the directed edges represents a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
The status of the node may be dependent upon availability of data associated with a clinical step represented by the node.
The status of the directed edge may be dependent upon a combination of data associated with a clinical step represented by the node connected thereto and a conditional parameter value represented by the directed edge.
In examples the selected patient model may comprise a plurality of patient entries and determining a status of the node and the directed edge connected thereto may comprise the steps of:
maintaining a first association between at least one of the patient entries and an identifier from a plurality of identifiers;
maintaining a second association between at least one of the nodes and an identifier from the plurality of identifiers;
selecting, based on the first and second associations, the attribute value associated with the node; and
determining, based on a comparison of the attribute value associated with the node to the conditional parameter value represented by the directed edge, whether the conditional parameter value represented by the directed edge is satisfied.
The system may additionally: determine, based on an identified status of at least one of the nodes and at least one of the directed edges of the selected directed graph, such as by the examples described above, whether a further, different, the directed graph based on the selected patient model corresponds with the selected directed graph; and dependent on the determination, transmit data indicating the determination for receipt by the user device.
The system may additionally: determine, based on the identified status of the at least one of the nodes and the at least one directed edge, a start date and an end date of at least one treatment phase associated with the at least one medical guideline; and transmit data indicating the start and the end date of the at least on treatment phase for receipt by the user device. This may a determination of which treatment phase or phases the patient, represented by the selected patient model, has completed or is undergoing even if the patient model does not comprise a patient entry for each respective node and/or directed edge in the treatment phase. The treatment phase may be represented in the selected directed graph by at least some of the plurality of nodes connected by at least one of the set of directed edges. This allows a user to easily determine if a patient has deviated from the medical guideline and whether they need extra medical attention, for example, whether a treatment is not working and whether more information is need on and/or more clinical tests need to be performed on the patient.
The system may also retrieve further healthcare data associated with the at least one treatment phase; and transmit the further healthcare data associated with the at least one treatment phase for receipt by the user device. This allows the user of the user device to review information relevant to a treatment phase the patient has undergone or is currently undergoing to provide improved medical guidance and healthcare to the patient, for example, further healthcare data may indicate side effects associated with a treatment phase the patient is undergoing such that a user of the user device is able to inform the patient of the side effects associated with the current treatment phase.
The system may additionally identify, for at least on treatment phase, at least one node and at least one directed edge for which an attribute value cannot be selected based on the identifier; and determine the status of the at least one node and the at least one directed edge using the selected patient model and further healthcare data. By retrieving further healthcare data, for example, patient cohort data associated with a patient cohort sharing at least one characteristic with the patient represented by the patient model the system may determine a pathway in the treatment phase which the patient underwent based on a weighted calculation. The system may determine, based on dates of patient entries which are used to determine the status of the nodes, and further healthcare data, by which clinical pathway the patient was treated during the treatment phase. This allows a determination of the patient status to be made for nodes and/or directed edges for which patient entries are not stored.
The system may additionally transmit data indicating the at least one node and the at least one directed edge for which an attribute value cannot be selected based on the identifier for receipt by the user device; and receive, from the user device, data indicating the status of the at least one node and the at least one directed edge for which an attribute value cannot be selected based on the identifier. This allows a user of the user device to manually enter information which is missing from a patient model to identify the clinical pathway a patient has taken during treatment.
In an eleventh embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node:
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one directed edge of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one directed edge for receipt by the user device.
In a twelfth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, data representing a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one directed edge of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one directed edge for receipt by the user device.
In a thirteenth embodiment, there is provided a system operable to transmit healthcare data to a user device, the user device being configured for use in analysing medical information, the system comprising at least one processor and at least one memory including computer program code, the at least one memory and computer program code configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the patient treatment report for receipt by the user device.
The patient treatment report may comprise an indication as to whether the selected patient model conforms to the selected directed graph, that is to say whether the patient represented by the patient model was treated according to recommendations in the at least part of at least one medical guideline represented by the selected directed graph. Thereby a user of the user device may be informed about the conformity of the treatment of a patient to a medical guideline. Data indicative of the patient treatment report may be stored in a database remotely from the patient models but may be linked to the models by, for example, an identifier allowing the patient treatment report to be accessed at a later time.
In examples, the patient treatment report comprises data indicating an average status of the at least one of the nodes and the at least one of the set of directed edges of the selected directed graph. Thereby providing a clear indication of the overall conformity of treatment provided to the patient represented by the selected patient model to the at least part of at least one medical guideline represented by the directed graph.
In some examples, each of the nodes represents a clinical step.
In some examples, each of the directed edges represents a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
The status of the node may be dependent upon availability of data associated with the clinical step represented by the node.
The status of the directed edge may be dependent upon a combination of data associated with a clinical step represented by the node connected thereto and a conditional parameter value represented by the directed edge.
In some examples, the data indicative of the patient treatment report comprises data indicating, based on the identified status of the at least one node and the at least one of the set of directed edges, a conformity of the selected patient model to the selected directed graph.
This may allow more detailed analysis of the conformity of the selected patient model with the selected directed graph.
In some examples, if the selected patient model does not conform to the selected directed graph, the data indicative of the patient treatment report comprises at least one of:
an indication of a node or a directed edge for which the selected patient model does not conform to the selected directed graph;
data indicative of non-conformity between the selected patient model and the selected directed graph; and
data indicative of deviation between the selected patient model and the selected directed graph.
This may allow the user device to display specific information regarding, when, why, and how the treatment of a patient deviated from the recommended options of the at least part of at least one medical guideline.
In some examples the at least one processor and at least one memory including computer program code are configured to, with the at least one processor, cause the system to perform the steps of:
maintaining, in a database, data indicative of a plurality of patient treatment reports;
generating, based on the data indicative of the plurality of patient treatment reports, data indicative of a patient cohort treatment report; and
transmitting the data indicative of the patient cohort treatment report for receipt by the user device.
This may allow statistical correlations between conformity of treatment to medical guidelines and characterising features of patient guidelines to be identified. For example, determining clinical steps which are routinely used or not used by a specific patient cohort, thereby allowing the identification of shortcomings in treatment of patients or shortcomings in the recommended clinical steps provided by medical guidelines.
In a fourteenth embodiment, there is provided a computer program comprising a set of instructions, which, when executed by a computerised device, cause the computerised device to perform a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising, at the computerised device:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the treatment report for receipt by the user device.
In a fifteenth embodiment, there is provided a method of transmitting healthcare data to a user device, the user device being configured for use in analysing medical information, the method comprising:
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the treatment report for receipt by the user device.
Embodiments will now be described in the context of systems, methods, and computer programs for providing information to a user of a user device, the device being configured for use in analysing medical information. Reference will be made to the accompanying drawings. In the following description, for the purpose of explanation, numerous specific details of certain examples are set forth. Reference in the specification to āan exampleā or similar language means that a particular feature, structure, or characteristic described in connection with the example is included in at least that one example, but not necessarily in other examples. It should further be noted that certain examples are described schematically with certain features omitted and/or necessarily simplified for ease of explanation and understanding of the concepts underlying the examples.
In other examples, system 100 may comprise a plurality of remote devices. The plurality of remote devices may be connected over a metropolitan area network, a campus area network, or a wide area network, for example, the internet. The system 100 may comprise a plurality of servers and/or mainframe computing devices distributed in hospitals within a country. In other examples, the system 100 may be distributed across multiple countries.
The example system 100 shown in
The example system 100 shown in
In an example, the system 100 refers to a system operable to provide healthcare data to a user device. The system 100 may be operated via a user device, by a user analysing medical information. For example, a doctor, a nurse, a clinical assistant, and others analysing medical information for a patient. Medical information may relate to data, for example, numerical test results from a diagnostic test. Medical information may also relate to qualitative diagnoses and notes relating to a patient or patients.
The user device 106a-d may be configured for use in analysing medical information. For example, the user device 106a-d may comprise an application for presenting medical information to a user for analysis. In some examples there are multiple user devices 106a-d. The multiple user devices 106a-d may be communicatively coupled to one another. At least one user device 106a-d may be used to control the system 100.
In some examples, a user device 106a-d may be a proprietary device configured to be used in or with the system 100. For example, the user device 106a-d may be a proprietary computing device comprising a combination of firmware, software, and custom applications for providing data and/or other information to a user. For example, the user device 106a-d may comprise applications for displaying data received by and/or transmitted to the system 100 in a predetermined way.
In other examples, the user device 106a-d and the system 100 are comprised in the same device, for example, a desktop computer at a hospital.
In other examples, a user device 106a-d may be a commercially available computing device comprising any number of applications operable to access data at, receive data from, or transmit data to the system 100. For example, the system 100 may maintain at least one web page, hosted on a remotely accessible server. The user device 106a-d may comprise a web browser operable to access the at least one webpage and thereby facilitate communication with the system 100 and/or display data stored by the system 100 on the use device 106a-d.
The system 100 shown in
In some examples, the system may be able to communicate with other systems or remote data sources. In an example shown in
The system may also be in communication with a computing device 112c acting as a control device to control the operation of the system 100. For example, a remote computing device such as a personal computer or a server which may be used by an administrator to control the system 100.
Healthcare data as described herein may comprise data relating to: patient records (for example, results from diagnostic tests or therapeutic steps), medical guidelines (for example a directed graph as will be discussed below), statistical data, medical research, scientific articles, or any other medically or clinically relevant information. Healthcare data may be stored in any number of digital formats, the digital format in which the healthcare data is stored may be dependent on the type of healthcare data. For example, raw data relating to diagnostic results may be stored as plain text files, CSV files, or any other suitable file format. Some types of healthcare data may be stored in a human readable format or alternatively may be stored in computer interpretable language. In some examples, the system 100 may transmit healthcare data to a user device 106a-d in a computer interpretable format and the user device 106a-d may process the data and present it to a user in a human readable format.
A medical guideline may define clinical pathways for treating patients with a medical condition. In some examples, a medical guideline may be divided into a series of treatment phases. Examples of treatment phases may include: staging, initial treatment, active surveillance, recurrent treatment, and others. Clinical pathways may be defined by a series of clinical steps, wherein the choice of which clinical step to perform at a given time is dependent on at least a result from at least one previous clinical step. Clinical steps may include, observations, decisions, events, diagnostic tests or therapeutic treatments to be delivered to a patient with a medical condition. Medical guidelines may be printed or published online in a digital format such as PDF. Medical guidelines may contain evidence and/or consensus-based recommendations for medical treatment pathways. Medical guidelines may also contain explanations and/or justifications for the clinical pathway defined within the respective medical guideline.
In examples described herein the system 100 may maintain in the database 108 a medical guideline represented by at least one directed graph. In some examples a set of directed graphs may be used to represent a medical guideline, for example with each directed graph representing a treatment phase within the medical guideline. In the forthcoming discussion reference may be made to a medical guideline being represented by a directed graph. However, it is acknowledged that a medical guideline may represented by a set of directed graphs and reference to a directed graph representing a medical guideline may refer to a directed graph representing at least part of a medical guideline. In an example, a set of directed graphs may connect to each other to form a medical guideline. The system 100 may be preinstalled with machine interpretable representations of the latest medical guidelines. An example of a directed graph can be seen in
In an example, a directed graph may be maintained in JSON format, for example, as at least one list comprising unique identifiers representing nodes and directed edges of a directed graph. The entries in the at least one list may be linked to definitions or references in the respective guideline. In some examples this link may comprise other information, for example, a consensus-based weighting. The entries which represent directed edges may also comprise an association or link to nodes connected to the directed edge in the respective directed graph. The entries which represent directed edges may also comprise information on a direction from a first node connected to the directed edge to a second node connected to the directed edge. For example, the entries representing a directed edge 204c may comprise indicating that the directed 204c is connected to nodes 202b and 202e and that the direction along the directed edge 204c is from 202b to 202e. The directed graphs may comprise two layers of elements allowing modifications to be made at a clinic and/or clinical site without losing the information relating to the original directed graph.
Further information relating to a directed graph may be maintained in an event model.
In some examples, a single directed graph may represent a medical guideline. In other examples a single directed graph may represent at least part of at least one medical guideline, for example a directed graph may represent a treatment phase within a medical guideline, and in still other examples, a directed graph may represent more than one medical guideline or at least part of more than one medical guideline.
In certain examples described herein the system 100 may maintain, in the database 108, at least one patient model, the at least one patient model comprising healthcare data associated with a patient. For example, the patient model may comprise any of: data generated during clinical procedures such as diagnostic and/or therapeutic steps performed on a patient; reasons for performing a clinical procedure on a patient, for example, especially where the choice of clinical procedure deviates from a medical guideline; general data relating to a patient such as age, gender, height; known conditions, risk factors, a patient identifier; or any other information classifying the patient. In some examples, the at least one patient model may be stored as a list comprising a plurality of patient entries. Each patient entry may comprise data relating to a patient attribute.
In some examples, a plurality of patient models relating to patients may be stored and/or maintained in a central database 108 or computing device. The patient models may be accessible through the system 100 over a network connection. In other examples, patient models may be stored locally with the clinical centre, for example a doctor's surgery or a hospital, at which the patient has been treated in the past or is currently receiving treatment. Patient models stored at one hospital in the system 100 may be accessed at remote locations through the system 100, for example, over the network 110.
In some examples, the system 100 updates patient models by accessing remote computing devices 112a-c over the network 110. For example, the system 100 may access medical testing equipment storing data relating to a patient, over the network 110 to update a respective patient model. The system 100 may access servers or other computing devices in hospitals which store medical information relating to patients. In some examples, the system 200 may continuously and/or regularly collect data about patients from various hospital information systems. Data may be collected at predetermined intervals for example, every hour, every day, etc. The size of the interval may be dependent on the size of the system 100 or the clinical centres. In some examples, data collection may be triggered by other events and/or messages occurring in the system 100. The retrieval of the data about the patients may be based on existing standards, for example, HL7, DICOM, FHIR. In other examples the retrieval of the data about the patients may be performed by using proprietary information about information storages available in a hospital. In some examples the retrieval of patient data is performed by receiving or accessing data, from external sources, comprising encoded identifiers such as SNOMED CT, LOINC, or Siemens internal coding system. In other examples, the system 100 may use natural language processing techniques to extract information from electronically stored notes and files relating to a patient. In some examples, a combination of both techniques may be used. The patient model may be represented in the system 100 as a set of resources conformant with FHIR standard and stored in an FHIR server.
The system 100 may analyse medical data, which may also be called clinical or healthcare data, stored in a plurality of patient models, or stored externally from but linked to patient models, to derive statistical data to be used as further healthcare data. The system 100 may infer statistics on the patient histories represented in the patient models, for example, relative frequencies of conducted diagnostic and/or therapeutic steps, patient clinical and outcome characteristics, for example, the number of patients proceeding from a given clinical step to a further clinical step, the ages, gender, stage of disease, survival. The system 100 may utilise a statistical and/or machine learning tool to infer statistical correlations, such as typical patient cohorts and typical duration, impact on quality of life, cost, reasons for conformity or non-conformity to the selected directed graph, etc. per patient cohort. Patient cohorts may be split into guideline conform and guideline non-conform subsets to analyse the typical adherence to the guideline for particular patient cohorts and to identify hypotheses for medical field studies by detecting statistically significant deviations from the guidelines. This may be used to help determine new pathways which are not yet in medical guidelines.
In some examples, the system 100 may store data indicative of patient treatment reports. Each patient treatment report may comprise data indicating decisions along a clinical pathway for the patient which did not conform to a selected medical guideline. In some examples, a patient treatment report may indicate decisions which did not conform to the selected medical guideline, the nature of the deviation from the medical guideline, the date on which the deviation occurred, and any other suitable information. The reasons for deviating from the medical guideline may be generated by medical practitioners and may be stored as any suitable electronic file format. In some examples, the nature of the deviation from the medical guideline may comprise selecting a clinical step which is not recommended by the medical guideline. For example, where conditional parameter values of a previous clinical step are not met and/or when previous clinical steps have not been performed. In other examples, the nature of the deviation may be the lack performance of a recommended clinical step. Data indicating the nature of the deviation from the medical guideline may comprise data indicating results of alternative clinical step performed and/or medical notes entered by a medical practitioner explaining the nature of the deviation from the medical guideline.
The following description of embodiments of the inventions will be described with reference to the example system of
The program code may be configured to, with the at least one processor 102a-n, cause the system 100 to perform the step of, responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different, plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version, as shown in block 504.
In some examples, the system 100 may determine that a second version of the medical guideline is available based on a received command, for example from a control device such as remote computing device 112c or a user device 106a-d. In some examples, a received command may comprise an indication of a medical guideline for which a second version is available. The received command may include an indication of where the second medical guideline is stored. In other examples the received command may include the second version of the medical guideline. In some examples the second version is an updated version of the medical guideline.
In some examples, the system 100 may access a remote computing device 112a-c at predetermined intervals, for example, once a week, once a month, or any other suitable interval, to determine whether a second version of the medical guideline is available. For example, determining that a second version of the medical guideline is available may be performed by comparing metadata associated with the first medical guideline meta data associated with one or more further, different, medical guidelines stored at one or more medical guideline repositories 112b. For example, the system 100 may access at least one medical guideline repository 112b to check for a second version of the medical guideline associated with the first directed graph and comparing metadata associated with the first directed graph with metadata associated with metadata associated with at least one medical guideline stored at the at least one medical guideline repositories 112b. The metadata of each medical guideline may provide an indication of the publication date of the respective medical guideline, a version indicator, or any other information which may be used to compare and determine whether a medical guideline in the repository 112b is a second version of the medical guideline represented by the first directed graph.
In some examples, each of the first plurality of nodes may represent a clinical step. Each of the set of directed edges may represent a conditional parameter value resulting from the clinical step associated with one of the first plurality of nodes connected thereto.
Generating the first set of associations may comprise retrieving the second version of the medical guideline wherein the second version of the medical guideline comprises passages which may be represented by a second, different, plurality of nodes of a directed graph. Retrieving the second version of the medical guideline may comprise downloading the medical guideline from a remote computing device 112a-c over a network 110. Alternatively, the medical guideline may be directly uploaded to the system 100 for example, via an external storage device such as a flash memory drive or a direct cable connection from an external computing device.
In some examples, the first set of associations may be between a plurality of unique identifiers and sections of the second version of the medical guidelines and/or to an event model representing the second version of the medical guideline. In some examples, the system 100 may generate the first set of associations when accessing and/or retrieving the second version of the medical guideline.
In some examples the program code may be configured to, with the at least one processor 102a-n, cause the system 100 to perform the step of identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph, as shown at block 506. For example, the system 100 may detect a difference between a passage of the second version of the medical guideline and the respective passage in the original medical guideline, wherein the passage directly relates to at least one node. In some examples a difference may include an order of the nodes in a clinical pathway defined by the medical guideline. A difference may indicate a different clinical step to be performed at a stage in the clinical pathway. Differences may include additions to or omissions of information in the original medical guideline.
In some examples, identifying the differences comprises comparing data indicative of at least part of the first version of the medical guideline with data indicative of the second version of the medical guideline. For example, the whole text in the medical guideline represented by the first directed graph may be compared with the whole text in the second version of the medical guideline. Following the identification of differences in the text between the two versions, the system 100 may then determine if the detected differences relate to sections in the medical guidelines which are represented by nodes in the first plurality of nodes of the first directed graph, either by the first set of associations or otherwise. In other examples, only the respective parts or sections of the second medical guideline which comprise associations to a node of the second plurality of nodes are compared with the medial guideline represented by the first directed graph.
The program code may also be configured to, with the at least one processor 102a-n, cause the system 100 to perform the step of, generating a second directed graph dependent at least on the one or more differences and the first directed graph, as shown at block 508.
In some examples, generating the second directed graph may comprise determining associations between nodes and clinical steps described in the updated version of the medical guideline using natural language processing and modifying the respective nodes of the first directed graph based on these differences. Generating a second directed graph may comprise generating an event model representing events described in the medical guideline.
The program code may also be configured to, with the at least one processor 102a-n, cause the system 100 to perform the step of, transmitting data representing the second directed graph for receipt by the user device 106a-d, as shown at block 510. Transmitting data for receipt by the user device 106a-d may comprise sending data indicating the second directed graph over a network connection to the user device 106a-d. In some examples, the system 100 transmits data relating to the parts of the second directed graph which are different to the first directed graph.
In some examples, generating a second directed graph may comprise, based on a user input indicative of a decision in respect of at least one of the one or more differences, selectively using the at least part of first version or the second version to generate a respective part of the second directed graph. In a specific example this may comprise transmitting data representing at least one difference between the first directed graph and the directed graph that may represent at least part of the second version for receipt by the user device 106a-d and receiving, from the user device 106a-d, data indicating a decision to accept or reject at least one of the differences. For example, the system 100 may provide the identified changes to a user device 106a-d such that a user of the user device 106a-d may approve or decline any identified changes between the first directed graph and the directed graph that may represent at least part of the second version of the medical guideline. In some examples, it may not be possible to automatically generate a second directed graph, for example, where at least one of the first or second versions of the medical guideline is not structured appropriately. In such examples, the system 100 may transmit data indicative of at least one difference between the first and second versions of the medical guideline, for example differences in text comprised in the medical guidelines or differences in directed graphs representing at least part of medical guidelines. The user device may be used to review any differences and send a command to the system to accept or reject any differences.
In some examples, the first directed graph may comprise data indicative of at least one local modification made by a user of the system 100. The local modification made to the directed graph may be to reflect local or hospital specific policies. In some examples the local modification is specific to a user of the system 100. In some examples, a part of the second directed graph may be based on the at least one local modification. When generating the second directed graph 100 the system may copy the modifications made by the user of the system 100. In cases where the differences between the first directed graph and the directed graph that may represent at least part of the second version of the medical guideline comprise differences to parts of the first directed graph which comprise the at least one local modification, the system 100 may transmit data representing the differences for receipt by the user device 106a-d. The system 100 may then receive, from the user device 106a-d, data indicating a command either to (i) generate the second directed graph based on the second version of the medical guideline, (ii) generate the second directed graph based on the second version of the medical guideline and the at least one local modification, or (iii) generate the second directed graph based on at least part of the first version of the medical guideline. Thereby, local modifications to directed graphs made to reflect local policies may be maintained when updating a stored version of the medical guideline.
In other examples, the medical guideline repository may comprise at least one medical guideline comprising at least one modification made by a user of the system. In cases where the updated version of the medical guideline comprises at least one modification made by a user, data indicating the differences relating to these modifications made by the user may be transmitted to the user device 106a-d.
In some examples, the at least one processor 102a-n and at least one memory 104a-n including computer program code may be configured to, with the at least one processor 102a-n, cause the system to perform the steps of generating a second, different, set of associations, each being between one of a second, different, set of directed edges of the directed graph that may represent at least part of the second version and a respective part of the second version; identifying, based on the second set of associations, one or more further differences between the second set of directed edges and the first set of directed edges. This may be done similarly as described above in relation to the nodes. Differences between directed edges may include changes to conditional parameter values represented by the directed edges. Other differences may include differences in at least one node to which the directed edge is connected, the addition or omission of a directed edge, as well as other differences.
The program code may also be configured to, with the at least one processor 102a-n, cause the system 100 to perform the step of, generating the second directed graph dependent at least on the one or more further differences and the first directed graph. In an example, the second version of the medical guideline may comprise differences in parts relating to both nodes and direct edges and generating the second direct graph comprises generating a second directed graph comprising changes to both the directed edges and to the nodes.
In an example, the at least one processor 102a-n and at least one memory 104a-n including computer program code are configured to, with the at least one processor 102a-n, cause the system to perform the steps of maintaining, in a database 108, a patient model comprising healthcare data associated with a patient as described above; and determining, based on a combination of the first directed graph and the patient model, a first clinical pathway represented by at least some of the first plurality of nodes and at least one of the first set of directed edges. This may include comparing patient entries in the patient model with entries in the event model and the corresponding nodes and directed edges of the first directed. Examples of this are discussed further later in relation to other embodiments of the invention.
In the example wherein a first clinical pathway is determined, generating the second directed graph may comprise determining, based on a combination of the first clinical pathway and the one or more identified differences, a second clinical pathway represented by at least some of a third, different, plurality of nodes comprised in the second directed graph and at least one of a third, different, set of directed edges comprised in the second directed graph. If any of the identified differences comprise differences to nodes or directed edges in the first clinical pathway then determining the second clinical pathway may comprise determining a second clinical pathway up to but not including the respective nodes and/or directed edges comprising the one or more identifies differences.
In some examples, determining the second clinical pathway comprises, transmitting data indicative of a comparison between the first clinical pathway and the one or more differences, receiving, from the user device 106a-d, data indicating a command, and determining the second clinical pathway based at least on the received command. A user operating the user device 106a-d may review the differences between the nodes and directed edges in the first clinical pathway and the respective nodes and directed edges in the second directed graph. By operating the user device 106a-d, the user may send data indicating a command either to overwrite the first clinical pathway with a second clinical pathway, to erase the first clinical pathway, to attempt to merge the differences between the first clinical pathway and the second directed graph, or any other related function in order to generate a second clinical pathway comprising at least some of the third, different, plurality of nodes comprised in the second directed graph and at least one of the third, different, set of directed edges comprised in the second directed graph.
As discussed above, medical guidelines may be available for a variety of medical conditions. There may also be a plurality of medical guidelines relating to each medical condition. For example, different medical, governing, or regulatory bodies may publish and/or maintain medical guidelines specific to a particular region, country, practice group, hospital, etc. As also discussed above, a user of the system 100 may customise a guideline for specific use, for example, where a hospital does not have the facilities to perform clinical steps outlined in a medical guideline, an alternative diagnosis or treatment may be substituted. In some examples, medical guidelines may be modified for particular users. For example, a particular doctor or a group of doctors may be operating a clinical trial in which a clinical pathway not outlined in a general medical guideline may be used to treat a specific medical condition. In this case a specific medical guideline may be used for this doctor or group of doctors, further patients who are on the clinical trial may be associated with this specific medical guideline.
In an embodiment, illustrated by a flow-chart in
The program code may also be configured to, with the at least one processor 102a-n, cause the system to perform the steps of determining a context parameter based on the received healthcare data and an identifier of the user device 106a-d, as shown in block 606; selecting, based on the determined context parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs, as shown in block 608. In an example, communications transmitted from the user device 106a-d may be encoded with an identifier of the user device 106a-d, such that the system 100 can identify from which user device 106a-d the communications are received. In other examples the identifier encoded in communications from a user device 106a-d may indicate a country or a hospital, or a particular user associated with the user device 106a-d. A context parameter may be any parameter which provides more selective criteria for determining which of the plurality of medical guidelines to select. The context parameter may comprise an indication of a location of the user device 106a-d. The context parameter may comprise an indication of a medical practitioner using the user device 106a-d.
As discussed above a medical guideline maybe specific to a hospital, a user, a country, as well as a date on which the guideline is accessed, a cohort to which the patient belongs, or even specific to a patient. As such, any parameter which further defines one of the stated, or any other suitable, criteria for selecting a medical guideline may be considered a context parameter. In some examples, a context parameter may comprise an indication from the user device 106a-d to not select a particular directed graph or to select a particular medical guideline.
The data indicative of the selected directed graph may be transmitted for receipt by the user device 106a-d as shown at block 610. This step may comprise, following the selection of a directed graph from the plurality of directed graphs, accessing the database in which data indicative of the selected directed graph may be stored to transmit data indicative of the selected directed graph to the user device 106a-d.
In some examples, the healthcare data comprising data identifying a medical condition is received via a network interface from the user device 106a-d over a wide area network.
Each of the nodes may represent a clinical step, for example, a clinical step described in a medical guideline represented by the selected directed graph. Each of the directed edges may represent a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
The program code may also be configured to, with the at least one processor 102a-n, cause the system to perform the steps of maintaining, in a database 108, a plurality of patient models, each comprising healthcare data associated with a respective patient.
In some examples, the context parameter may comprise data indicative of one of the plurality of patient models. For example, the context parameter may comprise a unique identifier 404 identifying a patient. In other examples an indication of a patient model may be medical or clinical data identifying a patient model, for example, classifying data such as a height, gender, age, native language, name, assigned medical practitioner, etc. of a patient which may be comprised in patient data 406 of a patient model. The patient model may be associated with a directed graph from the plurality of directed graphs, for example, if the respective patient has been treated previously according to a directed graph. In this case determining a patient model from the plurality of patient models may also determine a directed graph from the plurality of directed graphs.
In some examples, the context parameter may comprise data associated with at least one patient entry. For example, data associated with a patient entry may be used to determine a patient model from the plurality of patient models where the data associated with the patient entry is unique. For example, a result from a clinical step, stored in a patient model may be used to identify a patient model. In some examples, a plurality of patient entries may be used to allow more accurate selection of the patient model.
In some examples more than one directed graph may be selected based on the context parameter and the identified medical condition. For example, for a particular medical condition, the system 100 may maintain a directed graph to be used for a specific patient cohort and a further directed graph to be used in a specific hospital. In the case that a patient falls within the specific patient cohort and is being treated at the specific hospital, data indicating both directed graphs may be transmitted to the user device 106a-d. For example, the at least one processor 102a-n and at least one memory 104a-n including computer program code may be configured to, with the at least one processor 102a-n, cause the system to perform the steps of: selecting, based on the context parameter and the data identifying the medical condition, a further directed graph from the plurality of directed graphs; and transmitting data indicative of the selected further directed graph for receipt by the user device 106a-d. In some examples, data indicative of the selected directed graph and data indicative of the selected further directed graph may be data indicating the names of the medical guidelines which the directed graphs represent. In other examples, data indicative of the selected directed graph and data indicative of the selected further directed graph may comprise sending data representing the nodes, the directed edges, the links between the nodes and directed edges, and in some examples, data relating to an associated event model of the directed graphs. The user device 106a-d may transmit data indicative of a command to choose one of the selected directed graphs and the selected further directed graph. After this choice, the system 100 may transmit data indicative of all the nodes and the directed edges of the chosen directed graph for display on the user device 106a-d.
In an example, the system 100 may, in response to receiving healthcare data select and transmit an excerpt from a medical guideline. The at least one processor 102a-n and at least one memory 104a-n including computer program code may be configured to, with the at least one processor 102a-n, cause the system to perform the steps of: maintaining, in a database 108, a plurality of textual excerpts from the at least one medical guideline;
selecting, based on the medical guideline represented by the selected directed graph, at least one textual excerpt from the plurality of textual excerpts; and
transmitting data indicative of the textual excerpt for receipt by the user device 106a-d. Transmitting data indicative of textual excerpts may comprise sending electronic files, for example, PDF files, .txt files, JPEGs, or any other suitable file format to transmit textual excerpts from a medical guideline. Thereby, a user of the user device may receive and review medical information relating to the medical guideline.
In some examples, the selected directed graph may comprise data indicative of a local modification of at least one of the nodes and/or at least one of the set of directed edges of the selected directed graph.
As discussed above, healthcare data may include data relating to patient records, for example, healthcare data may comprise analytics derived from data from a plurality of patients. The plurality of patient models may be grouped in terms of patient cohorts (i.e. a group of patients with at least one shared characteristic, for example, gender, age, height, ethnicity, known genetic conditions, etc.). The analytics may identify trends in the patient histories according to the patient models. For example, the propensity of a patient cohort to deviate from a particular medical guideline may be determined. In other examples, a particular hospital may be identified as providing clinical treatment in a strictly guideline conform way or may be identified as regularly deviating from medical guidelines. In some examples, machine learning techniques may be used to generate analytics. These trends may be used to determine shortcomings in medical guidelines and/or clinical pathways, as well as identifying beneficial treatments or more optimal clinical treatment pathways. In some examples, the analytics derived from the patient models may be stored with associations to other parameters. For example, analytics identifying a trend in a particular patient cohort may be stored with an association to that particular patient cohort. In other examples, analytics identifying trends in a particular hospital may be stored with an association to the particular hospital. The examples given of trends and groups in which trends may be determined are non-limiting and other ways of grouping patient data are possible. Other associations between analytics and other parameters are possible.
Healthcare data may include data relating to medical research. For example, healthcare data may comprise results, such as statistical results and analysis, from a medical study, such as a clinical trial. This may be directly loaded to the system 100 and stored in memory, for example in 104a-n. In other examples, the system 100 may access external computing devices 112a-c over a network 110 to retrieve results from a medical study. In some examples, results from a medical study may also include text, for example, a title, an abstract, a conclusion, a sample of the main body of text, or any other textual information derived from the medical study.
In some examples, medical studies may be mapped to nodes and/or medical guidelines by natural language processing techniques. For example, semantic relevance distances between a medical study and a medical guideline may be determined based on a natural language label in an event model associated with the medical guideline. The models word2vec and doc2vec may be used to determine semantic relevance distances. These models may first be trained on medical corpora to enable them to determine semantic relevance distances.
Healthcare data may comprise scientific articles. For example, textual extracts or a full text from a scientific article. In some examples, Figures from scientific articles are extracted and stored as healthcare data. Scientific articles may be retrieved and/or accessed by the system 100 over the Internet. Scientific articles may be directly loaded to the system 100 to be stored in memory. Scientific articles and/or extracts from scientific articles may be mapped to relevant medical guidelines and/or directed graphs based on semantic distances. These may be determined using cluster analysis which may utilise semantic distances provided by word2vec and doc2vec models trained on medical corpora, semantic distances based on references and citations, and semantic distances on the semantic subject and narrative mode of the documents. In some examples, the medical corpora are mapped to knowledge graphs using NLP techniques based on pre-defined semantic fields provided in the guideline event models.
Healthcare data may comprise other clinically relevant information, for example, as discussed above a user of the system may make modifications to stored directed graphs and/or other information relating to medical guidelines such as event models and textual extracts, data indicative of these modifications may be stored as healthcare data.
In an embodiment, illustrated by a flow-chart in
The system 100 may select a patient model from the plurality of patient models based on the received data identifying the patient model, as shown at block 710. Data identifying the patient model may comprise any data which may identify a patient, for example, a name, an identifier, patient entries and/or patient attribute values, etc.
The system 100 may, dependent on a combination of the selected directed graph and the selected patient model, retrieve further healthcare data, as shown at block 712. The system 100 may then transmit the further healthcare data for receipt by the user device 106a-d as shown at block 714. Thereby the user device 106a-d may receive further healthcare data to be used in analysing medical information. Further healthcare data may comprise at least one of a textual excerpt from a medical guideline associated with the selected directed graph, statistical information relating to a patient cohort associated with the selected patient model, a medical research paper, data resulting from a clinical trial, notes entered onto the system 100 by a medical practitioner, further medical data associated with the patient, a directed graph representing a different medical guideline, consensus based supplementary medical data, or any other medically relevant data. For example, the statistical information may be analytics identifying trends in a patient cohort, wherein the patient cohort may share at least one characteristic with the patient represented by the patient model.
Each of the nodes of may represent a clinical step and each of the directed edges may represent a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
Further healthcare data may be organised into two categories: guideline conform, and additional enrichment. Guideline conform data may represent healthcare data which is derived directly from a medical guideline, for example, a directed graph, textual excerpts, etc. Additional enrichment data may represent further healthcare data which has not passed into a medical guideline, but which may be useful for a user. For example, scientific articles, clinical trial data, medical notes generated by a medical practitioner, etc.
In some examples, further healthcare data may be generated when a decision relating to the treatment of a patient is made. For example, when a medical practitioner selects a clinical step for a patient which is not recommended based on a medical guideline, further healthcare data may be generated. For example, the medical practitioner may generate a note, for example a text file, indicating why the decision was made and/or what was the nature of the decision, for example, what was the alternative clinical step selected, or was a clinical step selected for which the patient did not meet requirements. Medical notes generated by medical practitioners maybe processed using natural language processing to categorise and sort the information. Data indicating the date on which the decision to deviate from the medical guideline may be generated. In other examples, this further healthcare data may be generated automatically. For example, when a medical practitioner decides to perform a clinical step which is not recommended the user device 106a-d may automatically generate data regarding the type of deviation and the reason for the deviation from the at least part of at least one medical guideline represented by the directed graph. In other examples, the further healthcare data is generated semi-automatically, for example, following the decision to undergo a clinical step which is not recommended by the system 100 the system 100 may receive the results of clinical step from a hospital or device from which the results are gathered. Upon detecting that the test results which have been stored with the selected the patient model are not test results relating to a recommended clinical step, the system 100 may send a prompt to the user device 106a-d to input further medical data explaining the reason for not selecting a recommended clinical step.
In an example where the retrieved further healthcare data comprises a directed graph representing a different medical guideline to the medical guideline represented by the selected graph, providing a different directed graph to the user device may allow a user to make a comparison between possible patient pathways and to deduce potential ways to increase the quality of the patient's treatment, which can be reflected in local hospital policies.
In some examples, the system 100 may maintain, in a database 108, at least one association between further healthcare data and at least one directed graph. The further healthcare data being retrieved according to the at least one association. Thereby the system 100 may retrieve further healthcare data that is relevant to the selected directed graph, to be transmitted to the use device. This allows the user device 106a-d to receive contextually relevant further healthcare data such that a user of the user device 106a-d, for example, a doctor analysing medical information associated with a patient, may be provided with supplementary medical information which may aid in making decisions relating to the treatment of the patient. This may allow doctors or other medical practitioners to consider more medical and clinical information when providing treatment to a patient. When operating the user device 106a-d in analysing medical information it may be desired to transmit relevant further healthcare data. For example, when analysing medical information relating to a patient with a medical condition about which little is known, it may be useful to retrieve a scientific research paper relating to the medical condition as the medical guidelines may have little information to assist in the prognosis.
In some examples, the system 100 may retrieve and pre-process further healthcare data. For example, the system 100 may retrieve medical corpus of scientific research information, from publication repositories, medical information services, etc., and may extract information relevant, based on semantic relevance, to a particular disease addressed in a medical guideline, the extracted information may be associated with the medical guideline and used as a reference to support decisions along the clinical pathway.
In some examples, the at least one association may be between the further healthcare data and the node, and the further healthcare data may be retrieved according to the at least one association. This may allow a user of the user device 106a-d to be provided with further healthcare data relevant to a specific clinical step.
For example, a doctor analysing medical information relating to a patient may be directed to perform a type of biopsy on the patient, by the selected medical guideline. However, a research paper, associated with a node representing the biopsy may include a study that suggests that this type of biopsy may be ineffective for a patient belonging to a particular patient cohort. The patient to which the medical information the doctor is analysing related may be in this patient cohort. By transmitting the further healthcare data to the user device 106a-d, the doctor may determine that this type of biopsy should not be performed on the patient. Thereby the system 100 may allow an increase in efficiency, effectiveness of treatment, and a reduction in costs compared to other systems. In another example, the system 100 may, when a medical practitioner is analysing medical information relating to a selected patient model and a clinical step relating to a node on a selected directed graph, transmit to the user device 106a-d, data representing analytics relating to the clinical step and a patient cohort associated with the selected patient model. This may allow a medical practitioner to analyse medical information relating to a selected patient model and compare the selected patient model with similar patients.
In some examples, retrieving the further healthcare data is dependent on a status of at least one of the plurality nodes and/or at least one of the set of directed edges of the selected directed graph. This may allow more specific further healthcare data to be transmitted to the user device 106a-d.
The status of a node, in relation to a patient model, may be an indication as to whether the selected patient model comprises data relating to the node. For example, the status of the node may be dependent upon availability of data associated with a clinical step represented by the node. For example, after determining that the selected patient model does not comprise data relating to a clinical step represented by the at least one node, it may be determined that the patient, represented by the selected patient model, has not undergone that clinical step and therefore the system 100 may not retrieve medical information relating to the clinical step. In other examples, after determining that the patient represented by the selected patient model has not undergone the clinical step represented by the at least one node, the system 100 may retrieve further healthcare data relating to the clinical step represented by the at least one node. For example, the system 100 may retrieve data indicating the effectiveness and/or the cost of a clinical step which the patient has not undergone. This may aid a medical practitioner in planning future care and/or treatment to be provided to a patient.
The status of the directed edge may be dependent upon a combination of data associated with a clinical step represented by the node connected thereto and a conditional parameter value represented by the directed edge. For example, the the directed edge may specify a minimum numerical value resultant from a clinical step, such as a diagnostic test, represented by a node connected to the the directed edge. The patient model may comprise data relating to the clinical step but the results from the test, which may also be considered attribute values, may not meet the minimum numerical value defined by the the directed edge, in this case the status of the the directed edge is an indication that the patient model comprises data that does not satisfy the conditional parameter value. In some examples the status may be an indication that the patient model: (i) comprises information that satisfies the conditional parameter value, (ii) comprises information that does not satisfy the conditional parameter value, or (iii) does not comprise information that either satisfies the conditional parameter value or does not satisfy the conditional parameter value.
In some examples the selected patient model may comprise a plurality of patient entries and determining a status of the node and the directed edge connected thereto comprises the steps of: maintaining a first association between at least one of the patient entries and an identifier from a plurality of identifiers; maintaining a second association between at least one of the nodes and an identifier from the plurality of identifiers; selecting, based on the first and second associations, the attribute value associated with the node; and determining, based on a comparison of the attribute value associated with the node to a conditional parameter value represented by the directed edge, whether the conditional parameter value represented by the directed edge is satisfied.
The identifiers and the attribute values may each relate to a respective clinical step. For example, each patient entry may comprise an identifier in a coding system such as SNOMED CT, LOINC, Siemens internal coding system, or other coding systems. The attribute values may comprise the results from the respective clinical step. For example, wherein the clinical step comprises observation for changes in a patient condition, the attribute value may specify either a change, no change, or a minor change during the observation. The attribute value may comprise numerical data, for example results derived from a medical test such as a blood test. Each of the nodes of the selected directed graph may be associated with an identifier from the plurality of identifiers. In other examples, the nodes comprise links and/or associations to at least one event model which may comprise identifiers and/or other information relating to the clinical step represented by the respective node. In some examples the conditional parameter value may be a Boolean operator and determining that the Boolean operator is satisfied is by a direct comparison of the patient attribute value and the conditional parameter value. In some examples, natural language processing may be used to determine if data stored in the patient attribute value satisfies the Boolean operator.
In some examples, retrieving further healthcare data is dependent on a determination that a further, different, the directed graph based on the selected patient model does not correspond with the selected directed graph, for example, a the further, different, directed graph may deviate from the selected directed graph. A deviation may comprise a patient attribute value of the selected patient model not satisfying any directed edge in the selected directed graph. In other examples, a deviation may comprise the selected patient model comprising patient entries which comprise identifiers not matching any identifiers associated with the nodes of the selected directed graph. In this way, the system 100 may be able to provide supplementary healthcare data and/or information to a user of the user device 106a-d when the user is analysing medical information for a patient which has produced anomalous results and/or has been provided medical care which does not conform to the medical guideline represented by the selected directed graph. This may allow a medical practitioner to treat the patient more effectively.
In some examples, retrieving further healthcare data is dependent on a determination that the status of at least one of the nodes and/or at least one of the set of directed edges of the selected directed graph cannot be determined based on the selected patient model. For example, the patient model may be missing data, such as attribute values like life expectancy, relating to nodes in the selected directed graph. The retrieval of further healthcare data may comprise transmitting an indication of the missing attribute value to the user device 106a-d and may receive, from the user device 106a-d, a patient attribute value corresponding to the missing entry.
In other examples, upon determining that the status of at least one node and or at least one directed edge cannot be determined based on the plurality of patient attribute values the system 100 may retrieve a textual excerpt from the medical guideline represented by the selected directed graph, the textual excerpt providing information relating to the clinical step represented by the at least one node and/or a conditional parameter value represented by the at least one directed edge.
In some examples, the system 100 may store and update ratings for the relevance of further healthcare data being transmitted to the user device 106a-d. For example, the at least one processor 102a-n and at least one memory 104a-n including computer program code may be configured to cause the system 100 to maintain, in a database 108, an association between a plurality of state parameters and the further healthcare data, the state parameters being for use in processing a decision at a node of a directed graph. For each item of further healthcare data, for example a scientific paper, a textual excerpt from a guideline, a statistic, etc. the system 100 may maintain a plurality of state parameters, each state parameter may represent the relevance of the item of further healthcare data to a node and/or edge of a directed graph. In an example, a scientific paper relating to the operability of lung cancers may be associated with a state parameter Īø which specifies the relevance of this scientific paper to a diagnostic step for determining the types of nodules of a lung cancer, in this case the state parameter may have a low value as the scientific paper is not relevant to the diagnosis of the types of nodules of a lung cancer. The scientific paper may also be associated with a state parameter Ī² which specifies the relevance of this scientific paper to an operation involving lung cancer, in this case the state parameter Ī² may have a high value as the paper is relevant to operations involving lung cancer. When retrieving further healthcare data dependent on a status of the node representing the diagnostic step for determining the type of nodules of the lung cancer the system 100 may not select the scientific paper relating to the operability of lung cancers as the state parameter Īø indicates a low relevance. Whereas when retrieving further healthcare data dependent on a status of a node representing an operation relating to a lung cancer the system 100 may select and retrieve the scientific paper relating to the operability of lung cancers, as the state parameter Ī² has a high value. Thereby appropriate and relevant further healthcare data may be retrieved and transmitted to the user device 106a-d.
In some examples, the system 100 may be caused to receive, from the user device 106a-d, data indicating a rating associated with the retrieved further healthcare data and may process the rating to modify the state parameter based on the received rating. Thereby a user operating the user device 106a-d may update the state parameters which indicate the relevance of further healthcare data to a node and/or edge of a directed graph. This may allow dynamic updating of further medical information transmitted to the user device 106a-d. For example, as medical research papers age they may become less relevant and as such may be transmitted to the user device 106a-d less frequently. In other examples, statistical data which proves to be unreliable may be rated poorly and thereby may be transmitted to the user device 106a-d less frequently. The converse may also occur, in that particularly useful or relevant healthcare data may be transmitted to the user device 106a-d more often.
In an embodiment, illustrated by a flow chart in
As discussed in relation to previous embodiments, the status of the node may be dependent upon availability of data associated with the clinical step represented by the node. The status of the directed edge may be dependent upon a combination of data associated with a clinical step represented by the node connected thereto and a conditional parameter value represented by the directed edge.
The patient model may comprise a plurality of patient entries, and determining a status of the node and the directed edge connected thereto may comprise the steps of: maintaining a first association between at least one of the patient entries and an identifier from a plurality of identifiers; maintaining a second association between at least one of the nodes and an identifier from the plurality of identifiers; selecting, based on the first and second associations, the attribute value associated with the node; and determining, based on a comparison of the attribute value associated with the node to the conditional parameter value represented by the directed edge, whether the conditional parameter value represented by the directed edge is satisfied.
In some examples, the at least one processor 102a-n and at least one memory 104a-n including computer program code are configured to, with the at least one processor 102a-n, cause the system to: determine, based on the identified status of the at least one of the nodes and the at least one directed edge of the selected directed graph, whether a further, different, the directed graph based on the selected patient model corresponds with the selected directed graph; and, dependent on the determination, to transmit data indicating the determination for receipt by the user device 106a-d. In some example, the data indicating the determination may comprise an indication of for which node(s) and/or directed edge(s) the selected patient model deviates from the selected directed graph. In other examples the data indicating the determination may comprise an indication of the patient entries in the selected patient model which deviate from the selected directed graph. Thereby a user operating the user device 106a-d may be informed that the patient represented by the selected patient model may be deviating from the medical guideline and/or may require further assessment or analysis.
In some examples, the at least one processor 102a-n and at least one memory 104a-n including computer program code are configured to, with the at least one processor 102a-n, cause the system to determine, based on the identified status of the at least one of the nodes and the at least one directed edge, a start date and an end date of at least one treatment phase associated with the at least one medical guideline and transmit data indicating the start and the end date of the at least one treatment phase for receipt by the user device 106a-d. As discussed above, a medical guideline may be divided into treatment phases. By determining the status of at least one node and/or directed edge of the selected directed graph, the system may determine that a patient represented by the selected patient model has started or finished a treatment phase. A treatment phase may be represented by at least some of the plurality of nodes connected by at least one of the set of directed edges. This information may be useful when determining whether a patient completed a treatment phase in a time interval set out in the medical guideline or whether the patient represented by the selected patient model completed a treatment phase in a shorter time or a longer time than prescribed in the medical guideline. Thereby allowing a user of the user device 106a-d to analyse how guideline conform a patient has been treated, or whether the medical guidelines may not be applicable to a particular case.
Having identified the at least one treatment phase, the system 100 may retrieve further healthcare data associated with the at least one treatment phase. For example, the system 100 may retrieve an extract from a medical guideline describing the treatment phase, or the system 100 may retrieve statistical data indicating trends in other patients in relation to the at least one treatment phase, for example, average time to complete the treatment phase.
The system 100 may then transmit the further healthcare data associated with the at least one treatment phase for receipt by the user device 106a-d.
In some examples, following the identification of the at least one treatment phase the system may identify, for the at least one treatment phase, at least one node and at least one directed edge for which an attribute value cannot be selected based on the identifier and may determine the status of the at least one node and the at least one directed edge using the selected patient model and further healthcare data. For example, the system 100 may determine the status of nodes and edges either side of the nodes and directed edges defining the at least one treatment phase, by comparing patient entries with nodes and directed edges in the selected directed graph. Within the set of nodes and directed edges defining the treatment phase there may be multiple routes of clinical steps the patient may have taken during treatment. The route the patient has taken between the nodes and directed edges for which a status has been determined, may be determined based on the patient data in the patient model and further healthcare data. For example, a patient cohort to which the patient belongs may be identified based on the selected patient model and further healthcare data may comprise an indication of the most common route taken by the respective patient cohort.
In some examples, the system 100 may transmit data indicating the at least one node and the at least one directed edge for which an attribute value cannot be selected based on the identifier for receipt by the user device 106a-d and may receive, from the user device 106a-d, data indicating the status of the at least one node and the at least one directed edge for which an attribute value cannot be selected based on the identifier. Thereby if the status of a node and/or a directed edge cannot be determined based on a combination of the selected patient model and the selected directed graph, the system may request a user to send the missing information to the system 100 such that the status may then be determined. In some examples, transmitting data to the user device 106a-d may comprise transmitting data to cause the user device 106a-d to display the data. As described above the user device 106a-d may be a proprietary user device 106a-d running an application configured to present healthcare data to a user. In other examples, the user device 106a-d may run a web browsing application and access an application hosted by the system 100 over a wide area network. Examples relating to user interfaces on the user device 106a-d are set out in
In an embodiment, illustrated by a flow chart in
As discussed with relation to other embodiments, the status of the node may be dependent upon availability of data associated with the clinical step represented by the node. The status of the directed edge may be dependent upon a combination of data associated with a clinical step represented by the node connected thereto and a conditional parameter value represented by the directed edge.
In some examples, the data indicative of the patient treatment report comprises data indicating, based on the identified status of the at least one node and the least one of the set of directed edges, a conformity of the selected patient model to the selected directed graph. Data indicating a conformity of the selected patient model to the selected directed graph may comprise a value indicating the average status of the at least one node and the at least one of the set of directed edges as described above. However, data indicating the conformity of the patient model may comprise further healthcare data. For example, when selecting clinical steps for a patient represented by a patient model, the system 100 may gather healthcare data related to the decision, for example, data indicating: what clinical step was taken, was this clinical step in accordance with a recommendation from the selected directed graph, the reason for the decision, etc. This further healthcare data may be generated automatically by the system 100 or may be entered by a user of the user device, for example, a medical practitioner. Further healthcare data relating to the conformity of a selected patient model to a selected directed graph may be stored in a database. This database may be separated from the database in which the selected patient model is stored and may be linked to the database through the use of at least one identifier.
In some examples, if the selected patient model does not conform to the selected directed graph, the data indicative of the patient treatment report comprises at least one of: an indication of a node or a directed edge for which the selected patient model does not conform to the selected directed graph; data indicative of non-conformity between the selected patient model and the selected directed graph; and data indicative of deviation between the selected patient model and the selected directed graph. In some examples a selected patient model may be the to not conform if the status of one node or one of the set of directed edges is determined to be not satisfied by the patient model. In other examples, a patient model may be the to not conform if the status of more than one node or more than one of the set of directed edges is not satisfied by the patient model. The number of nodes and/or directed edges of the set of directed edges for which the status needs to be not satisfied for a determination that the patient model is not conform may be dependent upon the medical domain of the at least part of at least one medical guideline represented by the selected directed graph. An indication of why there is non-conformity between the selected patient model and the selected directed graph may be generated using further healthcare data. For example, the system 100 may receive from a user device indicating that a clinical step which is not recommended by the system 100 has been taken. This data may include an indication of why this clinical step was taken. For example, the system 100 may prompt a user to select a reason from an array of options. In other examples, the user may manually enter data at the user device to be stored in a database. In still other examples, the system 100 may automatically determine the reason for the choice of clinical step using contextual information such as test results from previous clinical steps, time between treatments, and other suitable indicators. The data indicative of deviation between a selected patient model and a selected directed graph may comprise an indication whether a clinical step which was recommended was not taken, and if another clinical step which was not recommended was taken, an indication of what this other clinical step was and the data associated with it.
In some examples, during the treatment of a patient represented by a patient model, when decisions are made which affect the conformity of the patient model to a selected directed graph, the selected directed graph being chosen to treat the patient represented by the selected patient model, the system 100 may store associated data in a database. For example, the system 100 may store data such as the date on which a clinical step which was recommended was not taken, an indication of which alternative clinical step was taken, the results of the alternative clinical step, an indication of why the alternative clinical step was taken.
In some examples, the at least one processor 102a-n and at least one memory 104a-n including computer program code are configured to, with the at least one processor 102a-n, cause the system 100 to perform the steps of: maintaining, in a database, data indicative of a plurality of patient treatment reports; generating, based on the data indicative of the plurality of patient treatment reports, data indicative of a patient cohort treatment report; and transmitting the data indicative of the patient cohort treatment report for the receipt by the user device. In some examples, the data indicative of the plurality of treatment reports may be stored in a database separate to any database which stores the related models. For example, the patient treatment reports may be stored separately from a database storing the plurality of patient models, but each patient treatment report may be linked to a respective patient model. The link between the patient treatment reports and respective patient models may be in the form of at least one identifier.
In some examples, the patient cohort treatment report may comprise healthcare data gathered from the plurality of patient treatment reports and the respective patient models. For example, the patient cohort treatment report may comprise data indicating the age, gender, stage of disease, performance status, treatment response, and survival rate of the patient models considered. The report may comprise statistics which group patients according to the above statistics along with providing information relating to the conformity or non-conformity of the patient models to their respected directed graphs. This may allow the identification of correlations between identifying characteristics of patients and the conformity, or non-conformity, of their treatment. For example, from this data the patient treatment cohort report may identify a particular age group which routinely do not adhere to a selected directed graph at a given clinical step. This may help to identify shortcomings in treatment offered to patients in particular cohorts, or may identify shortcomings in the directed graphs, and therefore at least part of at least one medical guideline, being used to treat patients. From this data it may be possible to determine the effects of adherence or non-adherence to a clinical step with respect to outcome, quality of life, survival rate, overall cost of treatment, etc.
In some examples, transmitting data representing the directed graph comprises transmitting a list of identifiers of nodes and directed edges including associations between directed edges and nodes. In some examples, when displaying a directed graph, the user device 106a-d may use different icons to represent different nodes. For example, nodes which represent diagnostic steps may be displayed using a first icon and nodes representing therapeutic steps may be displayed using a second icon. In the example set forth in
Recommended clinical steps may be clinical steps for which the conditional parameter values of the directed edges leading from the patient's current position to the respective next option are satisfied by patient attribute values comprised in the patient model. Some options may not be recommended due to the conditional parameter values of the directed edges leading from the patient's current position to the respective next option not being satisfied by entries in the patient model. In examples in which one or more patient attribute values are missing from the patient model but are required to determine the next option in the clinical pathway, a user of the device may be alerted, for example, by transmitting an alert to the user device, before a tumour conference, whether all the patient attributes required for a medical guideline conform decision to be made are available.
In examples where the status of at least one node and/or the status of at least one directed edge is transmitted to the user device 106a-d, an indication of the status may be integrated into the display of the directed graph when displayed on the user device 106a-d.
As discussed above, the system 100 may determine whether a patient's clinical pathway deviates statistically from the clinical pathways of other patients in the patient's cohort. In this case, the display of the directed graph may indicate the standard and/or most common clinical pathway for the patient's cohort. The user interface may also indicate, for example display a warning, when the patient deviates from this clinical pathway.
The user interface may display a Patient ID field 1004 comprising information relating to a patient for which medical data is being analysed, for example, a name, a unique identifier, a date of birth, and/or any other identifying information relating to the patient.
The user interface may display an indication of the condition of the patient in a block 1006 displaying the condition which may comprise a name of the condition, an encoded identifier of the condition, or any other relevant information.
A user may be able to navigate and alter the view of the directed graph 1002 by the use of a touch screen or a cursor by clicking and dragging the directed graph. The user may centre the directed graph on a current patient position, which may be determined by the status of at least one node and at least one edge of the directed graph, by using the button 1010 to centre the display onto the portion of the directed graph to which the most current data in the patient model relates. The user may also be able to zoom in and out of a portion of the directed graph using the buttons 1012 and 1014.
The position of nodes on a directed graph may be indicative of information in the medical guideline represented by the directed graph. For example, the horizontal position of a node shown in the example of
A user may select a node and/or a directed edge of the directed graph 1002 using a user interface, for example by touching a portion of a touchscreen displaying the node, using a cursor, using a voice command, or other methods of interfacing with the user device 106a-d. Upon selection of a node and/or directed edge, the system 100 may retrieve further healthcare data and may transmit the further healthcare data to the user device 106a-d. The further healthcare data may be displayed in blocks for example blocks 1018, 1020, and 1022 shown in
The system 100 and/or the user device 106a-d may automatically modify the size of the blocks 1018, 1020, and 1022 to display the healthcare data. In some examples the blocks 1018, 1020, and 1022 comprise scrolling interfaces such that in examples where the healthcare data cannot all be displayed at once a user can access a portion of the healthcare data by scrolling.
The user interface may comprise a block 1024 showing information relating to a selected node and a button 1026 may be provided to allow a user to reposition the patient to the selected node. For example, in a situation where a patient has undergone a clinical step but data relating to this has not been input to the system 100, a user of the user device 106a-d may reposition the patient along the directed graph 1002.
In an example set forth in
In further examples set forth in
In an example set forth in
The user interface may display an indication of the condition of the patient in a Condition field 1204 which may comprise a name of the condition, an encoded identifier of the condition, or any other relevant information.
The user interface may display a timeline 1206 summarising previous clinical steps in the patient history. For example, node 1208 may represent a previous clinical step such as a diagnostic scan. Lines 1210a-c may indicate important dates in the patient history. For example, 1210a may indicate the staging of the patient in a treatment phase, 1210b may indicate the current date and 1210c may indicate the projected end date of the current treatment phase.
Further healthcare data relating to the medical guideline being used and the patient model being used may be displayed. For example, data relating to the diagnosis of the patient may be displayed at a block 1212, a description of the medical condition such as an extract from a medical guideline may be displayed at block 1214, and patient preferences indicating considerations to be made when deciding which treatment a patient will receive may be displayed at block 1216.
The user device 106a-d may display a list of available options 1218 at this stage of the treatment. Icons representing these options may comprise indications as to whether they are recommended options (check mark), not recommended options (triangular warning symbol), or options for which a recommendation cannot be provided (question mark). In some examples an icon is available to search for further options.
Upon an interaction with an option, for example by clicking an option 1218 with a cursor, the system 100 may transmit further healthcare data relating to the selected option. For example, the system 100 may transmit to the user device 106a-d for display details 1220 relating to the selected option, a weighting of the option 1222 such as a weighting set out in a medical guideline, a description of the option 1224 including any information about the risks, costs, effectiveness etc., and side effects 1226 which may be displayed as a chart displaying the risk of any potential side effects. In an example, when a user clicks on an option which is not recommended e.g. option 2 or option 4 1218, the system 100 may transmit to the user device 106a-d data from the patient model which was used in making this determination. This data may be displayed in the details block 1220. Thereby, a user of the user device 106a-d may be presented with the reason why an option is not recommended and may dispute the decision accordingly.
Key factors which are used to determine which options are recommended and which options are not recommended may be displayed at block 1228. The key factors shown at block 1228 may be modifiable by the user to better reflect situations where the key factors may be subjective or dependent on contextual information. A button 1230 may be provided to select between a view of a directed graph and the decision options view, such that previous and potential future clinical steps may be analysed when making a decision about a treatment option.
One of the options 1218 may be selected using a button 1232 on the user interface. The blocks shown in
In an example set forth in
The current patient status may be summarised by blocks 1312-1324 displaying respectively: patient information 1312, results relating to at least one clinical step 1314, risk factors related to a current treatment phase 1316, diagnostic information 1318, information summarising previous clinical steps 1320, information summarising current clinical steps 1322, and a summary of key factors 1324, which may be altered by a user, used in determining recommended treatments for the patient.
In an example set forth in
At block 1416 an overview of the previous and/or current clinical steps may be shown as a decision graph. At block 1418 any recommended, current, or previous therapies may be described. At block 1430 any notes related to clinical steps or to the patient may be entered and/or review by a user of the user device.
Returning to block 1416, the decision graph may show an overview of the clinical pathway. Blocks 1422a-h may represent clinical steps and blocks 1424a-g may represent conditions for moving from one clinical step to another clinical step. For example, block 1422a may represent a determination of the cancer type, a test is performed and following the results 1424a the stage of the cancer may be determined at 1422b. Depending on the stage of the cancer different clinical steps may be prescribed for example, the cancer may be one of three stages indicated by 1424a-b. Depending which stage the cancer is the prescribed clinical step may be indicated by one of 1422c-e respectively.
In an example set forth in
Block 1608 of the user interface may display a chart indicating for which clinical steps the patients in the patient cohort do not conform to the directed graph and the number of patients which do not conform for each of these clinical steps. At block 1610, the user interface may display a chart indicating the reasons for patient models not conforming to the directed graph and at block 1612 a chart indicating the alternative clinical steps and the number of patients who were treating according to these alternative clinical steps may be displayed.
The above embodiments may be used in a case in which a patient has a confirmed case of prostate cancer, for example. When analysing medical information associated with this patient, the system 100 may transit data indicative of a directed graph representing at least part of a relevant medical guideline to the user device 106a-d. For example, the system 100 may transmit data indicative of a directed graph representing at least part of the NCCN Prostate Cancer guideline or the EAU Prostate Cancer guideline. Tests prescribed in the guidelines may include blood tests to check for Prostate-Specific Antigen (PSA) levels. Other tests may include Prostate MRI scans to measure the size of the prostate and using a trans rectal ultrasound to measure the PSA density. Patient attributes which are measured and stored in a patient model in the case of prostate cancer may include PSA level, TNM classification, risk group assessment, PSA failure, biochemical failure, metastasis, disease progression. These patient attributes and their values may be used to stage a patient at a treatment phase of a medical guideline, for example by determining the statuses of nodes and directed edges in the directed graphs. As discussed above, during the treatment of a patient, there may be multiple options for treating a patient at a given time. Some of these options may be displayed as ārecommendedā for example those shown with check marks for example, 902g, 902t, 902s (
The system 100 may determine the status of a node such as the node representing Radical Prostatectomy with Pelvic Lymph-Node Dissection. If the probability for Lymph-Node involvement for the patient being examined is ā„2%, then Radical Prostatectomy with Pelvic Lymph-Node Dissection is recommended. The likelihood of Lymph-Node involvement may be determined based on data stored in the patient model or alternatively, a user of the user device 106a-d may be prompted to determine and input the likelihood of Lymph-Node involvement for the current patient. If the probability of Lymph-Node involvement is <2% then Radical Prostatectomy with Lymph-Node Dissection is not recommended. In this case the node representing the Radical Prostatectomy without Lymph-Node Dissection will be recommended. If the probability of Lymph-Node involvement is not known, then a Radical Prostatectomy with or without Pelvic Lymph-Node Dissection is undecidable according to the guideline.
In another example, the above embodiments may be used in a case in which a patient has a confirmed case of lung cancer. Some of the patient attributes which may be used to stage a patient in a medical guideline such as the NCCN Non-Small Cell Lung Cancer guideline may include: distant metastasis, TNM classification, risk assessment, type of nodules, whether there are positive or negative Mediastinal Nodes, whether the cancer is resectable or in-operable, whether the patient is symptomatic or asymptomatic, and whether there is metastasis.
In a further example, the above embodiments may be used in a case in which a patient has a confirmed case of breast cancer. Some of the patient attributes which may be used to stage a patient in a medical guideline, such as the NCCN Breast Cancer guideline, may include: whether the cancer is ER-positive or negative, PR-positive or negative, whether HER2-positive or HER2 negative, whether the cancer is ductal or lobular, staging assessment, whether treatment is to be invasive or non-invasive, the progression of the disease, metastasis of the disease.
In a still further example, the above embodiments may be used in a case in which a patient has a confirmed case of Coronary Artery Disease (CAD). Some of the patient attributes which may be used to stage a patient in a medical guideline, such as the ASC Coronary Artery Disease guideline or the ESC Coronary Artery Disease guideline, may include: the pre-treatment probability of outcome, the risk stratification, and a chest pain assessment.
The above examples are given for illustrative purposes. The systems described above may be used in the staging, and management of any patient having a disease for which at least one medical guideline is available.
Features relating to an example of the user interface may be used in combination with features of any other examples of the user interface.
The following numbered clauses describe various embodiments of the present invention.
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the first plurality of nodes being connected to at least one further node of the first plurality of nodes by one of the first set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different, plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph dependent at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
comparing metadata associated with the first medical guideline with metadata associated with one or more further, different, medical guidelines stored at one or more medical guideline repositories.
generating a second, different, set of associations, each being between one of a second, different, set of directed edges of the directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the second set of associations, one or more further differences between the second set of directed edges and the first set of directed edges; and
generating the second directed graph dependent at least on the one or more further differences and the first directed graph.
responsive to the determination, comparing a first textual excerpt of the first version of the medical guideline to a corresponding second textual excerpt of the second version of the medical guideline; and
transmitting data representing a result of the comparison for receipt by the user device.
based on a user input indicative of a decision in respect of at least one of the one or more differences, selectively using at least part of the first version or the second version to generate a respective part of the second directed graph.
maintaining, in a database, a patient model comprising healthcare data associated with a patient; and
determining, based on a combination of the first directed graph and the patient model, a first clinical pathway represented by at least some of the first plurality of nodes and at least one of the first set of directed edges.
determining, based on a combination of the first clinical pathway and the one or more identified differences, a second clinical pathway represented by at least some of a third, different, plurality of nodes comprised in the second directed graph and at least one of a third, different, set of directed edges comprised in the second directed graph.
transmitting data indicative of a comparison between the first clinical pathway and the one or more differences;
receiving, from the user device, data indicating a command; and
determining the second clinical pathway based at least on the received command.
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different, plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph based at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
maintaining, in a database, data representing a first directed graph representing at least part of a first version of a medical guideline, the first directed graph comprising a first plurality of nodes and a first set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, the first directed graph comprising a primary node and terminating in at least one end node;
responsive to a determination that a second version of the medical guideline is available, generating a first set of associations, each being between one of a second, different, plurality of nodes of a directed graph that may represent at least part of the second version and a respective part of the second version;
identifying, based on the first set of associations, one or more differences between the directed graph that may represent at least part of the second version and the first directed graph;
generating a second directed graph based at least on the one or more differences and the first directed graph; and
transmitting data representing the second directed graph for receipt by the user device.
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined context parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
maintaining, in a database, a plurality of patient models, each comprising healthcare data associated with a respective patient.
selecting, based on the context parameter and the data identifying the medical condition, a further directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected further directed graph for receipt by the user device.
maintaining, in a database, a plurality of textual excerpts from the at least one medical guideline;
selecting, based on the medical guideline represented by the selected directed graph, at least one textual excerpt from the plurality of textual excerpts; and
transmitting data indicative of the textual excerpt for receipt by the user device.
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
maintaining, in a database, a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
receiving, from the user device, healthcare data comprising data identifying a medical condition;
determining a context parameter based on the received healthcare data and an identifier of the user device;
selecting, based on the determined parameter and the data identifying the medical condition, a directed graph from the plurality of directed graphs; and
transmitting data indicative of the selected directed graph for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
a textual excerpt from the medical guideline associated with the selected directed graph;
statistical information relating to a patient cohort associated with the selected patient model;
a medical research paper; and
consensus based supplementary medical data.
32. The system of clause 30 or clause 31, wherein each of the nodes represents a clinical step.
33. The system of clause 32, wherein each of the directed edges represents a conditional parameter value resulting from the clinical step associated with one of the nodes connected thereto.
34. The system of clause 33, wherein the at least one processor and at least one computer memory including computer program code are configured to cause the system to perform the step of:
maintaining, in a database, at least one association between the further healthcare data and at least one directed graph, and wherein the further healthcare data is retrieved according to the at least one association.
maintaining a first association between at least one of the patient entries and an identifier from a plurality of identifiers;
maintaining a second association between at least one of the nodes and an identifier from the plurality of identifiers;
selecting, based on the first and second associations, the attribute value associated with the node; and
determining, based on a comparison of the attribute value associated with the node to a conditional parameter value represented by the directed edge, whether the conditional parameter value represented by the directed edge is satisfied.
40. The system of clause any one of clauses 30 to 39, wherein retrieving further healthcare data is dependent on a determination that a further, different, the directed graph based on the selected patient model does not correspond with the selected directed graph.
maintaining, in a database, an association between a plurality of state parameters and the further healthcare data, the state parameters being for use in processing a decision at the node of a directed graph;
receiving, from the user device, data indicating a rating associated with the retrieved further healthcare data; and
processing the rating to modify the state parameter based on the received rating.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
dependent on a combination of the selected directed graph and the selected patient model, retrieving further healthcare data; and
transmitting the further healthcare data for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one of the set of directed edges for receipt by the user device.
maintaining a first association between at least one of the patient entries and an identifier from a plurality of identifiers;
maintaining a second association between at least one of the nodes and an identifier from the plurality of identifiers;
selecting, based on the first and second associations, the attribute value associated with the node; and
determining, based on a comparison of the attribute value associated with the node to the conditional parameter value represented by the directed edge, whether the conditional parameter value represented by the directed edge is satisfied.
determining, based on the identified status of the at least one of the nodes and the at least one directed edge of the selected directed graph, whether a further, different, the directed graph based on the selected patient model corresponds with the selected directed graph; and
dependent on the determination, transmitting data indicating the determination for receipt by the user device.
determining, based on the identified status of the at least one of the nodes and the at least one directed edge, a start date and an end date of at least one treatment phase associated with the at least one medical guideline; and
transmitting data indicating the start and the end date of the at least one treatment phase for receipt by the user device.
retrieving further healthcare data associated with the at least one treatment phase; and
transmitting the further healthcare data associated with the at least one treatment phase for receipt by the user device.
identifying, for the at least one treatment phase, at least one node and at least one directed edge for which an attribute value associated cannot be selected based on the identifier; and
determining the status of the at least one node and the at least one directed edge using the selected patient model and further healthcare data.
transmitting data indicating the at least one node and the at least one directed edge for which an attribute value cannot be selected based on the identifier for receipt by the user device; and
receiving, from the user device, data indicating the status of the at least one node and the at least one directed edge for which the patient attribute value cannot be selected based on the identifier.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of direct edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by a directed edge, each directed graph comprising a primary node and terminating in at least one end node:
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one directed edge of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one directed edge for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and a set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database, a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on the received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one directed edge of the selected directed graph; and
transmitting data associated with the status of the at least one of the nodes and the status of the at least one directed edge for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the patient treatment report for receipt by the user device.
an indication of a node or a directed edge for which the selected patient model does not conform to the selected directed graph;
data indicative of non-conformity between the selected patient model and the selected directed graph; and
data indicative of deviation between the selected patient model and the selected directed graph.
maintaining, in a database, data indicative of a plurality of patient treatment reports;
generating, based on the data indicative of the plurality of patient treatment reports, data indicative of a patient cohort treatment report; and
transmitting the data indicative of the patient cohort treatment report for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the treatment report for receipt by the user device.
maintaining, in a database, data representing a plurality of directed graphs, each directed graph representing at least part of at least one medical guideline and comprising a plurality of nodes and set of directed edges, each node of the plurality of nodes being connected to at least one further node of the plurality of nodes by one of the set of directed edges, each directed graph comprising a primary node and terminating in at least one end node;
maintaining, in a database a plurality of patient models each comprising healthcare data associated with a respective patient;
receiving, from the user device, healthcare data comprising data identifying a patient and a medical condition;
selecting, based at least on the received data identifying the medical condition, a directed graph from the plurality of directed graphs;
selecting, based on received data identifying the patient, a patient model from the plurality of patient models;
identifying, based on the selected patient model and the received healthcare data, a status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph;
generating, based on the identified status of at least one of the nodes and at least one of the set of directed edges of the selected directed graph and the selected patient model, data indicative of a patient treatment report;
maintaining, in a database, data indicative of the patient treatment report; and
transmitting the data indicative of the treatment report for receipt by the user device.
| Number | Date | Country | Kind |
|---|---|---|---|
| 18199915.2 | Oct 2018 | EP | regional |
| 18208021.8 | Nov 2018 | EP | regional |
This application is the national phase under 35 U.S.C. § 371 of PCT International Application No. PCT/EP2019/073914 which has an International filing date of Sep. 9, 2019, which designated the United States of America and which claims prioirty to European application numbers EP18199915.2 filed Oct. 11, 2018 and EP18208021.8 filing Nov. 23, 2018, the entire contents of each of which are hereby incorporated herein by reference.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2019/073914 | 9/9/2019 | WO | 00 |
