Invented by Andrew L. DiRienzo, Integrated Claims Systems LLC
The Integrated Claims Systems LLC invention works as followsA system for transmitting electronic medical images and storing them, as well as retransmitting them, during downtime. Each electronic medical image contains an indicia (e.g., bid price) of the priority that a patient has attached to it. It includes the first through fourth computer systems. The first computer system contains an associated scanner for creating the electronic images. The second computer system has an electronic image storage memory that stores the images in a predetermined sequence based on the indicia. The third computer system displays the selected electronic medical image and the fourth system monitors all electronic images. A second display is used to display the entire set of electronic images. An input device allows for the modification of one indicia of a particular electronic picture, thus changing the order. Both the second and third computers systems are connected via a low speed communication channel to instruct the second system to download the selected electronic medical image to the third system and a high-speed communications channel to allow the third system to download the selected electronic medical image from the second system to the first system. This system is also operated in a variety of ways.
Background for System for receiving, forming and managing marketplaces to work on digital information blocks
The invention generally relates to diagnostic health care. The present invention is more specifically concerned with methods and systems that facilitate efficient delivery of diagnostic healthcare. One aspect of the invention provides systems and novel methods for directing diagnostic medical images. From patients to doctors while producing a decentralized?diagnostic image? Distribution with complete control in the hands both of the providers and patients. Another aspect of the invention is that systems and improved methods of controlling the dynamic interaction between patients, diagnostic physicians and each other are developed so that there is a “marketplace”. “Marketplace” is established for provider services and patient images.
Throughout this discussion, many terms will be used in order to describe the patient as well as the various doctors who attempt to diagnose his condition. These definitions will help you understand:
(1) Diagnosis is the art or act of diagnosing a disease based on its symptoms or signs;
(2) Provider?Same As Physician;
(3) Gatekeeper Doctor? The physician who is actually treating the patient. He/she orders diagnostic tests.
(4) Patient/gatekeeper?The working unit formed by the patient and his gatekeeper physician;
(5) Diagnostic Physician” The physician who?reads’ the patient’s problem. The results of a diagnostic mode to diagnose the patient’s problem. Radiologists and pathologists are the primary examples.
(6) Digital or Electronic Medical Image? A digital/electronic image (EM) is an ordered set in a bulk data file. This can be used to reconstruct the ordered set into an object that could be used for primary diagnosis. This set could be used to represent a picture, graph, diagnostic sound recording, or physician comments. This set of numbers is used to determine the location of pixels in a picture. When reconstructed on a computer monitor the image will be formed. These numbers determine the gray scale, color intensity, and color for each pixel. Any image (e.g. CT, MRI, . . . ) That is either by nature in this form, or can be put into that form (e.g. x-ray, pathology slide, . . . ) This system is a good candidate.
(7) Digital or Electronic Medical Form?This electronic form contains all the background information about the patient. This form could include the patient’s name and other information, as described below.
(8) Digital or Electronic Medical Record?This is the combination EMI/EMF. The general term “image” is not to be confused with the EMI and EMF. The general term?image? oder?EMI? is primarily used. “, is the most common use of this term. Image handling is of paramount importance in both traditional methods and according to the present invention.
(9) Primary Diagnosis” The assessment of one aspect of a patient?s medical condition, based on the evaluation of a medical image.
The first thing a doctor does when they meet a patient is to identify their medical problem or condition. The medical problem cannot be treated unless it is recognized. The physician can use many diagnostic instruments, also known as modalities, in order to identify the patient’s medical issue. These modalities include Xray, EKG, EEG and CT. Each modality produces a unique?diagnostic image. A diagnostic provider (physician), often tries to read or analyze the diagnostic medical image in order to help the gatekeeper physician make a diagnosis. This information is then used by the gatekeeper to decide a course of actions. One could say that the best diagnosis is the best health care.
It will be appreciated, that once the image has been formed, the actual reading? The physician doesn’t require that the patient be present. There are many situations in which the physician does not see the patient.
The diagnostic healthcare system is complex and large, with many thousands of providers and millions upon millions of patients. The diagnostic health care system will be obvious to everyone that it is filled with inefficiencies, inadequacies and inefficiencies. These problems are a problem for both diagnostic doctors and patients.
Unfortunately, the medical profession has not kept up with technological advances in many areas, despite the urgent need. Many of the systems used to store and retrieve medical image data, such as X-rays, CAT scans and angiograms, MRI studies, and tomograms are outdated and still use methods popularized in the 1920’s. An antiquated lightbox still displays the image films that are used by diagnostic physicians.
Hospitals often have large?file rooms?” To store patient images. X-ray film data are typically stored in a large brown envelope measuring approximately 14×17 inches and which has one side open. If there are multiple folders required, these film envelops can be too heavy to store and handle. Some film image data can weigh up to 15 pounds. It can also be time-consuming to get image data from file cabinets due to administrative backlogs or a lack of specialized personnel. A significant number of patients’ image data is lost or misplaced due to multiple responsibilities from multiple doctors and multiple treatment sites.
Normally, the physician will examine the patient in the doctor’s office after radiological studies have been done in a hospital. Unless duplicates are ordered, these films and all the information within them are often not available at the time of examination. Remote access to these images is essential for quick patient assessment and treatment recommendation.
U.S. Pat. No. 5,321,520, which is incorporated herein by reference for all purposes, discloses an automated high definition/resolution image storage, retrieval and transmission system for use in hospitals capable of storing, transmitting and displaying medical diagnostic quality images for use with medical X-ray films or the like. FIG. FIG. 1 shows the components of the system described by the ‘520 Patent. These include the processing of image data from patient imaging to physician use. FIG. 1 illustrates an automated high definition/resolution image storage, retrieval and transmission system 10 for use with medical X-ray film 12. The system 10 comprises an image scanner and digitizing means 14, which transforms the visual image from medical X-ray films 12 and other documents into digital information. A telecommunications means 18, which selectively receives digital data from the image storage and retrieval mean 16, for transmission to one or more remote visual display termins 20 through a corresponding communication network 21. Each remote terminal can be identified as 20 upon request.
A machine readable label or indicia 22 that contains key patient information can be used together with the medical Xray film 12 to improve automation and tracking. The machine readable label 22 or machine readable indicia is attached to the medical Xray film 12 before it is scanned by the image scanning, digitizing and printing means 14. This provides file access and identification. Digital data from other digitized image sources may also be used together as 24. File identification can be fed to the 16 image storage and retrieval devices for storage and retrieval. These are the major or most significant processing steps in relation to image data flow:
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