Computerized systems and methods for facilitating clinical decision making

Patent metadata

Field	Value
Publication number	US-11615889-B1
Application number	US-202117387786-A
Country	US
Kind code	B1
Filing date	Jul 28, 2021
Priority date	Oct 1, 2010
Publication date	Mar 28, 2023
Grant date	Mar 28, 2023

Abstract

A system, method, and computer-readable media are provided for facilitating clinical decision making, and in particular, facilitating treatment of a person having congestive heart failure. The method includes the step of receiving patient information for a patient and using at least one solver to determine a patient condition or recommended treatment based on patient parameters or patient information.

First claim

What is claimed is:

1. A computerized method for executing a treatment plan, comprising:
from among a library of solvers, selecting a first solver to determine a patient condition and a recommended treatment for a patient, wherein said first solver is running on one or more computer processing components;
applying the first solver to determine the patient condition and the recommended treatment, each patient condition comprising an evaluated state for the patient condition;
invoking a second solver to assist the first solver to determine the patient condition and the recommended treatment;
communicating the evaluated state for the determined patient condition from the first solver to the second solver;
based on the determined patient condition and the recommended treatment, communicating actions and dispositions specific to said patient to a second computer processing component, wherein the second computer processing component is remote from the one or more computer processing components; and
displaying the communicated actions and dispositions specific to said patient on a user interface of the second computer processing component.

2. The computerized method of claim 1 , wherein said actions and dispositions specific to said patient are determined by invoking an expert rules engine, and wherein said actions and dispositions include at least one of an order, patient condition, recommended treatment, recommended additional testing, or recommended execution of a second plan.

3. The computerized method of claim 1 , wherein said actions and dispositions specific to said patient are processed for presentation.

4. The computerized method of claim 3 , wherein said actions and dispositions processed for presentation further includes functionality for presenting information enabling a health-care provider to see which plan, of said library of plans, was executed and information associated with said plan including said trigger event, patient-results information, and goals.

5. The computerized method of claim 1 , wherein first-solver parameters for said first solver are received from a software agent.

6. The computerized method of claim 1 , wherein the method further comprises determining at least one trigger event, goal or plan using logic comprising at least one of a rules engine, a Boolean evaluation, or a rules-based determination.

7. A decision support system determining treatment for a patient having two or more medical conditions, comprising:
a library of healthcare agent solvers configured for evaluating patient information to facilitate clinical decision support for the patient;
one or more computer processors; and
one or more computer storage media storing computer-useable instructions that, when executed by the one or more processors, implement a method comprising:
selecting a first solver to determine a patient condition and a recommended treatment for a patient;
applying the first solver to determine the patient condition and the recommended treatment, each patient condition comprising an evaluated state for the patient condition;
invoking a second solver to assist the first solver to determine the patient condition and the recommended treatment;
communicating the evaluated state for the determined patient condition from the first solver to the second solver;
based on the determined patient condition and the recommended treatment, communicating actions and dispositions specific to said patient to a second computer processing component, wherein the second computer processing component is remote from the one or more computer processing components; and
displaying the communicated actions and dispositions specific to said patient on a user interface of the second computer processing component.

8. The decision support system of claim 7 , wherein said action or disposition is determined by invoking an expert rules engine, and wherein said determined action or disposition includes at least one of an order, patient condition, recommended treatment, recommended additional testing.

9. The decision support system of claim 8 , wherein the first solver comprises a finite state machine.

10. The decision support system of claim 7 , wherein said determination of the patient condition of the recommended treatment is performed by a software agent.

11. The decision support system of claim 7 , wherein said determination the patient condition of the recommended treatment is performed using logic comprising at least one of a rules engine, a Boolean evaluation, or a rules-based determination.

12. The decision support system of claim 7 , further comprising: A system for facilitating clinical decision making, comprising:
a data-extraction solver operable to determine discrete patient data from said patient information;
a condition and recommendation resolver agent operable to receive said discrete patient data and said solver-content parameters, and based on said discrete data and solver-content parameters, determine at least one condition or recommended treatment associated with said patient; and
an expert rules engine operable for receiving at least one condition or recommended treatment and determining an action or disposition based on said at least one condition or recommended treatment.

13. The decision support system of claim 12 , wherein said resolver agent further comprising a generic finite state machine and a mixed-integer linear solver.

14. The decision support system of claim 13 , wherein said resolver agent being further operable to instantiate and execute a patient-specific finite state machine, based on said generic finite state machine, having states and transition-rules corresponding to said discrete patient data and said solver-content parameters, the patient-specific finite state machine determining that a second solver is needed to assist said first patient-specific finite state machine and invoking the mixed-integer linear solver to evaluate each state of the patient-specific finite state machine to determine the at least one condition or recommended treatment.

15. The decision support system of claim 14 , wherein said resolver agent being further operable to use said mixed-integer linear solver to evaluate each state of the patient-specific finite state machine.

Assignees

• Cerner Innovation Inc

Inventors

• Murrish John Christopher
• Mcnair Douglas S
• Kailasam Kanakasabha

Classifications

• G16H20/10

  relating to drugs or medications, e.g. for ensuring correct administration to patients · CPC title

• G16H10/60 Primary

  for patient-specific data, e.g. for electronic patient records · CPC title

• G16H50/20 Primary

  for computer-aided diagnosis, e.g. based on medical expert systems · CPC title