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WO2014146180A1 - Procédé et système de suivi de risque et de détection précoce de maladies en général - Google Patents

Procédé et système de suivi de risque et de détection précoce de maladies en général Download PDF

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Publication number
WO2014146180A1
WO2014146180A1 PCT/BR2013/000091 BR2013000091W WO2014146180A1 WO 2014146180 A1 WO2014146180 A1 WO 2014146180A1 BR 2013000091 W BR2013000091 W BR 2013000091W WO 2014146180 A1 WO2014146180 A1 WO 2014146180A1
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WO
WIPO (PCT)
Prior art keywords
patient
diseases
risk
general
chamber
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/BR2013/000091
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English (en)
Portuguese (pt)
Inventor
Wagner Marques DA SILVA
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nagis Health - Nucleo Avancado De Gerenciamento E Informacao Em Saude Ltda Me
Original Assignee
Nagis Health - Nucleo Avancado De Gerenciamento E Informacao Em Saude Ltda Me
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nagis Health - Nucleo Avancado De Gerenciamento E Informacao Em Saude Ltda Me filed Critical Nagis Health - Nucleo Avancado De Gerenciamento E Informacao Em Saude Ltda Me
Priority to PCT/BR2013/000091 priority Critical patent/WO2014146180A1/fr
Publication of WO2014146180A1 publication Critical patent/WO2014146180A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08—Insurance
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment

Definitions

  • the present invention relates to a method and system for the screening of risk and early detection of diseases in general, wherein said method comprises arranging a plurality of conventional equipment for rapid diagnostics, such as identification apparatus for pathological agents, of heart diseases, of diabetes, of hepatitis, of identification of human immunodeficiency virus (HIV), among other equipment for the verification of various diseases; such equipment is arranged in fixed units (containers, masonry rooms or other places) or mobile units (trailers, vans, etc.) and, together with the specially developed tracking system in the form of software, general health of patients through the comparison of therapeutic protocols and diagnostic protocols with the results of the examinations performed in said units of "checkup", obtaining a complete dossier of the patient in reduced time.
  • conventional equipment for rapid diagnostics such as identification apparatus for pathological agents, of heart diseases, of diabetes, of hepatitis, of identification of human immunodeficiency virus (HIV), among other equipment for the verification of various diseases; such equipment is arranged in fixed units (containers, masonry rooms
  • preventive medicine or "checkup” that includes a battery of exams given by specialized physicians, through specific equipment consisting mainly of general clinical exams and complementary tests such as hemogram, creatinine, glycemia, total cholesterol and fraction, triglycerides, uric acid, urine routine, stool exams, electrocardiogram, ergometric and chest X-rays, among others.
  • checkup the patient makes a previous consultation with a doctor, who requests the clinical exams, and the patient goes to one or more clinics of exams to collect the material to be examined and, after the release of the As a result, the patient returns to the physician for evaluation and interpretations.
  • the collection of material for the required examinations is performed in hospitals and specialized clinics, since they use fixed equipment, often of large dimensions and have specialized physicians to document the results, resulting in high cost and extreme slowness of the process as a whole.
  • the minimum period for collection of material in clinics and hospitals is four hours, a fact that restricts the conduct of preventive tests, mainly by those patients who work daily. This type of patient ends, finally, by failing to take preventive exams, given the time spent.
  • Another drawback is that conventional check-ups often perform unnecessary exams, and fail to perform other specific tests, making it difficult and delaying the discovery of possible diseases that could, if the result were more agile, be treated more briefly.
  • Another drawback is that many of the results of conventional check-ups are analyzed manually and punctually by the physician, without the crossing of other information, making it expensive and not personalized work. This situation is mainly due to the absence of a computerized system to establish a logical order in the application of the tests through the use of protocols, besides there are no decision support systems that, using guidelines to assist health professionals, determine the diagnosis and therapy.
  • the company that has this type of system uses a system compatible with equipment that generates a digital file of the exam, which in turn can be sent and distributed through the web facilitating the management of the files to be lauded . It generates reports, automatic warnings with encryption in the transmission, digital signature ICP in the reports and creates, in the own system, a database to store all the files.
  • the improved methods such as such as telemedicine, database storage, point-of-care, among others are used independently, that is, they do not have an interconnection between them, making it impossible to manage or cross data for suitable results.
  • the document of ns. PI 0316899-9 deals with system and method for the integrated interface of medical knowledge bases accessed by a variety of users and sources to provide the data from specific user bases, specific functions and similar bases.
  • the integrated knowledge base can be physically located within a range of distinct locations, such as users and sources. Based on factors such as user identification, user types, user roles, user environment, and so on, the system can provide the interfaces specifically tailored to interact with the integrated knowledge base.
  • controlled access can be provided on similar bases such as some but not all data or features of the integrated knowledge base that are offered to the specific user, it is also provided interface with sources such as systems and diagnostic equipment, and can be similarly customized and with controlled access.
  • PI 9916149-4 deals with medical system and system control method for use by a patient for self-medical treatment. It comprises several portable modules where, one of the modules, is designated as the main module and has the function of controlling, supervising and monitoring all mutual information and exchange of data between them and the rest of the modules. Modules may be able to generate and store data that is transmitted to the main module if it is within range and active. If the main module is out of range, the data is kept in the module location until the main module is available or a new main module is assigned. The master module or other specific module may send the data to an external unit, such as a computer or database for further processing. A physician or team of health care professionals can access the data in the database and provide patient guidance based on such processed data.
  • an external unit such as a computer or database for further processing.
  • a physician or team of health care professionals can access the data in the database and provide patient guidance based on such processed data.
  • Structural-based processes include a method for diagnosing diseases that works by arranging diseases, symptoms, and issues in a set of disease structures, symptoms, and related issues such as objects or lists in such a way that structures can be processed to generate a dialogue with a patient.
  • a framework-based process system organizes medical knowledge into formal structures and then executes these structures in a structural mechanism to automatically select the next question. Patient responses to the questions lead to more questions and ultimately to a diagnosis.
  • An object-oriented realization includes software objects used as intelligent agents, active where each object performs its own task and asks other objects to perform their tasks at the appropriate time to arrive at a diagnosis.
  • Alternative symptoms, synergies, coding of patient responses, multiple diagnostic modes, disease profiles or timelines, and the reuse of diagnostic objects enhance system and method processing.
  • the above-mentioned document discloses a system for crossing data, it differs from the present invention mainly because the diagnostic process is obtained through the use of a set of questions for reaching the patient's information ie symptoms, profiles, etc.
  • the clinical exams are secondary and performed after the result of the arrangement of the information obtained from the patient with the structure arranged in the system.
  • the applicant has developed the present method and system of risk tracing and early detection of diseases in general, where said method is defined by the arrangement of technologies and equipment of reduced dimensions in an environment to compose fixed or mobile units capable of performing a general patient health checkup that, together with the operating system fed with therapeutic and diagnostic protocols, confronts with the results of the examinations performed in said checkup units and defines in function the results obtained, protocols and health risks, as well as the next examinations to be performed, concluding, at the end, with the presentation of the patient's complete dossier in a short period of time.
  • the operations of data crossings of the operating system are performed in a central data processing module, which generates the said dossier which, in turn, is available in the patient's electronic health record and can be accessed via the Internet.
  • the fixed or mobile units have a predefined layout for the arrangement of the examination equipment, as well as the complementary furniture, in order to facilitate the accomplishment of all the necessary examinations for the "ckeckup", allowing the full circulation of the patient and responsible (s), in addition to generating speed and security in the service.
  • Both units - fixed or mobile - are composed in such a way as to compose a standard model, since they are divided into service chambers.
  • a first chamber is the receiving chamber where the patient's anamnesis and other annotations are performed.
  • a second chamber is the examination chamber where the vital, anthropometric and blood exams are performed, and finally, a third chamber, idealized as an examination chamber of body composition and image.
  • the standard method in addition to the arrangement of the equipment in answering chambers, includes steps to be followed, starting in the receiving chamber where the anamnesis step is done to fill the initial protocols and feed the operating system database.
  • the patient After the anamnesis, as well as the verification of your contract (whether related to a company, city hall, health plan, etc.), the patient, with the examinations indicated in the result of the anamnesis, is directed to the chamber of vital, anthropometric and of blood for physical evaluation, and then to the body composition and imaging examination chamber, thus undergoing the checkup procedures.
  • the system remotely triggers specialist physicians who promptly evaluate and remotely review the referrals.
  • test results are sent to the central module of the system that starts the data processing and automatically generates a file available in the electronic health record of the person who has passed the checkup and can be accessed via the Internet.
  • Client data obtained during the "checkup" are treated according to Sigilo Médico norms edited by the Board of Medicine.
  • the tracking system guides healthcare professionals during the examinations, making the checkup directed and personalized to each patient, helping to reduce health risks and reduce costs with diseases that can be diagnosed earlier.
  • the main advantage lies in the fact that the innovative method and system integrates blood imaging equipment, work processes, protocols, telemedicine and software for risk tracing and disease detection in a single location, facilitating accessibility, as well as making it practical and fast the complete evaluation of health, because, through this system, the patient will have a complete dossier within approximately one (01) hour.
  • Another advantage is that the innovative method of tracking disease risk has a very low cost compared to conventional methods because it performs targeted tests, counting on the support of medical specialists in large clinical centers at a distance, besides following evidence-based medicine protocols.
  • Another advantage of using point-of-care diagnostic equipment and tests is that they perform tests with only one drop of blood reducing patient wear during collection.
  • Another advantage is the use of equipment with reduced dimensions that can promote the implantation of the system in small vans facilitating the displacement and transport of the units, besides providing that the units of checkup reach places of difficult access.
  • Another advantage is that the protocols followed by the system allow the personalization and accuracy of the diagnosis, as well as promoting immediate results through the automated crossing of the examinations for the calculation of disease risk.
  • Another advantage is the fact that the system makes available the health dossier via Internet, containing comparative of the checkups and previous exams, with health guidelines and referrals.
  • Another advantage of the innovative system is that it allows a logical sequence to be established in the tests, that is, the result of a lipid profile examination and anamnesis may lead to the need for a PCR test to determine the risk of atherosclerosis which, in turn, may lead to the performance of a carotid ultrasound to verify the degree of risk for stroke, guaranteeing the performance of essential exams, dispensing with other secondary exams.
  • Figure 1 shows a bottom plan view of an example of the array of equipment arranged in a fixed unit for carrying out the novel risk tracing method
  • Figure 1A shows a bottom plan view of an example of the array of equipment arranged in a van-type mobile unit for carrying out the novel risk tracing method
  • Figure 2 shows a side view of the mobile unit
  • Figure 3 shows a flow chart of the anamnesis
  • FIG. 4 illustrates a flowchart of the "checkup"
  • FIGS 5, 6, 7 and 8 show illustrations of the screens of the risk tracking system.
  • the present invention relates to "METHOD AND SYSTEM OF RISK TRACKING AND EARLY DETECTION OF DISEASES IN GENERAL", more precisely it is a method and system for performing personalized health checkup (CK) and integral, where several equipment, tests and intelligent programs are used to operate the information.
  • CK personalized health checkup
  • the present invention provides that method (1) includes arranging a plurality of small size equipment (2) used for rapid diagnostics, such as identification of pathological agents, cardiac diseases, diabetes, hepatitis, immunodeficiency virus (HIV), among other diseases, which are organized in fixed units (UF) or mobile units (UM) with pre-defined (LI) and (L2) environments, in order to compose where the first chamber is the reception chamber (Cl) designed to carry out the patient's anamnesis stage and other annotations; the second chamber is the examination chamber (C2) where the vital, anthropometric and blood exams are performed and, finally, the third chamber, is the body composition and imaging examination chamber (C3).
  • UF reception chamber
  • UM mobile units
  • LI pre-defined
  • L2 pre-defined environments
  • the chambers C1 / C2 and C3, as well as the steps taken in each of them, comprise the method for carrying out a general patient health checkup (P), more precisely, the steps of:
  • the patient (P) aware of the examinations indicated in the result of the anamnesis in the receiving chamber (C1) , is directed to the vital, anthropometric and blood exams chamber (C2) for physical evaluation, the results of these examinations (Ex) being sent to the risk tracing system (Str); and
  • the patient after passing through the exam chamber (C2), the patient is referred to the body composition and imaging exam chamber (C3), the results of these examinations (Ex) also being sent to the risk tracing system (Str) .
  • each fixed unit (UF) and / or mobile (UM) operate in conjunction with the risk tracking system (Str), which, in turn, central module (3) of data processing powered with therapeutic protocols (pt) and diagnostic protocols (pd).
  • This system (Str) compares the results (rl) of the ex (ex) tests performed in the checkup units (UF) / (UM), and defines as a function of the crossing and confrontation of data and protocols (pt) / (pd) health risks by means of indications of upcoming tests to be performed and ending with complete patient dossier (pa) available in the electronic record of patient's health (pa) having access via the Internet.
  • the risk tracing system follows a logical sequence by customizing the patient's checkup (CK), whose steps can be described as:
  • the system remotely triggers medical specialists who promptly evaluate and review the referral exams.
  • Client data obtained during the "checkup" are treated according to Sigilo Médico norms edited by the Federal Council of Medicine.
  • the mobile unit (UM) can be mounted in vans or other suitable automobiles, while the fixed unit (UF) can be installed in housing units or even containers.

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  • Business, Economics & Management (AREA)
  • Engineering & Computer Science (AREA)
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  • Marketing (AREA)
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  • Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • General Physics & Mathematics (AREA)
  • Development Economics (AREA)
  • Economics (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Databases & Information Systems (AREA)
  • Data Mining & Analysis (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un procédé et un système de suivi de risque et de détection précoce de maladies en général, et notamment un procédé et un système destinés à réaliser un "check-up" de santé (CK) personnalisé et intégral, où sont utilisés divers équipements, examens et programmes intelligents pour exploiter les informations ; le procédé (1) fait intervenir l'agencement d'une pluralité d'équipements (2) de dimensions réduites, utilisés pour des diagnostics rapides, tels que l'identification d'agents pathologiques, de maladies cardiaques, du diabète, de l'hépatite, et pour l'identification du virus de l'immunodéficience humaine - VIH -, entre autres maladies, lesdits équipements étant organisés en unités fixes (UF) ou unités mobiles (UM) avec des environnements prédéfinis (L1) et (L2), de manière à former des chambres de prise en charge, la première chambre étant la chambre de réception (C1) conçue pour réaliser l'étape d'anamnèse du patient et autres annotations, la deuxième chambre étant la chambre d'examens (C2) où sont réalisés les examens vitaux, anthropométriques et sanguins et, enfin, la troisième chambre étant la chambre d'examens de composition corporelle et d'imagerie (C3) ; les chambres (C1), (C2) et (C3) de chaque unité fixe (UF) et/ou mobile (UM) fonctionnant conjointement avec le système de suivi de risques (Str), lequel présente à son tour le module central (3) de traitement de données alimenté avec des protocoles thérapeutiques (pt) et des protocoles diagnostiques (pd).
PCT/BR2013/000091 2013-03-20 2013-03-20 Procédé et système de suivi de risque et de détection précoce de maladies en général Ceased WO2014146180A1 (fr)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220180047A1 (en) * 2019-11-02 2022-06-09 Iryou Jyouhou Gijyutu Kenkyusho Corporation Document creation system

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030187688A1 (en) * 2000-02-25 2003-10-02 Fey Christopher T. Method, system and computer program for health data collection, analysis, report generation and access
US20110213623A1 (en) * 2004-01-16 2011-09-01 Disease Management Services, Plc Disease Management System

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030187688A1 (en) * 2000-02-25 2003-10-02 Fey Christopher T. Method, system and computer program for health data collection, analysis, report generation and access
US20110213623A1 (en) * 2004-01-16 2011-09-01 Disease Management Services, Plc Disease Management System

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220180047A1 (en) * 2019-11-02 2022-06-09 Iryou Jyouhou Gijyutu Kenkyusho Corporation Document creation system
US12067350B2 (en) * 2019-11-02 2024-08-20 Iryou Jyouhou Gijyutu Kenkyusho Corporation Document creation system

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