Medical information system and method for providing a medical information system

Abstract

The invention relates to a medical information system (10) and method, the system comprising a data storage device (12) configured to receive and store medical data (D) of a plurality of patients acquired by implantable medical devices (14) and / or wearable devices (16), and a user interface (18) configured to provide access to the medical data (D) of a respective individual patient among the plurality of patients stored in the data storage device (12) to multiple users, in particular multiple medical professionals, wherein the data storage device (12) is further configured to receive and store diagnostic and / or treatment information (D1) related to the medical data (D) of each individual patient by at least one of the multiple users, and wherein the user interface (18) is configured to provide access for each of the plurality of users to the stored diagnostic and / or treatment information (D1).

Description

[0001] Medical information system and method for providing a medical information system

[0002] The invention relates to a medical information system. Furthermore, the invention relates to a computer-implemented method for providing a medical information system.

[0003] Most patient follow-up platforms primarily display CRM implant data, as the focus is on patients with cardiac arrhythmias in general. As a result, many heart failure patients cannot be followed up in such platforms.

[0004] Conventional solutions hence often only include data that are insufficient for holistic heart failure follow-up. Thus, inferences for heart failure follow-up can be drawn from CRM implant data, but additional information must be obtained to determine diagnoses and therapies.

[0005] Previous solutions do not involve the entire patient medical history with all healthcare professionals. Thus, there is no data exchange and collaboration between primary care physicians, cardiologists and heart failure specialists. Especially if interdisciplinary teams are to collaborate and in the context of health care worker overload, it is important to provide everyone with only the information that is important for his / her work.

[0006] In addition, to date, patients have not been heavily involved in their therapy. Previous solutions do not adequately support healthcare professionals in their administrative tasks and create a cognitive burden through outdated, non-intuitive user interfaces. Current solutions further do not adequately support healthcare professionals in drawing conclusions from the data presented. Said solutions thus cannot be customized to fit the workflow of a clinic, team, or user. It is therefore an object of the present invention to provide an improved medical information system allowing medical professionals from different fields caring for a patient to collaborate on the therapy.

[0007] The object is solved by a medical information system having the features of claim 1.

[0008] Furthermore, the object is solved by a computer-implemented method for providing a medical information system having the features of claim 13.

[0009] Furthermore, the object is solved by a computer program having the features of claim 14 and by a computer-readable data carrier having the features of claim 15.

[0010] Further developments and advantageous embodiments are defined in the dependent claims.

[0011] The present invention provides a medical information system. The system comprises a data storage device configured to receive and store medical data of a plurality of patients acquired by implantable medical devices and / or wearable devices.

[0012] Furthermore, the system comprises a user interface configured to provide access to the medical data of a respective individual patient among the plurality of patients stored in the data storage device to multiple users, in particular multiple medical professionals, wherein the data storage device is further configured to receive and store diagnostic and / or treatment information related to the medical data of each individual patient by at least one of the multiple users, and wherein the user interface is configured to provide access for each of the plurality of users to the stored diagnostic and / or treatment information.

[0013] In addition, the present invention provides a computer-implemented method for providing a medical information system. The method comprises receiving and storing medical data of a plurality of patients acquired by implantable medical devices and / or wearable devices. Moreover, the method comprises providing access to the stored medical data of a respective individual patient among the plurality of patients to multiple users, in particular medical professionals.

[0014] The method furthermore comprises receiving and storing diagnostic and / or treatment information related to the medical data of the individual patient by at least one of the multiple users, and wherein the stored diagnostic and / or treatment information is accessible by each of the multiple users.

[0015] Moreover, the present invention provides a computer program with program code to perform the method of the present invention when the computer program is executed on a computer. In addition, the present invention provides a computer-readable data carrier containing program code of a computer program for performing the method of the present invention when the computer program is executed on a computer.

[0016] An idea of the present invention is to provide a platform specifically for heart failure patients comprising all patients, including those without a CRM implant. This requires the inclusion of other medically relevant data from e.g. wearable devices.

[0017] The invention thus makes it possible to include other data sources in addition to CRM implant data, such as Bluetooth scales, Bluetooth blood pressure monitors, activity trackers, or PA pressure implants.

[0018] This allows all patients with heart failure to be followed up. The invention also allows all medical professionals caring for the patient from their discipline to work together on therapy. They can share ideas, divide tasks and communicate with the patient. By assigning roles, each is provided with only the information that is important to his / her work. This includes allowing them to set alarms individually for themselves and each patient. The invention enables patients to learn about their health status and provide medically relevant information about their symptoms, edema or medication regimen, among other things. They also gain access to informational materials related to their therapy. Content can also be targeted to the patient by medical professionals. The invention makes it possible to work as efficiently as possible. This is ensured by a modern, user-friendly interface, and data integration between the platform and the clinic information system. Medical professionals can thus focus more on value-adding tasks such as treating the patient instead of investing their time in administrative tasks. The invention further helps medical professionals interpret the data presented and offers suggestions based on clinical guidelines. The invention in addition supports efficient work by allowing the interface to be customized to the workflow of a clinic, team or user.

[0019] According to an aspect of the invention, the user interface is further configured to provide access to at least part of the stored diagnostic and / or treatment information of each individual patient to the respective individual patient and / or wherein the medical information system is configured to transmit at least part of the stored diagnostic and / or treatment information of each individual patient to a patient communication device of the respective individual patient. This way, the information communicated to each patient can be configured via the user interface.

[0020] According to a further aspect of the invention, the user interface is configured to provide a messaging service for a user to transmit diagnostic and / or treatment information to another user, and wherein the user interface is configured to filter the stored medical data of the individual user such that access to a first subset of the medical data is provided to a first user and access to a second subset of the medical data is provided to a second user, said first subset differing from said second subset of medical data. Especially when not only EP staff but also HF staff is involved, it is advantageous to make sure every caretaker sees only the information relevant for him / her.

[0021] According to a further aspect of the invention, the user interface is configured to provide adjustability of alert settings for generating an alert to at least one user if the medical data of the individual patient exceeds or falls below an adjustable predetermined threshold value, wherein the alert settings are adjustable for each user such that a different alert setting for the same medical data of the individual patient is configurable for each user. Hence, each staff member can decide individually when and how to be notified. This way, every team member only receives those alerts relevant to his / her role.

[0022] According to a further aspect of the invention, a recommendation algorithm is configured to recommend alert settings for each user, wherein different alert settings for the same medical data of the individual patient are creatable for different users. Thus, an alert can e.g, be assigned to a colleague for review. This alert then appears on his / her individual alert list. This can be either used to divide tasks within a clinic team or to seek consultation from an expert inside or outside the clinic.

[0023] According to a further aspect of the invention, the user interface is configured to provide a patient search function and / or a filtering function to filter the medical data and / or personal data associated with said medical data according to predefined filtering criteria. The search field can thus be used to either search for one patient or to filter the list of all patients. This is useful for clinical studies, performance management, or other purposes.

[0024] According to a further aspect of the invention, the medical data acquired by the implantable medical devices and / or the wearable devices comprise a body weight, a blood pressure, a PA pressure and / or activity information, in particular an activity description, an activity location and / or an activity intensity score.

[0025] When monitoring heart failure patients, additional sensor data is relevant to evaluate the patient’s health status. In addition, many HF patients do not have a cardiac implant. The data can be collected from internal or external sensors and be sent via a patient app to the medical information system.

[0026] According to a further aspect of the invention, the medical information system is configured to import electronic health record data to the data storage device, and wherein the medical information system is configured to upload the medical data of the plurality of patients acquired by the implantable medical devices and / or the wearable devices to the patient’s electronic health record. The EHR data can thus be integrated and made available within the user interface. According to a further aspect of the invention, the user interface is configured to log and export information about clinical actions performed with the medical information system. Hence, also basic data and reports are automatically uploaded to the patient’s EHR for documentation. For example, when assigning an alert for review to a colleague, this action is documented in the respective EHR.

[0027] According to a further aspect of the invention, the user interface is configured to schedule remote patient follow-ups at predefined intervals and / or at user selected dates. Using the medical information system, clinics can schedule follow-ups by manually entering the dates. They will receive a reminder on the day of the follow-up. While performing the scheduled follow-up, the medical information system can track time spent. This can be used to create reports.

[0028] According to a further aspect of the invention, the user interface is configured to provide adjustability of communication settings, wherein the communication settings comprise viewing messages from patients, viewing responses by medical professionals, exchanging medical pictures, sending medical documents, sending audio messages and / or sending and conducting video consultations. Clinicians can thus advantageously decide for each patient individually whether or not to activate communication.

[0029] According to a further aspect of the invention, the user interface is configured to communicate with a diagnostic testing facility and to receive reviews on alerts, diagnosis and / or reports based on the medical data of the plurality of patients acquired by the implantable medical devices and / or the wearable devices.

[0030] The medical information system can thus be linked to an independent diagnostic testing facility, which reviews the patients’ alerts and creates the corresponding diagnosis / report for the clinic. This way, the external facility can filter all alerts and detect those severe cases the clinic itself needs to act on. The herein described features of the medical information system are also disclosed for the computer-implemented method for providing a medical information system and vice versa.

[0031] For a more complete understanding of the present invention and advantages thereof, reference is now made to the following description taken in conjunction with the accompanying drawings. The invention is explained in more detail below using exemplary embodiments, which are specified in the schematic figures of the drawings, in which:

[0032] Fig. 1 shows a diagram of a medical information system according to a preferred embodiment of the invention; and

[0033] Fig. 2 shows a flowchart of a computer-implemented method for providing a medical information system according to the preferred embodiment of the invention.

[0034] The medical information system 10 shown in Fig. 1 comprises a data storage device 12 configured to receive and store medical data D of a plurality of patients acquired by implantable medical devices 14 and / or wearable devices 16.

[0035] Furthermore, the system comprises a user interface 18 configured to provide access to the medical data D of a respective individual patient among the plurality of patients stored in the data storage device 12 to multiple users, in particular multiple medical professionals, wherein the data storage device 12 is further configured to receive and store diagnostic and / or treatment information DI related to the medical data D of each individual patient by at least one of the multiple users, and wherein the user interface 18 is configured to provide access for each of the plurality of users to the stored diagnostic and / or treatment information DI.

[0036] The user interface 18 is further configured to provide access to at least part of the stored diagnostic and / or treatment information DI of each individual patient to the respective individual patient and / or wherein the medical information system 10 is configured to transmit at least part of the stored diagnostic and / or treatment information DI of each individual patient to a patient communication device 19 of the respective individual patient.

[0037] Moreover, the user interface 18 is configured to provide a messaging service for a user to transmit diagnostic and / or treatment information DI to another user, and wherein the user interface 18 is configured to filter the stored medical data D of the individual user such that access to a first subset of the medical data D is provided to a first user and access to a second subset of the medical data D is provided to a second user, said first subset differing from said second subset of medical data D.

[0038] The user interface 18 is further configured to provide adjustability of alert settings 20 for generating an alert to at least one user if the medical data D of the individual patient exceeds or falls below an adjustable predetermined threshold value, wherein the alert settings 20 are adjustable for each user such that a different alert setting 20 for the same medical data D of the individual patient is configurable for each user.

[0039] In addition, a recommendation algorithm is configured to recommend alert settings 20 for each user, wherein different alert settings 20 for the same medical data D of the individual patient are creatable for different users. Furthermore, the user interface 18 is configured to provide a patient search function and / or a filtering function to filter the medical data D and / or personal data associated with said medical data D according to predefined filtering criteria.

[0040] The medical data D acquired by the implantable medical devices 14 and / or the wearable devices 16 comprise a body weight, a blood pressure, a PA pressure and / or activity information, in particular an activity description, an activity location and / or an activity intensity score. The medical information system 10 is configured to import electronic health record 22 data to the data storage device 12, and wherein the medical information system 10 is configured to upload the medical data D of the plurality of patients acquired by the implantable medical devices 14 and / or the wearable devices 16 to the patient’s electronic health record 22. The user interface 18 is configured to log and export information about clinical actions performed with the medical information system 10. In addition, the user interface 18 is configured to schedule remote patient follow-ups at predefined intervals and / or at user selected dates.

[0041] The user interface 18 is further configured to provide adjustability of communication settings, wherein the communication settings comprise viewing messages from patients, viewing responses by medical professionals, exchanging medical pictures, sending medical documents, sending audio messages and / or sending and conducting video consultations.

[0042] Moreover, the user interface 18 is configured to communicate with a diagnostic testing facility and to receive reviews on alerts, diagnosis and / or reports based on the medical data D of the plurality of patients acquired by the implantable medical devices 14 and / or the wearable devices 16.

[0043] Furthermore, when reviewing an ECG strip or an alert, the medical information system 10 could highlight the area in a diagram that needs attention and provide suggestions of possible next steps according to clinical guidelines. E.g., when the weight trend for a heart failure patient increases by 5kg within 3 days, the system could suggest: “After calling patient and exclude non-compliance, consider increasing the dose of diuretics. If this doesn’t work, halve the dose of beta-blocker.”

[0044] Moreover, as users have different roles and tasks, each user can customize what should be displayed in which order for a patient’s overview page. For this, the overview page uses widgets that can be added, deleted, and rearranged by drag and drop. A user could decide, for example, that a HF score is most relevant for him / her and place it at the top of the page. These changes can be applied to the whole clinic or only for this user.

[0045] The medical information system 10 further supports analyzing complex graphs and allows understanding what event caused which change in trends. In addition, the medical information system 10 is capable of displaying medication data by either importing data from the clinic EHR, offering a manual entry of medication information for clinicians, or asking the patient to track their medication intake and display this information on the user interface 18.

[0046] Furthermore, the medical information system 10 can generate KPIs based on data aggregated from all patients registered. These KPIs include, for example, the number of follow-up appointments, shocks per patient per year, and the number of different device types. The KPIs can be customized based on the clinic’s needs and incorporated into regularly generated reports.

[0047] Moreover, patients receive access to only that health data they can comprehend. This might include a battery and device status of their cardiac implant or trends of their weight and blood pressure. In addition, they receive educational information on how to interpret the data. This patient portal can either be a website or a patient app and can also be used for communication between patient and clinician.

[0048] Fig. 2 shows a flowchart of a computer-implemented method for providing a medical information system 10 according to the preferred embodiment of the invention.

[0049] The method comprises receiving and storing SI medical data D of a plurality of patients acquired by implantable medical devices 14 and / or wearable devices 16.

[0050] In addition, the method comprises providing S2 access to the stored medical data D of a respective individual patient among the plurality of patients to multiple users, in particular medical professionals.

[0051] The method moreover comprises receiving and storing S3 diagnostic and / or treatment information DI related to the medical data D of the individual patient by at least one of the multiple users, and wherein the stored diagnostic and / or treatment information DI is accessible by each of the multiple users. Reference Signs

[0052] 10 medical information system

[0053] 12 data storage device 14 implantable medical devices

[0054] 16 wearable devices

[0055] 18 user interface

[0056] 19 patient communication device

[0057] 20 alert settings 22 electronic health record

[0058] D medical data

[0059] DI diagnostic and / or treatment information

[0060] SI -S3 method steps

Claims

Claims1. Medical information system (10), comprising: a data storage device (12) configured to receive and store medical data (D) of a plurality of patients acquired by implantable medical devices (14) and / or wearable devices (16); and a user interface (18) configured to provide access to the medical data (D) of a respective individual patient among the plurality of patients stored in the data storage device (12) to multiple users, in particular multiple medical professionals, wherein the data storage device (12) is further configured to receive and store diagnostic and / or treatment information (DI) related to the medical data (D) of each individual patient by at least one of the multiple users, and wherein the user interface (18) is configured to provide access for each of the plurality of users to the stored diagnostic and / or treatment information (DI).

2. Medical information system of claim 1, wherein the user interface (18) is further configured to provide access to at least part of the stored diagnostic and / or treatment information (DI) of each individual patient to the respective individual patient and / or wherein the medical information system (10) is configured to transmit at least part of the stored diagnostic and / or treatment information (DI) of each individual patient to a patient communication device (19) of the respective individual patient.

3. Medical information system of claim 1 or 2, wherein the user interface (18) is configured to provide a messaging service for a user to transmit diagnostic and / or treatment information (DI) to another user, and wherein the user interface (18) is configured to filter the stored medical data (D) of the individual user such that access to a first subset of the medical data (D) is provided to a first user and access to a second subset of the medical data (D) is provided to a second user, said first subset differing from said second subset of medical data (D).

4. Medical information system of any one of the preceding claims, wherein the user interface (18) is configured to provide adjustability of alert settings (20) for generatingan alert to at least one user if the medical data (D) of the individual patient exceeds or falls below an adjustable predetermined threshold value, wherein the alert settings (20) are adjustable for each user such that a different alert setting (20) for the same medical data (D) of the individual patient is configurable for each user.

5. Medical information system of claim 4, wherein a recommendation algorithm is configured to recommend alert settings (20) for each user, wherein different alert settings (20) for the same medical data (D) of the individual patient are creatable for different users.

6. Medical information system of claim 4 or 5, wherein the user interface (18) is configured to communicate with a diagnostic testing facility and to receive a review on the alert, a diagnosis and / or a report based on the medical data (D) of the plurality of patients acquired by the implantable medical devices (14) and / or the wearable devices (16).

7. Medical information system of any one of the preceding claims, wherein the user interface (18) is configured to provide a patient search function and / or a filtering function to filter the medical data (D) and / or personal data associated with said medical data (D) according to predefined filtering criteria.

8. Medical information system of any one of the preceding claims, wherein the medical data (D) acquired by the implantable medical devices (14) and / or the wearable devices (16) comprise a body weight, a blood pressure, a PA pressure and / or activity information, in particular an activity description, an activity location and / or an activity intensity score.

9. Medical information system of any one of the preceding claims, wherein the medical information system (10) is configured to import electronic health record (22) data to the data storage device (12), and wherein the medical information system (10) is configured to upload the medical data (D) of the plurality of patients acquired by theimplantable medical devices (14) and / or the wearable devices (16) to the patient’s electronic health record (22).

10. Medical information system of any one of the preceding claims, wherein the user interface (18) is configured to log and export information about clinical actions performed with the medical information system (10).

11. Medical information system of any one of the preceding claims, wherein the user interface (18) is configured to schedule remote patient follow-ups at predefined intervals and / or at user selected dates.

12. Medical information system of any one of the preceding claims, wherein the user interface (18) is configured to provide adjustability of communication settings, wherein the communication settings comprise viewing messages from patients, viewing responses by medical professionals, exchanging medical pictures, sending medical documents, sending audio messages and / or sending and conducting video consultations.

13. Computer-implemented method for providing a medical information system (10), comprising the steps of: receiving and storing (SI) medical data (D) of a plurality of patients acquired by implantable medical devices (14) and / or wearable devices (16); providing (S2) access to the stored medical data (D) of a respective individual patient among the plurality of patients to multiple users, in particular medical professionals; and receiving and storing (S3) diagnostic and / or treatment information (DI) related to the medical data (D) of the individual patient by at least one of the multiple users, and wherein the stored diagnostic and / or treatment information (DI) is accessible by each of the multiple users.

14. Computer program with program code to perform the method of claim 13 when the computer program is executed on a computer.

15. Computer-readable data carrier containing program code of a computer program for performing the method of claim 13 when the computer program is executed on a computer.

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