Filter Service for Context-Aware EHR Routing in Telehealth
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Solution Overview
Problem
Doctors face challenges in efficiently preparing for remote patient visits due to the vast amount of Electronic Health Records (EHR) data, making it difficult to identify relevant past medical records quickly, especially in situations where eye contact with the patient is crucial during video consultations.
Innovation Solution
A method for communication support that involves routing communication channels between user devices through a meeting application server, establishing a filter control channel with a filter service, and using this service to extract, classify, and aggregate context-based information from current communications, thereby filtering and presenting only relevant past and current health records to the doctor.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Loss of information
If doctors manually search through extensive EHR records to prepare for patient visits, then comprehensive information gathering is improved, but time consumption and difficulty in identifying relevant records increase
Solution Approach 1:
The system performs preliminary filtering and organization of EHR records before the doctor needs to review them. The filter service pre-processes extensive medical records, extracting and categorizing relevant information in advance, so that when the doctor accesses the records, they are already organized and ready for efficient review.
Solution Approach 2:
A filter service acts as an intermediary between the EHR system and the doctor. This intermediary component automatically filters, extracts, and organizes relevant information from extensive records, presenting only the most important data to the doctor without requiring manual searching through all records.
2Loss of information
If doctors review extensive EHR records during live telehealth meetings, then relevant information detection is improved, but eye contact with patient deteriorates
Solution Approach 1:
The system prepares and filters relevant EHR information in advance before the live telehealth meeting begins. By pre-processing and organizing the data, the doctor receives curated information during the meeting without needing to manually search records, allowing continuous eye contact with the patient while still accessing relevant medical history.
Solution Approach 2:
The filter service serves as an intermediary that automatically retrieves and presents relevant EHR information during the telehealth meeting. This intermediary handles the information retrieval task, freeing the doctor to maintain eye contact with the patient while the system simultaneously provides relevant medical records through the user interface.
3Loss of information
If all past EHR records are stored and made available, then information completeness is improved, but information overload and difficulty in filtering relevant data increase
Solution Approach 1:
The filter service extracts only the relevant information from the complete EHR records. It takes out and separates the essential medical data needed for the current patient visit from the vast repository of historical records, presenting only the extracted relevant information to the doctor while maintaining access to the complete record set.
Solution Approach 2:
The system applies different filtering criteria and levels of detail based on the specific context of each patient visit. Rather than uniformly presenting all records with the same level of detail, the filter service adapts the information presentation to the local requirements of the current medical situation, highlighting only the locally relevant aspects of the patient's medical history.
Data Source
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AI summary
A method for communication support in a communication server (102) is provided, comprising routing at least one communication channel (103) between a first user device (101'A) and a second user device (101'B) through a meeting application server (101a), wherein a filter service (101) having access to the at least one communication channel (103), establishing a filter control channel (104) between at least one of the first user device (101'A) and the second user device (101'B) and the filter service (101), associating the at least one communication channel (103) with the filter control channel (104), receiving a filter control rule (103e) inside the filter control channel (104), analyzing current information (103a, 103b, 103c, 103d) which is exchanged inside the at least one communication channel (103) between the first user device (101'A) and the second user device (101'B), extracting current context-based information from the current information according to a predefined context selection rule, aggregating the current context-based information extracted from the current information (103a, 103b, 103c, 103d), filtering the aggregated current context-based information according to the filter control rule (103e) and generating filtered information based on the filter control rule and providing the filtered information to at least one of the filter control channel (104) and the at least on communication channel (103).