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WO2016149670A1 - Logiciel de codage de classifications médicales - Google Patents

Logiciel de codage de classifications médicales Download PDF

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Publication number
WO2016149670A1
WO2016149670A1 PCT/US2016/023266 US2016023266W WO2016149670A1 WO 2016149670 A1 WO2016149670 A1 WO 2016149670A1 US 2016023266 W US2016023266 W US 2016023266W WO 2016149670 A1 WO2016149670 A1 WO 2016149670A1
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WIPO (PCT)
Prior art keywords
code
icd
anatomical
medical
questions
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PCT/US2016/023266
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English (en)
Inventor
Michelle WEIGEL
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Individual
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Individual
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Classifications

    • 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
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • 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
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Definitions

  • This invention is in the field of medical coding of diseases and conditions and more specifically, in coding to the new ICD-10 system, using touch screens and more specific and correct codes.
  • the medical coding systems have been strictly numerical, with a string of numbers classifying medical conditions and treatments.
  • the left end of the number string codes for more general information, with additional digits on the right end providing more specific information.
  • Different conditions, associated with particular procedures could eventually be memorized by intelligent health care professionals.
  • Expert coders are able to maximize billings by adjusting the particular codes to be sure to demonstrate the value of the procedure(s). Now that has abruptly changed with the addition of two more right-end digits to an already complicated system.
  • the new ICD-10 expands the previous number of codes from about 17,000 to about 141,000 codes. There are additional columns of numbers in the new codes that require more detail. There are almost no direct translations from ICD-9 to ICD-10, although providers of coding programs are attempting to perform just such steps. There are no direct translations because the new ICD-10 codes have two additional digits, not found in ICD-09. In other words there is the capability for 100 times as many codes. Now using numbers and 26 alphabet letters in the two digits, there are as many as 1296 times the number codes available in ICD-10. A translation program can at best get the coder to a family of 100 codes.
  • ICD-9 Additional detail not provided in ICD-9 involves a variety of types, including visit number, more detail on the medical problem and code, such as month of pregnancy, etc. The more detailed coding will enable automation at the insurance company, with "adequate" numerical detail, rather than narratives.
  • an improved method of obtaining an ICD-10 code for a condition or disease that provides input by either verbal entry or selection of body parts on 3D model.
  • the method starts with providing a preprogrammed medical computing device with input and output display.
  • the next steps are signing into the medical diagnostic system and selecting a start of the search by anatomical or verbal method.
  • the anatomical method has the steps of providing an anatomical model; touching an area of a touch screen closest to an affected anatomical part; selecting a layer of the anatomical model; and answering a series of questions to pinpoint the code.
  • the verbal method has the steps of providing a keyboard in the form of hardware or touch screen functions; entering at least one word describing the condition or disease; and answering a series of questions to pinpoint the code.
  • the model of the human is presented as three-dimensional.
  • the model of the human body is rotated.
  • the method of verbal searching also has the step of touching an area of a touch screen closest to the affected anatomical part.
  • the present invention arose out of a desire to create a system that not only addresses the increased complexities of ICD-10, but also makes it easier to enter and select the correct data to arrive at the exact, appropriate coding for ICD-10.
  • I have been studying versions of ICD-10 for years. Even before that, I was facile at finding the most appropriate ICD-9 codes in coding books and computer applications.
  • ICD-10 "crosswalks” are software applications that purport to translate ICD-9 codes into ICD-10 codes. As mentioned above, they can only point to a family of ICD-10 codes because there are additional factors required to produce a correct and complete ICD-10 code. I continued to search for software or a web-based system but did not find anything better.
  • My new software uses words (verbal) as well as graphics (anatomical) to assist the coder in finding the correct code. No other software cues the coder with specific questions to get the correct code (see below for details). There are code "crosswalks" from ICD-9 to ICD- 10. However, because more information - in more digits of information - is required for ICD-10, there often is not a direct code correlation. Consider that the two new digits populated by numbers 0-9 provide up to 100 more choices for the coder. In addition, my method provides for efficient updates as new versions of ICD-10 codes are released.
  • My software accepts not only words to start determining the correct code, it also accepts touch to access anatomical illustrations. For example, the coder can select by touch to a touch screen the particular location of a broken bone. The coder can enter keywords for body location or use the body graphic to choose a part of the affected body part. Next the coder enters the problem (e.g., fracture) or views a queue of possible choices. If more information is needed to complete a correct code, the software is programmed to cue the coder until a correct code is obtained. For example, the left or right side is needed in many codes, and the coder is required to provide the information. Also when the first or subsequent visit is needed (as required for many codes), the coder is cued to provide that information.
  • the coder is cued to provide that information.
  • My new software uses words as well as graphics to assist the coder in finding the correct code. No other diagnostic software cues the coder with specific questions to get the correct code. Both are essential elements of my invention.
  • My invention operates by the use of keyboards, touch screens and microphones for input via a mobile software application (“mobile app”), a web service/cloud application (“web application”) and a marketing website with content management system (“Website”).
  • the website is preferably optimized for the smaller screens of mobile devices and is run on a server.
  • the website provides basic company information (landing page, company information and a consolidated contact information page), as well as links to the web application for logging in and/or signing up.
  • Visitors to the site preferably complete a contact form with at least some of the following information: name, email address, phone number (optional), and comments and/or messages.
  • the website is secured with user names and corresponding passwords for everyone seeking access.
  • An administrative user manages staff login functions such as creating, updating, disabling and deleting users.
  • General access to the website is tracked by an analytics program, such as GOOGLE ANALYTICS.
  • the web application is designed to enable visitors to the website to sign up for and subscribe to the service. After a visitor has registered and confirmed a new account and billing information, the visitor becomes a registered user. Each user has access to the account information and can update billing details and basic profile information as needed, including but not limited to name and password. Fingerprints and retina scans are optionally used to sign in securely.
  • the web application also allows users with administrative privileges to login, view, and/or deactivate descriptions for all or a subset of users. For example, a hospital has an application administrator who can add new personnel or delete departing personnel from the hospital's set of users.
  • the web application provides an endpoint to facilitate communication with the mobile app, known as the web service.
  • the web service provides additional help for coding and decoding with at least two options: 1) a code lookup with which to submit criteria for searching and obtaining a valid ICD-10 code; and 2) a reverse lookup with which to submit an ICD-10 code and obtain the description and other details about the code.
  • the mobile app provides users a main screen to select one of the two options (code lookup or reverse lookup).
  • code lookup or reverse lookup the user's screen displays an input field to submit the ICD-10 code and retrieve information about the code from the web service.
  • the lookup code the user is asked for a preference to search by anatomical model or by circumstance. Searching by anatomical model opens a new screen with a three-dimensional model of the human body. The user can rotate the model, zoom in or out, and/or select layers, including but not limited to surface/skin, muscular system, skeletal system, and organs. The user makes selections by touching a point on the model to indicate the location or action. This information is combined with basic circumstance information and submitted to the web service to obtain the correct ICD-10 code.
  • Circumstances include but are not limited to symptoms, accident or injury, bacteria, diagnostic tests, and mental health issues.
  • Health care professionals include but are not limited to physicians, psychiatrists, medical students, medical residents, counselors, therapists, medical assistants, medical secretaries and even medical receptionists - all of whom are called upon to select medical codes.
  • a wide variety of devices are used for medical computing, including but not limited to tablet computers, laptops, smart phones, specialized devices, and wearable computers, such as watches.
  • These medical computing devices interface with networks via cables, WI-FI, and Bluetooth® wireless technology connections.
  • the medical computing devices require input methods, such as touch screens and pointer devices for selecting body locations, microphones for stating the terms, keyboards and keyboard displays, etc.
  • These medical devices can be used within many different settings, including but not limited to hospitals of various types, clinics, offices or specialized facilities such as imaging facilities.
  • the devices can be used bedside, hallways, nursing stations, waiting rooms, examining rooms, etc.
  • the health care professional first examines the patient. Finding a "head injury,” the doctor enters those words (which begin with S00-S009). [0030] The software asks whether the injury affects the face or scalp. (S00 for scalp).
  • the software asks whether the injury is superficial, a wound or a fracture, upon which the doctor enters wound SOI.
  • the software asks if there is an open wound, laceration without foreign body, a laceration with a foreign body, a puncture without a foreign body, a laceration with a foreign body, or an open bite.
  • the doctor enters open bite - queued SO 1.05.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Pathology (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un nouveau procédé d'obtention d'un code ICD-10 pour une pathologie ou une maladie, ce procédé comprenant les étapes consistant à fournir un dispositif informatique médical préprogrammé à affichage d'entrée et de sortie, à procéder à l'enregistrement dans le système de diagnostic médical et à sélectionner un début de la recherche par procédé anatomique ou verbal. Le procédé anatomique fournit un modèle anatomique. Il permet également de sélectionner une partie anatomique affectée, sélectionnant une couche du corps humain et répondant à une série de questions pour localiser le code ICD-10. Le modèle verbal fournit un matériel informatique ou clavier virtuel, saisissant des termes médicaux et répondant à une série de questions pour localiser le code ICD-10. Ce système permet également une recherche inversée pour trouver des informations concernant un code.
PCT/US2016/023266 2015-03-18 2016-03-18 Logiciel de codage de classifications médicales Ceased WO2016149670A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201562134725P 2015-03-18 2015-03-18
US62/134,725 2015-03-18

Publications (1)

Publication Number Publication Date
WO2016149670A1 true WO2016149670A1 (fr) 2016-09-22

Family

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PCT/US2016/023266 Ceased WO2016149670A1 (fr) 2015-03-18 2016-03-18 Logiciel de codage de classifications médicales

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WO (1) WO2016149670A1 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110242096A1 (en) * 2010-03-31 2011-10-06 Fujifilm Corporation Anatomy diagram generation method and apparatus, and medium storing program
US20130172906A1 (en) * 2010-03-31 2013-07-04 Eric S. Olson Intuitive user interface control for remote catheter navigation and 3D mapping and visualization systems
US20130218598A1 (en) * 2012-02-21 2013-08-22 Medicomp Systems, Inc. Electronic medical coding systems
US20140164968A1 (en) * 2012-12-09 2014-06-12 WinguMD, Inc. Medical Photography User Interface Utilizing a Body Map Overlay in Camera Preview to Control Photo Taking and Automatically Tag Photo with Body Location

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110242096A1 (en) * 2010-03-31 2011-10-06 Fujifilm Corporation Anatomy diagram generation method and apparatus, and medium storing program
US20130172906A1 (en) * 2010-03-31 2013-07-04 Eric S. Olson Intuitive user interface control for remote catheter navigation and 3D mapping and visualization systems
US20130218598A1 (en) * 2012-02-21 2013-08-22 Medicomp Systems, Inc. Electronic medical coding systems
US20140164968A1 (en) * 2012-12-09 2014-06-12 WinguMD, Inc. Medical Photography User Interface Utilizing a Body Map Overlay in Camera Preview to Control Photo Taking and Automatically Tag Photo with Body Location

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