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1. WO2000039700 - SYSTEM AND METHOD FOR OPTIMIZING MEDICAL DIAGNOSIS, PROCEDURES AND CLAIMS USING A STRUCTURED SEARCH SPACE

Publication Number WO/2000/039700
Publication Date 06.07.2000
International Application No. PCT/US1999/015474
International Filing Date 09.07.1999
Chapter 2 Demand Filed 17.05.2000
IPC
G06F 19/00 2011.01
GPHYSICS
06COMPUTING; CALCULATING OR COUNTING
FELECTRIC DIGITAL DATA PROCESSING
19Digital computing or data processing equipment or methods, specially adapted for specific applications
G06Q 30/06 2012.01
GPHYSICS
06COMPUTING; CALCULATING OR COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
30Commerce, e.g. shopping or e-commerce
06Buying, selling or leasing transactions
G06Q 50/22 2012.01
GPHYSICS
06COMPUTING; CALCULATING OR COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
50Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
10Services
22Social work
CPC
G06F 19/325
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
FELECTRIC DIGITAL DATA PROCESSING
19Digital computing or data processing equipment or methods, specially adapted for specific applications
30Medical informatics, i.e. computer-based analysis or dissemination of patient or disease data
32Medical data management, e.g. systems or protocols for archival or communication of medical images, computerised patient records or computerised general medical references
324Management of patient independent data, e.g. medical references in digital format
325Medical practices, e.g. general treatment protocols
G06F 19/328
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
FELECTRIC DIGITAL DATA PROCESSING
19Digital computing or data processing equipment or methods, specially adapted for specific applications
30Medical informatics, i.e. computer-based analysis or dissemination of patient or disease data
32Medical data management, e.g. systems or protocols for archival or communication of medical images, computerised patient records or computerised general medical references
328Health insurance management, e.g. payments or protection against fraud
G06Q 30/06
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
30Commerce, e.g. shopping or e-commerce
06Buying, selling or leasing transactions
G06Q 40/08
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
40Finance; Insurance; Tax strategies; Processing of corporate or income taxes
08Insurance, e.g. risk analysis or pensions
G06Q 50/22
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
50Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
10Services
22Social work
G16H 40/63
GPHYSICS
16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
40ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
60for the operation of medical equipment or devices
63for local operation
Applicants
  • DYNAMEDIX CORPORATION [US/US]; Suite 670 2711 LBJ Freeway Dallas, TX 75234, US (AllExceptUS)
  • WATERS, A., Bryan [US/US]; US (UsOnly)
  • RAE, Gerald, J., C. [GB/US]; US (UsOnly)
Inventors
  • WATERS, A., Bryan; US
  • RAE, Gerald, J., C.; US
Agents
  • DELEON, Ruben, C. ; Haynes and Boone, LLP 901 Main Street 3100 Bank of America Plaza Dallas, TX 75202, US
Priority Data
09/219,04823.12.1998US
Publication Language English (EN)
Filing Language English (EN)
Designated States
Title
(EN) SYSTEM AND METHOD FOR OPTIMIZING MEDICAL DIAGNOSIS, PROCEDURES AND CLAIMS USING A STRUCTURED SEARCH SPACE
(FR) SYSTEME ET PROCEDE D'OPTIMISATION DU DIAGNOSTIC MEDICAL, ACTES ET DEMANDES UTILISANT UN ESPACE DE RECHERCHE STRUCTURE
Abstract
(EN)
A system and method for optimizing medical diagnosis, procedures and reimbursement claims using a structured search space which can be implemented on a palm size computer (11) or a general purpose computer (13) is described. The system may comprise: a master procedure list of alphanumeric codes that represent each of a plurality of medical procedures, wherein the master procedure list includes simple procedures and compound procedures which consist of at least two simple procedures; a value associated with each of the plurality of medical procedures; a list of ordered procedures listing medical procedures for a specific medical encounter; a search tree of all possible combinations of the simple procedures and the compound procedures in the list of ordered procedures; and a minimum total of the values associated with the medical procedures in the list of ordered procedures.
(FR)
L'invention concerne un système et procédé d'optimisation du diagnostic médical, procédés et demandes de remboursement utilisant un espace de recherche structuré pouvant être mis en oeuvre sur un ordinateur de poche (11) ou un ordinateur normal (13). Ce système peut comprendre une liste principale de codes alphanumériques représentant chacun une pluralité d'actes médicaux. Cette liste contient des actes simples et des actes combinés combinant au moins deux actes simples. Ce système comprend aussi une valeur associée à chaque acte médical; une liste d'actes médicaux énumérant les actes pour une visite médicale spécifique; un arbre de recherche de toutes les combinaisons possibles des actes simples et des actes combinés de la liste d'actes commandés et finalement une somme totale minimale des valeurs associées aux actes médicaux de la liste.
Also published as
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