Remotely-executed medical diagnosis and therapy including emergency automation

Abstract

Devices, systems, methods, and software for providing remote medical diagnosis and therapy to a subject comprising: a module for conducting telecommunications with a telemedicalist; a module for applying a diagnostic or a therapeutic analysis; an apparatus for dispensing one or more medical items from an inventory of medical items, the inventory of medical items risk profiled to a subject, a population, a venue, or a situation; and optionally, a biosensor apparatus.

1 . A computer-based device comprising a processor and a memory device, the device further comprising:
 a. a software module for conducting telecommunications with a live, remote telemedical care provider;   b. a software module for applying a diagnostic or a therapeutic analysis; and   c. an apparatus for dispensing one or more medical items from an inventory of medical items, the inventory of medical items risk profiled to a subject, a population, a venue, or a situation   provided that the computer-based device is configured for providing remote medical diagnosis and therapy to a subject in a healthcare encounter.   
     
     
         2 . The device of  claim 1 , further comprising a software module for verifying credentials of a telemedical care provider. 
     
     
         3 . The device of  claim 1 , further comprising a software module for remote monitoring or operation of the device by the telemedical care provider. 
     
     
         4 . The device of  claim 1 , further comprising a software module for identifying the subject. 
     
     
         5 . The device of  claim 5 , further comprising a software module for securely accessing one or more electronic health records for the subject. 
     
     
         6 . The device of  claim 1 , wherein the inventory of medical items is determined by profiling health or economic risk for a subject or a population in advance of need for said medical items. 
     
     
         7 . The device of  claim 1 , wherein the inventory of medical items is risk profiled by determining a statistical level of likelihood that the items will be needed within 2 years, within 1 year, within 6 months, within 1 month, within 2 weeks, within 1 week, or within 1 day. 
     
     
         8 . The device of  claim 1 , wherein the inventory of medical items comprises items that require a prescription from a licensed healthcare provider. 
     
     
         9 . The device of  claim 8 , wherein the inventory of medical items comprises: one or more medications, one or more therapeutic devices, one or more diagnostic devices, or one or more diagnostic kits. 
     
     
         10 . The device of  claim 1 , further comprising a biosensor adapted to collect medical information from a subject or the subject's environment. 
     
     
         11 . The device of  claim 1 , wherein the diagnostic or therapeutic analysis comprises performing statistical analysis, performing probability calculations, making recommendations, and making outcome predictions to predict a health or economic outcome of a patient or therapy, wherein said prediction is real-time, individualized, and probabilistic-based and uses historic, peer-reviewed health or economic data and emerging health or economic data. 
     
     
         12 . The device of  claim 1 , wherein the diagnostic or therapeutic analysis comprises:
 a. accessing one or more information sources selected from the group consisting of: electronic health records, medical databases, medical literature, economic databases, economic literature, insurance databases, and insurance literature;   b. performing natural language processing to identify information determined to be of value in determining health and economic risks of an adverse outcome related to a health encounter; and   c. transforming said data into numerical format useful for application in statistical modeling to determine health and economic risks of an adverse outcome related to a health encounter.   
     
     
         13 . The device of  claim 1 , wherein the diagnostic or therapeutic analysis comprises predicting acute risks, with and without one or more potential therapies, based on the severity of a condition and risks associated with each potential therapy to determine the intensity of therapy recommended. 
     
     
         14 . The device of  claim 13 , wherein the prediction of acute risks is updated in time intervals selected from the group consisting of: at least every 24 hours, at least every 12 hours, at least every 6 hours, at least every 1 hour, at least every 45 minutes, at least every 30 minutes, at least every 15 minutes, at least every 1 minute, at least every 45 seconds, at least every 30 seconds, at least every 15 seconds, and at least every 1 second. 
     
     
         15 . The device of  claim 13 , wherein the prediction of acute risks is made for a time period selected from the group consisting of: less than 72 hours, less than 48 hours, less than 24 hours, less than 12 hours, less than 8 hours, less than 4 hours, less than 2 hours, and less than 1 hour. 
     
     
         16 . (canceled) 
     
     
         17 . The device of  claim 1 , further comprising a software module for processing payment. 
     
     
         18 . A system comprising:
 a. a first networked device comprising a processor configured to perform executable instructions, the first device comprising: an apparatus for dispensing one or more medical items from an inventory of medical items, the inventory risk profiled to a subject, a population, a venue, or a situation;   b. a second networked device comprising a processor configured to perform executable instructions, the second device comprising: at least one biosensor; wherein the first and second networked devices further comprise: a module for remote monitoring or operation by a live, remote telemedical care provider; a module for telecommunications with a live, remote telemedical care provider; and a module for applying a diagnostic or a therapeutic analysis;   c. a networked computer comprising a processor configured to perform executable instructions, the computer accessible to a live, remote telemedical care provider, the computer provided a computer program including executable instructions operable to create an application comprising:
 i. a module for telecommunications between the first or second device, or a user thereof, and the telemedical care provider; 
 ii. a module for applying a diagnostic or a therapeutic analysis; and 
 iii. a module for remotely monitoring or operating the first or second device 
   provided that the system is configured for providing remote medical diagnosis and therapy to a subject in a healthcare encounter.   
     
     
         19 . The system of  claim 18 , wherein the inventory of medical items is determined by profiling health or economic risk for a subject or a population in advance of need for said medical items. 
     
     
         20 . The system of  claim 18 , wherein the inventory of medical items is risk profiled by determining a statistical level of likelihood that the items will be needed within 2 years, within 1 year, within 6 months, within 1 month, within 2 weeks, within 1 week, or within 1 day. 
     
     
         21 . (canceled) 
     
     
         22 . A non-transitory computer readable media encoded with a computer program including instructions executable by a processor to create a remote, acute healthcare application, wherein the application comprises:
 a. a software module for conducting telecommunications;   b. a software module for applying a diagnostic or a therapeutic analysis;   c. a software module for monitoring or operating a biosensor;   d. a software module for monitoring or operating an apparatus for dispensing one or more medical items from an inventory of medical items to a subject, the inventory risk profiled to a subject, a population, a venue, or a situation; and   e. optionally, a software module for providing instantaneous encounter-specific financial insurance coverage, wherein said insurance includes a level of guarantee and an associated premium;   provided that said software modules are supervised or operated by a live, remote telemedical care provider in a healthcare encounter.   
     
     
         23 . (canceled) 
     
     
         24 . (canceled) 
     
     
         25 . (canceled) 
     
     
         26 . (canceled) 
     
     
         27 . (canceled) 
     
     
         28 . (canceled) 
     
     
         29 . (canceled)