Proactive Disease State Management System

Abstract

A proactive disease state management system including network elements, computer elements and software elements operable to support a plurality of subscriber devices each under a subscription plan in which the subscriber device requests the collection of electronic medical records of a patient for evaluation by a proactive disease state management engine which interrelates patient information, patient medical information and patient laboratory information included in the electronic medical record of a patient to generate engine result data and populate the fields of a request reply to the subscriber device.

1 - 12 . (canceled) 
     
     
         13 . A method in a computer implemented system, comprising:
 retrieving an electronic medical record from an electronic medical records database;   identifying each International Statistical Classification of Diseases and Related Codes (“ICDC”) in said electronic medical record;   comparing each said ICDC in said electronic medical record to a plurality of disease states in a disease state database;   identifying matches between said ICDC in said electronic medical record to said plurality of disease states in a disease state database;   scoring said electronic medical record based upon matches of said ICDC with said plurality of disease states in said disease state database;   attributing a positive score value to each match of said ICDC in said electronic medical record to one of said plurality of disease states in said disease state database; and   generating an aggregate health score by aggregating each said positive score value attributable to each said match of said ICDC in said electronic medical record to one of said plurality of disease states in said disease state database.   
     
     
         14 . The method of  claim 13 , further comprising:
 identifying each National Drug Code (“NDC”) in said electronic medical record;   comparing each NDC in said electronic medical record by reference to said plurality of disease states in said disease state database;   identifying matches between said NDC in said electronic medical record to said plurality of disease states in said disease state database.   
     
     
         15 . The method of  claim 14 , further comprising scoring said electronic medical record based upon matches of said NDC with said disease states in said disease state database. 
     
     
         16 . (canceled) 
     
     
         17 . The method of  claim 15 , further comprising attributing a null score value to each failure to match said ICDC in said electronic medical records to one of said plurality of disease states in said disease state database. 
     
     
         18 . The method of  claim 15 , further comprising attributing a positive score value to each match of said NDC to one of said plurality of disease states in said electronic medical records to one of said disease states in said disease state database if said NDC further references to an adverse effect associated to said disease state. 
     
     
         19 . The method of  claim 15 , further comprising attributing a null score value to each failure to match said NDC to one of said plurality of disease states in said disease state database if said NDC further references to a treatment associated to said disease state. 
     
     
         20 . The method of  claim 15 , further comprising attributing a positive score value to each match of said ICDC to one of said plurality disease states in said disease state database if said NDC does not further reference to a treatment associated with said disease state. 
     
     
         21 . (canceled) 
     
     
         22 . The method of  claim 15 , further comprising:
 comparing said aggregate health score to an average aggregate health score associated with a plurality of electronic medical records of a plurality of patients; and   assigning said aggregate health score to a risk level based on said comparison of said aggregate health score to said average aggregate health score.   
     
     
         23 . The method of  claim 22 , further comprising:
 associating an upper tri-tile of said aggregate health scores to a high risk level;   associating a middle tri-tile of said aggregate health scores to a median risk level; and   associating a lower tri-tile of said aggregate health scores to a nominal risk level.   
     
     
         24 . A computer implemented system, comprising:
 a processor communicatively coupled to a non-transitory computer readable media;   a disease state database including a plurality of diseases states, wherein each of said plurality of disease states referenced to one or more ICDC International Statistical Classification of Diseases and Related Codes (“ICDC”);   a program contained in said a non-transitory computer readable media, said program including:
 an electronic medical record interface executable to access electronic medical records in one or more medical records databases; 
 an electronic medical records evaluation module executable to:
 identify each said ICDC in said electronic medical records; and 
 compare each said ICDC identified in said electronic medical records to one or more said ICDC associated with each of said plurality of disease states in said disease state database; and 
 
 identify matches between said ICDC in said electronic medical record to said plurality of disease states in a disease state database; 
   a scoring module executable to:
 score said electronic medical record based upon matches of said ICDC with said plurality of disease states in said disease state database; 
 attribute a positive score value to each match of said ICDC in said electronic medical record to one of said plurality of disease states in said disease state database; and 
 generate an aggregate health score by aggregating each said positive score value attributable to each said match of said ICDC in said electronic medical record to one of said plurality of disease states in said disease state database. 
   
     
     
         25 . The system of  claim 24 , wherein each of said plurality of disease states in said disease state database further referenced to one or more National Drug Codes (“NDC”), and wherein said electronic medical records evaluation module further executable to:
 identify each said NDC in said electronic medical records; and 
 compare each said NDC identified in said electronic medical records to said one or more NDC associated with each of said plurality of disease states in said disease state database; and 
 identify matches between said NDC in said electronic medical record to said plurality of disease states in said disease state database. 
 
     
     
         26 - 27 . (canceled) 
     
     
         28 . The system of  claim 25 , wherein each failure to match said ICDC in said electronic medical records to one of said plurality of disease states in said disease state database generates a null score value. 
     
     
         29 . The system of  claim 25 , wherein each match of said NDC to one of said plurality of disease states in said electronic medical records to one of said disease states in said disease state database generates a positive score value if said NDC references to an adverse effect associated to said disease state. 
     
     
         30 . The system of  claim 25 , wherein each match of said NDC to one of said plurality of disease states in said electronic medical records to one of said disease states in said disease state database generates a null score value if said NDC references a treatment associated to said disease state. 
     
     
         31 . The system of  claim 25 , wherein each match of said ICDC to one of said plurality of disease states which does not have a corresponding match to said NDC to treat said disease state generates a positive score value. 
     
     
         32 . (canceled) 
     
     
         33 . The system of  claim 25 , further comprising a patient risk level assignment module executable to compare said aggregate health score to an average aggregate health score associated with a plurality of electronic medical records of a plurality of patients. 
     
     
         34 . The system of  claim 33 , wherein said patient risk level assignment further executable to:
 associate an upper tri-tile of said aggregate health scores to a high risk level;   associate a middle tri-tile of said aggregate health scores to a median risk level; and   associate a lower tri-tile of said aggregate health scores to a nominal risk level.