SYSTEM, METHOD AND COMPUTER PROGRAM PRODUCT FOR DIAGNOSTIC AND TREATMENT ENHANCEMENT

摘要

Diagnostic enhancement procedures involve identifying a complete or substantially complete diagnosis code for a patient in response to receiving a query related to a search for a patient diagnosis code followed by entry of patient clinical criteria by a user, such as a clinician. The query may include entry of a procedure and/or procedure code the results of which the user suspects will result in a complete diagnosis and/or diagnosis code. The complete or substantially complete diagnosis code is used in combination with the patient's clinical criteria selections to generate a procedure recommendation and corresponding procedure code. A parent or child diagnosis code is identified and used to select an appropriate procedure recommendation decision tree, where branches of the decision tree are assigned a particular parent or child code, and patient clinical criteria selections are used to narrow the diagnostic recommendation to a specific procedure and corresponding code.

主权项

1. A computer-implemented method for recommending a procedure, the method comprising:
using a computer processor to perform the steps of:
receiving at least a partial diagnosis code;using the at least partial diagnosis code to identify a plurality of clinical criteria associated with the at least partial diagnosis code, the plurality of clinical criteria comprising a plurality of signs and symptoms and stored in a computer memory;receiving one or more selections of the plurality of clinical criteria;generating a diagnosis code or a substantially complete diagnosis code using the at least partial diagnosis code and the received one or more selections of the plurality of clinical criteria, wherein the diagnosis code or substantially complete diagnosis code comprises a greater number of digits relative to the at least partial diagnosis code;identifying one diagnostic procedure recommendation decision tree from a plurality of diagnostic procedure recommendation decision trees stored in the computer memory using the generated diagnosis code or substantially complete diagnosis code, wherein branches of the decision tree are each assigned a different partial diagnosis code, and decision end points of the decision tree are each associated with a different procedure recommendation and corresponding procedure code;determining a set of clinical criteria required to recommend a procedure using the decision tree and using the selections of the plurality of clinical criteria;providing additional clinical criteria for selection using the determined set of clinical criteria;receiving selections from the provided additional clinical criteria selections, the selections associated with a patient's signs and symptoms; andproviding a recommended procedure to administer to the patient and a corresponding procedure code by applying the received selections of additional clinical criteria to the identified decision tree.