# US 10,872,683 B1 · System and method for clinical structured reporting

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- Number: US 10,872,683 B1
- Document ID: US10872683B1
- Status: Granted
- Kind: B1
- Application number: 12/276,174
- Filed: 2008-11-21
- Granted: 2020-12-22
- Earliest claimed: 2007-11-21
- Assignees: Clickview Corporation
- Applicants: David A. Martinez; David K. Martinez
- Inventors: David A. Martinez; David K. Martinez
- Web page: https://patentgrep.com/patent/US10872683B1

## CPC

- G16H 10/00: ICT specially adapted for the handling or processing of patient-related medical or healthcare data (for medical reports G16H15/00; for therapies or health-improving plans G16H20/00; for the handling or processing of medical images G16H30/00)
- G16H 15/00: ICT specially adapted for medical reports, e.g. generation or transmission thereof
- G16H 80/00: ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

Systems and methods for generating clinical structured reports, allowing users to indicate findings from a medical examination without having to enter normal findings. In one aspect, a user selects a clinical structured report template for a particular type of medical examination. A default clinical structured report based on the template, and comprising normal findings for the medical examination type, is presented to the user. The user modifies one or more of the normal findings to indicate abnormal findings. A clinical structured report is generated, based on the default normal findings and the abnormal findings received from the user. The report is stored in a database or sent to one or more recipients over a network. In one aspect, the normal findings comprise text data. In another aspect, the normal findings comprise plots, graphs, diagrams, or other types of data. In one aspect, the system provides for multi-language support and translations. In one aspect, the clinical structured report is used to generate billing information. In one aspect, the clinical structured report is generated by a computer aided diagnosis tool.

## Claims

### Claim 1

A method of automatically generating clinical structured reports based on clinical structured report templates, the method implemented by one or more report management computing devices and comprising:
generating a clinical structured report template associated with medical data comprising medical examination data points and image data associated with the medical examination data points, wherein the clinical structured report template is automatically pre-populated with default normal data points corresponding to the medical examination data points and the image data associated with the medical examination data points or prior data points corresponding to prior medical examination data and prior image data associated with the medical examination points;
identifying abnormal data points in the medical data based on comparison of the default normal data points or the prior data points to the corresponding medical examination data points and the image data associated with the medical examination data points;
generating a query for data characterizing the abnormal data points;
receiving response data corresponding to the query for data characterizing the abnormal data points, wherein the received response data comprises an abnormality indicator corresponding to an association between the abnormal data points and the image data;
automatically generating a clinical structured report based on the clinical structured report template, wherein the generated clinical structured report includes modifications to the clinical structured report template based on the abnormal data points, the abnormality indicator, the response data corresponding to the abnormal data points, and the association of the abnormal data points to the image data; and
generating and outputting executable instructions for graphical user interface display of the clinical structured report.

### Claim 2 (depends on 1)

The method of claim 1, further comprising:
receiving supplementary data associated with the medical data comprising image data, audio data, or video data from a medical examination of a patient, or a link to medical history for the patient; and
displaying the supplementary data in the clinical structured report for the patient.

### Claim 3 (depends on 1)

The method of claim 1, wherein the clinical structured report template for a patient is simultaneously accessible and modifiable from a plurality of sources.

### Claim 4 (depends on 1)

The method of claim 1, wherein the default normal data points and the abnormal data points are associated with anatomical data.

### Claim 5 (depends on 1)

The method of claim 1, further comprising:
receiving a plurality of numerical values associated with measurements of the anatomical data over a time duration; and
displaying a graph containing a statistical based trend line based on the plurality of numerical values received.

### Claim 6 (depends on 1)

The method of claim 1, further comprising:
receiving details of the patient examination over a network from a hospital network system, wherein the clinical structured report template is automatically pre-populated using the received details.

### Claim 7

A clinical report data management computing device comprising:
one or more processors;
a memory coupled to the one or more processors, which are configured to execute programmed instructions stored in the memory to:
generate a clinical structured report template associated with medical data comprising medical examination data points and image data associated with the medical examination data points, wherein the clinical structured report template is automatically pre-populated with default normal data points corresponding to the medical examination data points and the image data associated with the medical examination data points or prior data points corresponding to prior medical examination data and prior image data associated with the medical examination points;
identify abnormal data points in the medical data based on comparison of the default normal data points or prior data points to the corresponding medical examination data points and the image data associated with the medical examination data points;
generate a query for data characterizing the abnormal data points;
receive response data corresponding to the query for data characterizing the abnormal data points, wherein the received response data comprises an abnormality indicator corresponding to an association between the abnormal data points and the image data;
automatically generate a clinical structured report based on the clinical structured report template, wherein the generated clinical structured report includes modifications to the clinical structured report template based on the abnormal data points, the abnormality indicator, the response data corresponding to the abnormal data points, and the association of the abnormal data points to the image data; and
generate and output executable instructions for graphical user interface display of the clinical structured report.

### Claim 8 (depends on 7)

The device of claim 7, wherein the processor is further configured to be capable of executing programmed instructions comprising and stored in the memory to:
receive supplementary data associated with the medical data comprising image data, audio data, or video data from a medical examination of a patient, or a link to medical history for the patient; and
display the supplementary data in the clinical structured report for the patient.

### Claim 9 (depends on 7)

The device of claim 7, wherein clinical structured report template for a patient is simultaneously accessible and modifiable from a plurality of sources.

### Claim 10 (depends on 7)

The device of claim 7, wherein the default normal data points and the abnormal data points are associated with anatomical data.

### Claim 11 (depends on 7)

The device of claim 7, wherein the processor is further configured to be capable of executing programmed instructions comprising and stored in the memory to:
receive a plurality of numerical values associated with measurements of the anatomical data over a time duration; and
display a graph containing a statistical based trend line based on the plurality of numerical values received.

### Claim 12 (depends on 7)

The device of claim 7, wherein the processor is further configured to be capable of executing programmed instructions comprising and stored in the memory to:
receive details of a patient examination over a network from a hospital network system, wherein the clinical structured report template is automatically pre-populated using the received details.

### Claim 13

A non-transitory computer readable medium having stored thereon instructions for generating clinical structured report data, comprising machine executable code which when executed by at least one processor, causes the processor to perform steps comprising:
generating a clinical structured report template associated with medical data comprising medical examination data points and image data associated with the medical examination data points, wherein the clinical structured report template is automatically pre-populated with default normal data points corresponding to the medical examination data points and the image data associated with the medical examination data points or prior data points corresponding to prior medical examination data and prior image data associated with the medical examination points;
identifying abnormal data points in the medical data based on comparison of the default normal data points or prior data points to the corresponding medical examination data points and the image data associated with the medical examination data points;
generating a query for data characterizing the abnormal data points;
receiving response data corresponding to the query for data characterizing the abnormal data points, wherein the received response data comprises an abnormality indicator corresponding to an association between the abnormal data points and the image data;
automatically generating a clinical structured report based on the clinical structured report template, wherein the generated clinical structured report includes modifications to the clinical structured report template based on the abnormal data points, the abnormality indicator, the response data corresponding to the abnormal data points, and the association of the abnormal data points to the image data;
generating and outputting executable instructions for graphical user interface display of the clinical structured report.

### Claim 14 (depends on 13)

The computer readable medium of claim 13, wherein the clinical structured report template for the patient is simultaneously accessible and modifiable from a plurality of sources.

### Claim 15 (depends on 13)

The computer readable medium of claim 13, wherein the default normal data points and the abnormal data points are associated with anatomical data.

### Claim 16 (depends on 13)

The computer readable medium of claim 13, further having stored thereon instructions that when executed by the processor cause the processor to perform steps further comprising:
receiving supplementary data associated with the medical data comprising image data, audio data, or video data from a medical examination of a patient, or a link to medical history for the patient; and
displaying the supplementary data in the clinical structured report for the patient.

### Claim 17 (depends on 13)

The computer readable medium of claim 13, further having stored thereon instructions that when executed by the processor cause the processor to perform steps further comprising:
receiving a plurality of numerical values associated with measurements of the anatomical data over a time duration; and
displaying a graph containing a statistical based trend line based on the plurality of numerical values received.

### Claim 18 (depends on 13)

The computer readable medium of claim 13, further having stored thereon instructions that when executed by the processor cause the processor to perform steps further comprising:
receiving details of the patient examination over a network from a hospital network system, wherein the clinical structured report template is automatically pre-populated using the received details.
