Patent ID: 11875902
Assignee: HUMANA INC.
Field: Medical technology (Instruments)
Classification: CPC G | IPC G

Claim 0:
1. A method for generating and optimizing veracity scores for diagnoses in patient records, said method comprising the steps of:
electronically receiving a health record for a patient, wherein said health record comprises data representing a diagnosis for the patient;
electronically retrieving data representing values of dimensions for the diagnosis, wherein each of said dimensions are specific to the diagnosis;
electronically retrieving data representing a weighting value for each of the dimensions, wherein each of the weighting values are specific to the diagnosis;
electronically retrieving a function for the diagnosis, wherein said function is selected from a plurality of functions, each comprises variables for each of the dimensions and each of the weighting values, and each specific to one of a number of diagnoses comprising the diagnosis;
electronically applying the weighting values and values of the dimensions retrieved to the function retrieved to determine a veracity score for the diagnosis;
displaying a visualization dashboard at an electronic device associated with a healthcare provider, said visualization dashboard comprising the veracity score and the diagnosis as well as supporting reasoning provided in tabular form comprising each of the values of dimensions applied to arrive at the score and each of the weighting values applied to arrive at the score separately displayed;
displaying, at the electronic device and in association with the visualization dashboard, a veracity feedback tool comprising user input options for agreement or disagreement with the diagnoses and the supporting reasoning;
receiving healthcare provider input at the veracity feedback tool indicating selection of the agreement or disagreement option with the diagnosis;
automatically adjusting the weighting values in response to the healthcare provider input received at the veracity feedback tool; and
using the adjusted weighting values in a subsequent veracity score determination;
wherein the values of the dimensions comprise at least one non-numerical descriptor.