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

Claim 14:
15. A system for generating and optimizing veracity scores for diagnoses in patient records, said system comprising:
health care provider devices;
one or more data stores comprising:
a plurality of health records, each of which is associated with a patient and comprises one or more diagnoses for the associated patient;
functions, each of which is associated with, and specific to, one or more diagnoses;
dimensions, each of which is associated with, and specific to, one or more diagnoses and includes a value, wherein said values of said dimensions comprise a type of entity which recorded the diagnosis, including one of an institution, the patient, and a caregiver associated with a level of training, the physical location of the diagnosis, including one of a nursing home, a hospital, a laboratory, and an imaging facility, the date of the diagnosis, related similar but different diagnoses from different entities, medication taken which suggest the particular diagnosis, medical procedures performed which suggest the particular diagnosis, and lab values which suggest the particular diagnosis; and
weighting values, each of which is associated with, and specific to, one or more of the dimensions; and
a diagnosis assessment unit comprising:
a diagnosis veracity score unit configured to, on a diagnosis and patient specific basis:
retrieve a health record from the one or more data stores for a particular patient;
retrieve a function from the functions, wherein the retrieved function is associated with a particular diagnosis contained within the retrieved health record;
retrieve each of the values of the dimensions and each of the weighting values from the one or more data stores associated with the particular diagnosis; and
apply each of the retrieved values of the dimensions and each of the retrieved weighting values to the retrieved function to arrive at a veracity score;

a visualization dashboard generator configured to display, at one or more of the healthcare provider devices, the particular diagnosis, the veracity score, and supporting reasoning comprising the retrieved values of the dimensions and each of the weighting values provided separately at a table; and
a feedback processing system configured to:
display, at the one or more of the healthcare providers devices, a prompt requesting user input regarding the veracity of the particular diagnosis, said prompt comprising a confirm indication and a disavow indication displayed in association with the table;
receive user input regarding the veracity of the particular diagnosis in the form of selection of one of the confirm indication and the disavow indication; and
send an updated weighting value to the one or more data stores with instruction to replace at least one of the one or more weighting values associated with the particular diagnosis with the updated weighting value;
wherein the updated weighting value is set to be greater than the weighting values to be replaced wherein the received user input indicated selection of the affirmation option; and
wherein the updated weighting value is set to be less than the weighting values to be replaced wherein the received user input indicated selection of the disavow option;
wherein the values of the dimensions comprise at least one non-numerical descriptor;
wherein the one or more data stores are configured to replace the at least one of the one or more weighting values associated with the particular diagnosis with the updated weighting value following receipt of the instructions.