Averill, Richard F. et al.Download PDFPatent Trials and Appeals BoardDec 19, 201913782487 - (D) (P.T.A.B. Dec. 19, 2019) Copy Citation UNITED STATES PATENT AND TRADEMARK OFFICE UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www.uspto.gov APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 13/782,487 03/01/2013 Richard F. Averill 71408US002 3045 32692 7590 12/19/2019 3M INNOVATIVE PROPERTIES COMPANY PO BOX 33427 ST. PAUL, MN 55133-3427 EXAMINER LULTSCHIK, WILLIAM G ART UNIT PAPER NUMBER 3626 NOTIFICATION DATE DELIVERY MODE 12/19/2019 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): LegalUSDocketing@mmm.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte RICHARD F. AVERILL, JON EISENHANDLER, DAVID E. GANNON, ANTHONY J. QUAIN, JAMES A. SWITALSKI, and JAMES C. VERTREES Appeal 2019-001229 Application 13/782,487 Technology Center 3600 Before JASON V. MORGAN, JEREMY J. CURCURI, and ADAM J. PYONIN, Administrative Patent Judges. PYONIN, Administrative Patent Judge. DECISION ON APPEAL Pursuant to 35 U.S.C. § 134(a), Appellant1 appeals from the Examiner’s rejection. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM. 1 We use the word “Appellant” to refer to “applicant” as defined in 37 C.F.R. § 1.42(a). Appellant identifies the real party in interest as 3M Innovative Properties Company. Appeal Br. 3. Appeal 2019-001229 Application 13/782,487 2 STATEMENT OF THE CASE Introduction The Application is directed to “determining healthcare service episodes,” which “include all healthcare events occurring within the defined time period,” and are used to “establish reimbursement rates for healthcare professionals” or “estimate a reimbursement amount . . . for treatment of one or more patients.” Spec. ¶¶ 18, 20. Claims 1, 3–14, and 16–28 are pending. Claims 1, 17, 27, and 28 are independent. Appeal Br. 46–58. Claim 1 is reproduced below for reference (emphasis added): 1. A computer-implemented method of processing patient healthcare data, the method comprising: receiving, by one or more computers, dated patient healthcare data associated with a patient, wherein the dated patient healthcare data comprises information about one or more of: diagnosed conditions, delivered services or procedures, severity indicators, or resource utilization data associated with any delivered services or procedures; determining, by the one or more computers, trigger healthcare service events based on the patient healthcare data, wherein the trigger healthcare service events comprise one or more of inpatient admissions, outpatient procedures, or outpatient healthcare services; and determining, by the one or more computers, one or more temporally non-overlapping healthcare service episodes based on the determined trigger healthcare service events, wherein determining the one or more temporally non- overlapping healthcare service episodes comprises: determining, by the one or more computers, an episode window length and a first trigger healthcare Appeal 2019-001229 Application 13/782,487 3 service event associated with a first temporally non- overlapping healthcare service episode; determining, by the one or more computers, whether a second trigger healthcare event occurs within the episode window length associated with the first healthcare service episode; responsive to determining that the second trigger healthcare service event occurs within the episode window length associated with the first healthcare service episode: comparing, by the one or more computers, a hierarchy rank of the first trigger healthcare service event with a hierarchy rank of the second trigger healthcare service event; and one of: terminating, by the one or more computers, the first healthcare service episode and initiating, by the one or more computers, a second healthcare service episode for the second trigger healthcare service event if the hierarchy rank of the second trigger healthcare service event is greater than the hierarchy rank of the first trigger healthcare service event, or subsuming, by the one or more computers, the second trigger healthcare service event into the first healthcare service episode if the hierarchy rank of the second trigger healthcare service event is lower than the hierarchy rank of the first trigger healthcare service event; and Appeal 2019-001229 Application 13/782,487 4 outputting, by the one or more computers and as the one or more temporally non-overlapping healthcare service episodes, one of the first healthcare service episode or the first healthcare service episode and the second healthcare service episode. References and Rejections The Examiner relies on the following prior art: Name Reference Date Dang Tong Lynn US 2010/0235197 A1 US 2011/0112853 A1 US 2013/0035960 A1 Sept. 16, 2010 May 12, 2011 Feb. 7, 2013 Claims 1, 3–14, and 16–28 stand rejected under 35 U.S.C. § 101 as being patent ineligible. Final Act. 12. Claims 7, 11, 20, and 24 stand are rejected under 35 U.S.C. § 112, first paragraph, as failing to comply with the written description requirement. Final Act. 16. Claims 1, 3–6, 8, 14, 16–19, 21, 27, and 28 stand rejected under 35 U.S.C. § 103(a) as obvious in view of Lynn and Dang. Final Act. 23. Claims 7, 9, 10, 12, 13, 20, 22, 23, 25, and 26 stand rejected under 35 U.S.C. § 103(a) as obvious in view of Lynn, Dang, and Tong. Final Act. 41. ANALYSIS We have reviewed the Examiner’s rejections in light of Appellant’s arguments. Arguments Appellant could have made but chose not to make are deemed to be waived. See 37 C.F.R. § 41.37(c)(1)(iv) (2017). We disagree with Appellant that the Examiner erred and adopt as our own the findings and reasons set forth by the Examiner, to the extent consistent with our analysis below. We add the following primarily for emphasis. Appeal 2019-001229 Application 13/782,487 5 We discuss each of the statutory grounds of rejection in turn, below. Patent Eligibility The Examiner determines the claims are patent ineligible under 35 U.S.C. § 101, because “the claimed invention is directed to a judicial exception (i.e., a law of nature, a natural phenomenon, or an abstract idea) without significantly more.” Final Act. 12 (emphasis omitted); see also Alice Corp. v. CLS Bank Int’l, 573 U.S. 208, 217 (2014) (describing the two- step framework “for distinguishing patents that claim laws of nature, natural phenomena, and abstract ideas from those that claim patent-eligible applications of those concepts.”). After the docketing of this Appeal, the USPTO published revised guidance on the application of § 101 (“Guidance”). See, e.g., USPTO 2019 Revised Patent Subject Matter Eligibility Guidance, 84 Fed. Reg. 50 (Jan. 7, 2019) (“Memorandum”); USPTO October 2019 Update: Subject Matter Eligibility (Oct. 17, 2019) (“Update”), noticed at 84 Fed. Reg. 55942 (Oct. 18, 2019). Under Step 2A of the Guidance, the Office looks to whether the claim recites: (1) Prong One: any judicial exceptions, including certain groupings of abstract ideas (i.e., mathematical concepts, certain methods of organizing human activity such as a fundamental economic practice, or mental processes); and (2) Prong Two: additional elements that integrate the judicial exception into a practical application (see MPEP §§ 2106.05(a)– (c), (e)–(h)). Appeal 2019-001229 Application 13/782,487 6 Only if a claim (1) recites a judicial exception and (2) does not integrate that exception into a practical application, does the Office then look, under Step 2B, to whether the claim: (3) adds a specific limitation beyond the judicial exception that is not well-understood, routine, conventional in the field (see MPEP § 2106.05(d)); or (4) simply appends well-understood, routine, conventional activities previously known to the industry, specified at a high level of generality, to the judicial exception. See Memorandum, 84 Fed. Reg. 56. We are not persuaded the Examiner’s rejection is in error. We add the following primarily for emphasis and clarification with respect to the Guidance. A. Step 2A, Prong One Pursuant to Step 2A, Prong One of the Guidance, we agree with the Examiner that claim 1 recites a judicial exception, as the claim sets forth steps in which “new[ly] received patient healthcare data is compared to stored information and rules are used to identify one or more healthcare service episodes based on trigger events.” Final Act. 13, 14; Memorandum, 84 Fed. Reg. 54. In particular, the claim recites: “receiving . . . dated patient healthcare data”; “determining . . . trigger health care service events based on the [dated] patient healthcare data”; “determining . . . one or more temporally non-overlapping healthcare service episodes based on the determined trigger healthcare service events”; and “outputting . . . the one or more temporally non-overlapping healthcare service episodes.” That is, these limitations describe determining and outputting a healthcare service episode based on various healthcare data. Thus, these limitations recite Appeal 2019-001229 Application 13/782,487 7 collecting, analyzing, and outputting data in a manner that can be reasonably characterized as “[m]ental processes” that entail steps of “observation, evaluation, judgment, opinion.” Memorandum 84 Fed Reg. 52; see also Update page 7; Elec. Power Grp., LLC v. Alstom S.A., 830 F.3d 1350, 1353 (Fed. Cir. 2016) (“The focus of the asserted claims . . . is on collecting information, analyzing it, and displaying certain results of the collection and analysis”); Versata Dev. Grp., Inc. v. SAP Am., Inc., 793 F.3d 1306, 1333 (Fed. Cir. 2015) (“the abstract idea of determining a price, using organizational and product group hierarchies”). Further, these steps describe a method for processing healthcare data, which can be used for calculating payment for health services and reasonably can be characterized as reciting “insurance,” “agreements in the form of contracts,” “legal obligations,” “business relations,” and “following rules or instructions.” Memorandum, 84 Fed Reg. 52; see also Spec. ¶ 18. The claim thus recites “fundamental economic principles or practices,” “managing personal behavior or relationships or interactions between people,” and “commercial or legal interactions,” which are “[c]ertain methods of organizing human activity.” Memorandum, 84 Fed Reg. 52; see also Accenture Glob. Servs., GmbH v. Guidewire Software, Inc., 728 F.3d 1336, 1344 (Fed. Cir. 2013) (“the abstract idea of handling insurance-related information”); In re Salwan, 681 F. App’x 938, 941 (Fed. Cir. 2017) (Determining the claims were directed to “storing, communicating, transferring, and reporting patient health information,” and that “while these concepts may be directed to practical concepts, they are fundamental economic and conventional business practices”). Appeal 2019-001229 Application 13/782,487 8 Accordingly, we conclude the claims recite a judicial exception under Prong One of the Guidance. See Memorandum, 84 Fed Reg. 54. B. Step 2A, Prong Two Appellant argues the Examiner’s rejection is in error, because, “claim 1 recites very specific features that explain how a system can perform several functions, such as determining one or more temporally non- overlapping healthcare service episodes based on determined trigger healthcare service events.” Appeal Br. 14. Unlike claims found to be directed to abstract concepts, Appellant contends “claim 1 is directed to much more specific subject matter for solving a technical problem related to analyzing medical information and determining healthcare service episodes,” which “solve[s] the specific technical problem confronted in grouping treatment events to better track resources used for treating patients.” Appeal Br. 15, 20. We are not persuaded the Examiner errs in determining claim 1 is directed to the recited judicial exception. See Final Act. 12–14. That the claims may recite “very specific features” (Appeal Br. 17) is insufficient to establish patent eligibility. See Ans. 5; Alice, 573 U.S. at 222 (quoting Parker v. Flook, 437 U.S. 584, 593 (1978)) (“In holding that the process was patent ineligible, we rejected the argument that ‘implement[ing] a principle in some specific fashion’ will ‘automatically fal[l] within the patentable subject matter of § 101.’”). Claim 1 recites that “the dated patient healthcare data comprises information about one or more of: diagnosed conditions, delivered services or procedures, severity indicators, or resource utilization data associated Appeal 2019-001229 Application 13/782,487 9 with any delivered services or procedures” and “the trigger healthcare service events comprise one or more of inpatient admissions, outpatient procedures, or outpatient healthcare services.” At most, these recitations merely link the underlying abstract idea to a field of use (i.e., the use of certain types of healthcare data in connection with certain types of healthcare service events). See Memorandum, 84 Fed. Reg. 55. Claim 1 further recites that “determining the one or more temporally non-overlapping healthcare service episodes comprises” a process of: “determining . . . an episode window length and a first trigger healthcare service event associated with a first temporally non-overlapping healthcare service episode,” “determining . . . whether a second trigger healthcare event occurs within the episode window length associated with the first healthcare service episode,” “comparing . . . a hierarchy rank of the first trigger healthcare event with a hierarchy rank of the second trigger healthcare event,” and either “terminating . . . the first healthcare service episode and initiating . . . a second healthcare service episode” or “subsuming . . . the second trigger healthcare service,” depending on which trigger healthcare event ranks highest. In other words, claim 1 recites eliminating overlaps by giving priority to certain events in determining the non-overlapping healthcare service episodes. Such prioritization does not represent a type of limited rule structured to reflect a specific implementation that differs from what a human categorizing healthcare events (e.g., a healthcare professional estimating an expected reimbursement amount for treatment to a patient) would likely have used. See McRO, Inc. v. Bandai Namco Games Am. Inc., 837 F.3d 1299, 1316 (Fed. Cir. 2016) (quoting Ass’n for Molecular Appeal 2019-001229 Application 13/782,487 10 Pathology v. Myriad Genetics, Inc., 569 U.S. 576, 595–96 (2013)); see also Spec. ¶ 18. Additionally, these features relied on by Appellant can be reasonably considered part of the judicial exception discussed above in Prong One, and do not comprise additional elements, individually or in combination, that integrate the exception into a practical application. See Memorandum, 84 Fed. Reg. 54–55. Claim 1 further recites “one or more computers,” repeatedly, in addition to the limitations reciting the judicial exception. But these additional “one or more computers” recitations merely recite applying “the judicial exception . . . on a computer, or merely use[] a computer as a tool to perform an abstract idea.” Memorandum, 84 Fed. Reg. 55; see also Spec. ¶¶ 21, 23 (“The system comprises computer 110 that includes a processor 112, a memory 114, and an output device 130. Computer 110 may also include many other components.”). This is not enough to integrate the underlying abstract idea into a practical application. Memorandum, 84 Fed. Reg. 55. Even considered as additional elements, we disagree with Appellant that claim 1 solves a technical problem. See Appeal Br. 19, 20. Claim 1 recites a method of categorizing healthcare services. See Spec. ¶ 18. At most, the method of claim 1 will yield benefits for billing and payment (i.e., financial and business improvements), rather than improving the underlying computer or other technical systems. See Spec. ¶ 20 (“Healthcare professionals and facilities may also use the systems and methods described herein to estimate a reimbursement amount, thereby allowing them to operate efficiently and within the reimbursement amounts set by the Appeal 2019-001229 Application 13/782,487 11 payors.”), ¶ 34 (“these techniques may reduce the complexity of establishing reimbursement levels”). Accordingly, we determine claim 1 does not integrate the judicial exception into a practical application. See Memorandum, 84 Fed. Reg. 54. As the “claim recites a judicial exception and fails to integrate the exception into a practical application” (id. at 51), “the claim is directed to the . . . judicial exception” (id. at 54). C. Step 2B We are not persuaded the Examiner errs in determining the additional elements of claim 1 are “recited at a high level of generality, [and] provide conventional computer functions that do not add meaningful limits to practicing the abstract idea.” Final Act. 12. As discussed above, Appellant’s arguments refer to the claimed “combination of steps” (Appeal Br. 25) that recite the identified judicial exception; these steps are not “additional elements individually and in combination” that may “provide an inventive concept” amounting to “significantly more than the exception itself.” Memorandum, 84 Fed. Reg. 55–56; see also Memorandum, 84 Fed. Reg. 55, n.24. Outside of the identified judicial exception, the claim recites hardware limitations which the Examiner determines are “[g]eneric computer components recited as performing generic computer functions that are well-understood, routine and conventional activities.” Final Act. 16. We find the Examiner’s determination to be reasonable, in view of the record before us. See Spec. ¶¶ 7, 8, 23–26, 45, 46, 65–71; see also Alice, 573 U.S. at 226 (“Nearly every computer will include a ‘communications controller’ and ‘data storage unit’ capable of performing the basic calculation, storage, Appeal 2019-001229 Application 13/782,487 12 and transmission functions required by the method claims.”). Thus, we find independent claim 1’s claim elements, individually and as an ordered combination, do not provide significantly more than the recited judicial exception. We agree with the Examiner that claim 1 is patent ineligible. Appellant does not present additional substantive arguments for the remaining claims. See Appeal Br. 26–30. Accordingly, we do not find the Examiner’s 35 U.S.C. § 101 rejection of claims 1, 3–14, and 16–28 is in error. Written Description The Examiner finds the Specification lacks written description support: With regard to claims 7 and 20, the specification does not provide sufficient written description of the claimed subject matter to show that applicant had possession of a method or system capable of determining the resource utilization value for one of the healthcare service episodes based at least in part on received input selections comprising a trigger healthcare service event parameter and patient characteristic data. . . . . With regard to claims 11 and 24, the specification does not provide sufficient written description of the claimed subject matter to show that applicant had possession of a method or system capable of determining the resource utilization value over a time period selection based at least in part on received input selections comprising an episode window parameter and a CRG [clinical risk group] window parameter. Final Act. 18 (emphasis omitted). Appellant argues the Examiner’s rejection is in error, because a “person of ordinary skill in the art would have understood that the resource Appeal 2019-001229 Application 13/782,487 13 utilization value is . . . a measure of charges or costs associated with treating a patient in a particular healthcare setting,” and “would have understood that Appellant had possession of using certain metrics or boundaries to determine the resource utilization value for patients in certain situations.” Reply Br. 9, 10 (emphasis omitted); see also Appeal Br. 32. Claims 7 and 11 each recite “determining the resource utilization value based at least in part on” various parameters and data. We agree with Appellant that the resource utilization value, as claimed, “is . . . a measure of charges or costs.” Appeal Br. 32; see Spec. ¶ 53 (“For example, a resource utilization value may comprise the totality of the charges issued by healthcare professionals and facilities for treating a patient”). Appellant does not identify, however, any explanation in the Specification of how the measurement of a monetary value is determined based on the recited parameters “such as ‘age, gender, race, height, weight, and other demographic information’” or timing information. Appeal Br. 32, 33; see also Final Act. 8–9; Spec. ¶¶ 55, 58. We thus agree with the Examiner that Appellant has not shown “Applicant had possession of determining that value . . . without any explanation of how the claimed invention accomplishes that function” based on the recited parameters and data. Advisory Act. 3; see also Examining Computer-Implemented Functional Claim Limitations for Compliance with 35 U.S.C. 112, 84 Fed. Reg. 57, 61– 62 (Jan. 7, 2019) (“It is not enough that one skilled in the art could theoretically write a program to achieve the claimed function, rather the specification itself must explain how the claimed function is achieved to demonstrate that the applicant had possession of it.”). For at least this Appeal 2019-001229 Application 13/782,487 14 reason, we sustain the Examiner’s written description rejection of claims 7, 11, 20, and 24. Additionally, we note claim 11 (unlike claim 7) recites the parameters in a list connected by the term “and”: “received input selections comprising one or more of: an episode window parameter, a CRG window parameter, patient characteristic data, and resource type parameters.” Although Appellant argues that because “claim 11 recites ‘one or more’ of the four different options, claim 11 does not require the episode window parameter and the CRG window parameter to be used together,” Appellant fails to show support in the Specification for such a claim reading. Reply Br. 10. Nor does claim 11 unambiguously recite a Markush group. See Ex parte Markush, 1925 Dec. Comm’r Pat. 126, 127–28 (1924) (the phrase “material selected from the group consisting of aniline, homologues of aniline and halogen substitutes of aniline” was a valid sub-generic claim recitation). Therefore, claim 11, as drafted, recites the “received input selections” as comprising a selection of each one of the listed parameters. See SuperGuide Corp. v. DirecTV Enterprises, Inc., 358 F.3d 870, 886 (Fed. Cir. 2004) (“The phrase ‘at least one of’ precedes a series of categories of criteria, and the patentee used the term ‘and’ to separate the categories of criteria, which connotes a conjunctive list,” such that “the phrase ‘at least one of’ modifies each member of the list, i.e., each category in the list” and “require[es] that the user select at least one value for each category.”). Each of dependent claims 20 and 24 similarly recites a list of terms connected by “and.” We agree with the Examiner that the Specification does not provide written description support for the claimed received input selections. See Ans. 11– 12. Appeal 2019-001229 Application 13/782,487 15 Accordingly, we sustain the Examiner’s written description rejection of claims 7, 11, 20, and 24. Obviousness Appellant argues the Examiner’s rejection of independent claim 1 is in error: [O]ne of ordinary skill in the art would have consciously avoided modifying the method of Lynn with the “shifting” from one ETG[2] to another ETG described by Dang to arrive at the claimed feature of “terminating, by the one or more computers, the first healthcare service episode and initiating, by the one or more computers, a second healthcare service episode for the second trigger healthcare service event if the hierarchy rank of the second trigger healthcare service event is greater than the hierarchy rank of the first trigger healthcare service event,” as recited by claim 1. Appeal Br. 37. First, Appellant contends “Dang does not disclose that the shift from one ETG to another ETG involves truncating the first ETG and then starting a new ETG.” Appeal Br. 38, 39. Second, Appellant contends “Dang describes the change in pat[i]ent condition is related to merely shifting from one ETG to another ETG for a patient episode, which is contrary to how the method of Lynn operates” and the Examiner’s combination “would have change[d] the principle of operation of the Lynn method.” Id. Third, Appellant contends that, “even if one of ordinary skill in the art were to have modified the method of Lynn with the disclosure of Dang, the anchor procedures in Lynn that overlap, but are different by merely a change in patient condition, would be included under a single 2 “An episode treatment group (ETG) is a patient classification unit.” Dang, Abstract. Appeal 2019-001229 Application 13/782,487 16 procedure episode group (PEG)[3],” and “this modified procedure to merely have a single PEG would fail to meet the claim feature of terminating a first healthcare episode and initiating a second healthcare episode.” Id. at 39 (emphasis omitted). Appellant’s arguments are unpersuasive for not being responsive to the Examiner’s rejection. First, Appellant argues Dang does not teach ending an episode and starting a new episode, but Appellant does not challenge the Examiner’s reliance on Lynn for terminating and initiating episodes, as claimed.4 See Reply Br. 12; Final Act. 24 (Lynn teaches “terminating, by the one or more computers, the first healthcare service episode and initiating, by the one or more computers, a second healthcare service episode for the second trigger 3 “Claim records are processed to determine whether any of the records should be grouped with the anchor procedure into a procedure episode group (PEG) using the date of service for each claim record and a level of relationship between the claim records and the anchor procedure.” Lynn, Abstract. 4 We note that independent claim 1 is a method claim, and independent claims 14, 27, and 28 are apparatus claims. Thus, claims 14, 27, and 28 require the “terminating” limitation, whereas claim 1 may not require the “terminating” limitation. This is because the “terminating” limitation is listed as an alternative method step which may not be performed in the claimed method. See claim 1 (“one of: terminating . . . or subsuming); Ex parte Schulhauser, No. 2013-007847, 2016 WL 6277792, at *4 (PTAB Apr. 28, 2016) (precedential) (“[t]he Examiner did not need to present evidence of the obviousness of the remaining method steps of claim 1 that are not required to be performed under a broadest reasonable interpretation of the claim.”). Although not reasonably necessary for our decision regarding the obviousness rejection of claim 1, we discuss the “terminating” step herein, at least because of its applicability to the remaining apparatus claims. Appeal 2019-001229 Application 13/782,487 17 healthcare service event.”); Lynn Fig. 10, ¶¶ 38, 77, 78. We agree with the Examiner, because Lynn teaches truncating overlapping groupings, and gathering patient claims “after the truncation date . . . to the PEG that was encountered in the later time frame.” Lynn ¶ 77. Thus, we are not persuaded the Examiner’s rejection—based on the combined teachings of Lynn and Dang—is in error. See Ans. 12; see also In re Keller, 642 F.2d 413, 425 (CCPA 1981) (“The test for obviousness is not . . . that the claimed invention must be expressly suggested in any one or all of the references. Rather, the test is what the combined teachings of the references would have suggested to those of ordinary skill in the art.”). Second, we find Appellant’s argument regarding Lynn’s principle of operation to be unpersuasive, as Appellant never identifies what Lynn’s principle of operation is, or how the Examiner’s combination improperly changes Lynn. See Appeal Br. 38, 39. Thus, we agree with the Examiner that one of ordinary skill would modify Lynn with the teachings of Dang in the manner claimed. See Ans. 13. Third, Appellant’s alternative proposed combination of Lynn and Dang does not show the Examiner’s combination is in error. Contra Appeal Br. 39. Although it is entirely possible one of ordinary skill would modify Lynn and Dang to create “a single procedure episode group (PEG) that is identified by a single anchor product,” Appellant does not provide sufficient technical reasoning or evidence to show such alternative combination would be the only obvious combination. Id. In contrast, the Examiner has articulated a reason with rational underpinnings sufficient to justify the legal conclusion of obviousness. See In re Kahn, 441 F.3d 977, 988 (Fed. Cir 2006); Final Act. 11 (“[O]ne of ordinary skill in the art would modify the Appeal 2019-001229 Application 13/782,487 18 system of Lynn in this manner . . . as provided by Dang (see Dang paragraphs 38, 75, and 89 discussing how using changes in acuity to start and begin different ETGs accounts for shifts in patient condition).”). We are not persuaded the Examiner’s obviousness rejection of independent claim 1 is in error. Appellant does not provide additional substantive arguments for the remaining claims. See Appeal Br. 40–45. Accordingly, we sustain the obviousness rejections of these claims for the reasons discussed above. DECISION SUMMARY In summary: Claims Rejected 35 U.S.C. § Basis/ Reference(s) Affirmed Reversed 1, 3–14, 16– 28 101 Eligibility 1, 3–14, 16–28 7, 11, 20, 24 112, first paragraph Written Description 7, 11, 20, 24 1, 3–6, 8, 14, 16–19, 21, 27, 28 103(a) Lynn, Dang 1, 3–6, 8, 14, 16– 19, 21, 27, 28 7, 9, 10, 12, 13, 20, 22, 23, 25, 26 103(a) Lynn, Dang, Tong 7, 9, 10, 12, 13, 20, 22, 23, 25, 26 Overall Outcome 1, 3–14, 16–28 TIME PERIOD FOR RESPONSE No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(1)(iv). AFFIRMED Copy with citationCopy as parenthetical citation