Clinical documentation system for use by multiple caregivers
First Claim
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1. A system for documenting patient information from multiple caregivers comprising:
- a health record system including a plurality of data elements, the data elements including patient note data acquired from multiple caregivers, provider data and user information; and
an interface coupled to the health record system including a graphic display, the interface operable to retrieve, based upon the user information, patient note data associated with a specified patient, and to graphically depict the patient note data in list form and text form within the graphic display.
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Abstract
A computer-based system for recording, storing, and accessing clinical documentation in an acute care setting is provided. In an embodiment of the invention, a single electronic database or repository for storing clinical patient notes, provides multiple points of read/write access via a user interface operating on one or more client computers that are in real-time communication with the repository.
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Citations
28 Claims
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1. A system for documenting patient information from multiple caregivers comprising:
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a health record system including a plurality of data elements, the data elements including patient note data acquired from multiple caregivers, provider data and user information; and
an interface coupled to the health record system including a graphic display, the interface operable to retrieve, based upon the user information, patient note data associated with a specified patient, and to graphically depict the patient note data in list form and text form within the graphic display. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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18. A method of documenting patient note data within a health record system, the health record system including data structures for storing the patient note data, provider data and user data, the method comprising the steps of:
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collecting patient note data from a plurality of caregivers and storing the patient note data in at least one of the data structures;
providing an interface coupled to the health record system, the interface including a graphic display, and for a patient, listing the patient note data in a first portion of the graphic display and text linked with the patient note data in a second portion of the graphic display.
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Specification