Systems, methods and computer program products for creating and maintaining electronic medical records
First Claim
1. A method for generating an electronic clinical medical record from a given patient encounter, comprising the steps of:
- (a) accepting entry of an identification of an illness for that patient into a data processing system via an input device;
(b) displaying an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
(c) accepting selection of a subset of words and phrases from the displayed defined retrievable clinical lexicon for the patient encounter; and
then (d) generating a clinical medical record from the selected subset of words and phrases.
1 Assignment
0 Petitions
Accused Products
Abstract
Systems, methods, and computer program products that generate electronic clinical medical records from patient encounters are provided. An illness for a particular patient is entered into a data processing system via an input device. Next, a defined retrievable clinical lexicon for that illness is displayed via the input device. The defined retrievable clinical lexicon comprises words and phrases associated with the illness. After the lexicon is displayed, a subset of words and phrases is selected from the lexicon for that patient encounter. A clinical medical record is then generated from the selected subset of words and phrases. A clinical medical record may be stored with like records for that patient and other patients, and associated with demographic records, fiscal records, drug administration records and the like for the patient. The collection of clinical records so created may be readily searched due to the enhanced uniformity of the records so created.
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Citations
57 Claims
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1. A method for generating an electronic clinical medical record from a given patient encounter, comprising the steps of:
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(a) accepting entry of an identification of an illness for that patient into a data processing system via an input device;
(b) displaying an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
(c) accepting selection of a subset of words and phrases from the displayed defined retrievable clinical lexicon for the patient encounter; and
then(d) generating a clinical medical record from the selected subset of words and phrases. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for generating an electronic clinical medical record from a given patient encounter, comprising the steps of:
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(a) accepting entry of an identification of an illness for the patient into a data processing system via an input device;
(b) displaying an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
(c) accepting entry of an identification of at least one existing medical condition or prior medical treatment for the patient into the data processing system via the input device;
(d) displaying a subsequent defined retrievable clinical lexicon for at least one of the existing medical condition or prior medical treatment via the input device;
(e) accepting selection of a subset of words and phrases from the displayed initial and subsequent defined retrievable clinical lexicons for the patient encounter; and
then(f) generating a clinical medical record from the selected subset of words and phrases. - View Dependent Claims (12, 13, 14, 15, 16, 18, 19)
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17. A method for generating a plurality of searchable electronic clinical medical records from a plurality of patient encounters between different patients and different clinicians, comprising the steps of:
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(a) accepting entry into a data processing system via an input device an identification of an illness for a patient during a given patient encounter;
(b) displaying a defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
(c) accepting selection of a subset of words and phrases from the displayed defined retrievable clinical lexicon;
(d) generating a clinical medical record from the selected subset of words and phrases for the patient encounter;
then(e) repeating steps (a) to (d) above for a plurality of additional different patients during a plurality of different patient encounters to create a plurality of separate clinical medical records for the plurality of patients;
(f) searching the plurality of separate clinical medical records for at least one word or phrase; and
then(g) generating a report indicating those separate clinical medical records from among the plurality of separate clinical medical records containing the at least one word or phrase.
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20. A system that generates an electronic clinical medical record from a given patient encounter, comprising:
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means for accepting entry of an identification of an illness for that patient into a data processing system via an input device;
means for displaying an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
means for accepting selection of a subset of words and phrases from the displayed defined retrievable clinical lexicon for the patient encounter; and
means for generating a clinical medical record from the selected subset of words and phrases. - View Dependent Claims (21, 22, 23, 24, 25, 26, 27, 28, 29)
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30. A system that generates an electronic clinical medical record from a given patient encounter, comprising:
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means for accepting entry of an identification of an illness for the patient into a data processing system via an input device;
means for displaying an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
means for accepting entry of an identification of at least one existing medical condition or prior medical treatment for the patient into the data processing system via the input device;
means for displaying a subsequent defined retrievable clinical lexicon for at least one of the existing medical condition or prior medical treatment via the input device;
means for accepting selection of a subset of words and phrases from the displayed initial and subsequent defined retrievable clinical lexicons for the patient encounter; and
means for generating a clinical medical record from the selected subset of words and phrases. - View Dependent Claims (31, 32, 33, 34, 35, 37, 38, 40, 41, 42, 43, 44, 45, 46, 47, 48, 50, 51, 52, 53, 54)
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36. A system for generating a plurality of searchable electronic clinical medical records from a plurality of patient encounters between different patients and different clinicians, comprising:
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means for accepting entry into a data processing system via an input device an identification of an illness for each of a plurality of patients during a respective plurality of patient encounters;
means for displaying a respective defined retrievable clinical lexicon for an illness for each of the plurality of patients via the input device, each respective defined retrievable clinical lexicon comprising words and phrases associated with an illness;
means for accepting selection of a subset of words and phrases from each respective displayed defined retrievable clinical lexicon;
means for generating a respective clinical medical record for each patient from words and phrases selected from a respective displayed defined retrievable clinical lexicon;
means for searching the plurality of separate clinical medical records for at least one word or phrase; and
means for generating a report indicating those separate clinical medical records from among the plurality of separate clinical medical records containing the at least one word or phrase.
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39. A computer program product that generates an electronic clinical medical record from a given patient encounter, the computer program product comprising a computer usable storage medium having computer readable program code embodied in the medium, the computer readable program code comprising:
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computer readable program code that accepts entry of an identification of an illness for that patient into a data processing system via an input device;
computer readable program code displays an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
computer readable program code that accepts selection of a subset of words and phrases from the displayed defined retrievable clinical lexicon for the patient encounter; and
computer readable program code that generates a clinical medical record from the selected subset of words and phrases.
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49. A computer program product that generates an electronic clinical medical record from a given patient encounter, the computer program product comprising a computer usable storage medium having computer readable program code embodied in the medium, the computer readable program code comprising:
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computer readable program code that accepts entry of an identification of an illness for the patient into a data processing system via an input device;
computer readable program code that displays an initial defined retrievable clinical lexicon for the illness via the input device, the defined retrievable clinical lexicon comprising words and phrases associated with the illness;
computer readable program code that accepts entry of an identification of at least one existing medical condition or prior medical treatment for the patient into the data processing system via the input device;
computer readable program code that displays a subsequent defined retrievable clinical lexicon for at least one of the existing medical condition or prior medical treatment via the input device;
computer readable program code that accepts selection of a subset of words and phrases from the displayed initial and subsequent defined retrievable clinical lexicons for the patient encounter; and
computer readable program code that generates a clinical medical record from the selected subset of words and phrases.
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55. A computer program product for generating a plurality of searchable electronic clinical medical records from a plurality of patient encounters between different patients and different clinicians, the computer program product comprising a computer usable storage medium having computer readable program code embodied in the medium, the computer readable program code comprising:
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computer readable program code that accepts entry into a data processing system via an input device an identification of an illness for each of a plurality of patients during a respective plurality of patient encounters;
computer readable program code that displays a respective defined retrievable clinical lexicon for an illness for each of the plurality of patients via the input device, each respective defined retrievable clinical lexicon comprising words and phrases associated with an illness;
computer readable program code that accepts selection of a subset of words and phrases from each respective displayed defined retrievable clinical lexicon;
computer readable program code that generates a respective clinical medical record for each patient from words and phrases selected from a respective displayed defined retrievable clinical lexicon;
computer readable program code that searches the plurality of separate clinical medical records for at least one word or phrase; and
computer readable program code that generates a report indicating those separate clinical medical records from among the plurality of separate clinical medical records containing the at least one word or phrase. - View Dependent Claims (56, 57)
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Specification