Automated medical record creation system
First Claim
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1. A computer assisted method of creating a medical record for a patient, the method comprising the steps of:
- providing a list of active patients from which to select a patient to create a record for;
providing a list of a plurality of medical conditions from which to select a chief complaint;
providing a plurality of templates, each template corresponding to a medical condition and comprising a textual description of the medical condition, wherein at least a portion of the textual description includes modifiable and non-modifiable text, the modifiable text further providing a plurality of options to further describe one aspect of the medical condition.
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Abstract
A system and method for creating and editing a medical database containing patient histories allows users to prepare a medical chart through color coded templates using interactive graphical user interfaces (GUIs).
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Citations
16 Claims
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1. A computer assisted method of creating a medical record for a patient, the method comprising the steps of:
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providing a list of active patients from which to select a patient to create a record for;
providing a list of a plurality of medical conditions from which to select a chief complaint;
providing a plurality of templates, each template corresponding to a medical condition and comprising a textual description of the medical condition, wherein at least a portion of the textual description includes modifiable and non-modifiable text, the modifiable text further providing a plurality of options to further describe one aspect of the medical condition. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A computer assisted system of creating a medical chart for a patient, the system comprising:
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means for selecting at least one of a plurality of medical conditions from the list relating to the condition of the patient;
a template that includes description related to the selected medical condition; and
means for incorporating description from the template, describing the medical condition, into a chart;
said chart including at least one modifiable text and at least one non modifiable text, said modifiable text being color coded to provide a plurality of options to further describe one aspect of the medical condition;
wherein selection of the modifiable text opens a menu of the plurality of options for insertion into the chart. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16)
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Specification