System for electronic documentation and validation of information
First Claim
1. A system for electronic documentation and validation of information comprising:
- a storage medium having one or more templates stored therein for use in a chart, said one or more templates having at least one of a required entry field and optionally a suggested entry field to receive documentation data entered by at least one of a digital pen and a stylus of a tablet P.C.;
an electronic chart module for performing at least one of retrieving and generating a chart for documentation data, said chart includes said one or more templates for receiving documentation data entered into the chart, and said electronic chart module communicating with said storage medium to store the documentation data;
a processor for validating in association with a validation sub-module of said electronic chart module for validating that said documentation data has been entered in said at least one required entry field of said one or more templates of the chart; and
said validation sub-module further providing chart validation comprising means for verifying an accuracy of the documentation data entered by said at least one of a digital pen and said stylus of a tablet P.C. by comparing said documentation data entered into said at least one required field of said one or more templates of said chart with documentation data guidelines in the storage medium.
1 Assignment
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Accused Products
Abstract
A system, method and computer program for electronic documentation of information, such as medical information, on problem-specific templates that can be validated, in real-time, for completeness. The invention allows the user to organize, display, validate, archive, and export documentation of medical information on such problem-specific templates. By use of a recording device such as a digital pen, the invention combines the speed, ease of use, and familiarity of pen on paper with the data capture, real-time documentation validation, and real-time best practice prompts of traditional EMR systems. Interactive chart validation can be performed at will, rather than the traditional method of medical quality assurance, which consisted of chart review after for the patient had been cared for and discharged. The invention automatically tabulates the number of pre-specified fields with documentation and provides validation to ensure that each documented template has met the pre-specified documentation requirements, documentation suggestions and best health practices guideline prompts.
43 Citations
27 Claims
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1. A system for electronic documentation and validation of information comprising:
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a storage medium having one or more templates stored therein for use in a chart, said one or more templates having at least one of a required entry field and optionally a suggested entry field to receive documentation data entered by at least one of a digital pen and a stylus of a tablet P.C.; an electronic chart module for performing at least one of retrieving and generating a chart for documentation data, said chart includes said one or more templates for receiving documentation data entered into the chart, and said electronic chart module communicating with said storage medium to store the documentation data; a processor for validating in association with a validation sub-module of said electronic chart module for validating that said documentation data has been entered in said at least one required entry field of said one or more templates of the chart; and said validation sub-module further providing chart validation comprising means for verifying an accuracy of the documentation data entered by said at least one of a digital pen and said stylus of a tablet P.C. by comparing said documentation data entered into said at least one required field of said one or more templates of said chart with documentation data guidelines in the storage medium. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A computer program for electronic documentation and validation of data on a chart entered by at least one of a digital pen or a stylus of a tablet P.C., said program comprising computer-executable code recorded on machine readable data comprising:
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an electronic chart module comprising code for performing at least one of retrieving and generating a chart for documentation data, the chart includes one or more templates for receiving documentation data entered into the chart, and said electronic chart module communicating with a storage medium to store the documentation data; a chart capture sub-module of said electronic chart module comprising code for communicating with (1) a digital pen via an Application Program Interface (API) for capturing documentation data recorded on the chart; and
(2) capturing data entered on a display of a tablet P.C.;a validation sub-module of said electronic chart module comprising code for validating the documentation data has been entered in said at least one required entry field of said one or more templates of the chart, said validation sub-module providing a summary feature that begins the validation of the documentation data on the chart; said validation sub-module further including code for counting any ink strokes made by the digital pen on said at least one required entry field and said suggested entry field of the chart. - View Dependent Claims (22)
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23. A method for electronic documentation and validation of data entered by at least one of a digital pen or a stylus of a tablet P.C., said method comprising:
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(a) performing at least one of retrieving and generating a chart for documentation data, the chart includes one or more templates for receiving documentation data entered into the chart, and communicating with a storage medium to store the documentation data; (b) communicating with at least one of;
(1) a digital pen via an Application Program Interface (API) for capturing documentation data recorded on the chart; and
(2) capturing data entered on a display of a tablet P.C.;(c) validating the documentation data has been entered in said at least one required entry field of said one or more templates of the chart by;
(i) counting any ink strokes made by the digital pen on at least one a required entry field and a suggested entry field of the chart, or (ii) counting marks made by a stylus on a display of a P.C.; and(d) providing an edit mode to edit any missing data in the chart. - View Dependent Claims (24)
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25. A warning system for a writing device used in an electronic documentation and validation system, comprising:
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a writing device that electronically records handwritten information on a chart, said writing device having drivers and an Application Program interface (API), an electronic chart module including a chart capture sub-module that communicates with the writing device via the API; a validation sub-module for validating documentation data entered on the chart; and a warning means including an alarm arranged on or within the writing device to notify a user of the writing device of an error found by the validation sub-module. - View Dependent Claims (26, 27)
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Specification