MULTI-MODAL ENTRY FOR ELECTRONIC CLINICAL DOCUMENTATION
First Claim
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1. A method in a computerized healthcare system for populating an electronic clinical document, the method comprising:
- providing an electronic clinical document for a particular patient, the electronic clinical document being capable of receiving dictation audio input, structured user input, free-text input, and system-generated input;
receiving dictation audio input into the electronic clinical document, wherein the dictation audio input is audio data;
receiving at least one of structured user input, free-text input, and system-generated input into the electronic clinical document;
embedding the dictation audio input directly into the electronic clinical document;
presenting representations indicative of each of the embedded dictation audio input in the electronic clinical document; and
assigning a dictation audio identifier to each of the representations, wherein the dictation audio identifier associates the dictation audio input with the particular patient, the electronic clinical document, and a location of the dictation audio input within the electronic clinical document.
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Abstract
Methods, computer-readable media, and systems for populating an electronic clinical document capable of receiving multiple types of data are provided. In one embodiment, dictation audio input is embedded directly into one or more sections of an electronic clinical document along with other data types, such as structured user input, free-text input, or system-generated input. An electronic clinical document having embedded dictation audio and other data types can receive transcribed text corresponding to the embedded dictation audio.
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Citations
19 Claims
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1. A method in a computerized healthcare system for populating an electronic clinical document, the method comprising:
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providing an electronic clinical document for a particular patient, the electronic clinical document being capable of receiving dictation audio input, structured user input, free-text input, and system-generated input; receiving dictation audio input into the electronic clinical document, wherein the dictation audio input is audio data; receiving at least one of structured user input, free-text input, and system-generated input into the electronic clinical document; embedding the dictation audio input directly into the electronic clinical document; presenting representations indicative of each of the embedded dictation audio input in the electronic clinical document; and assigning a dictation audio identifier to each of the representations, wherein the dictation audio identifier associates the dictation audio input with the particular patient, the electronic clinical document, and a location of the dictation audio input within the electronic clinical document. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. One or more computer storage media having computer executable instructions embodied thereon for performing a method in a computerized healthcare system for populating an electronic clinical document having a plurality of sections, the method comprising:
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providing an electronic clinical document for a particular patient having a plurality of sections, at least one of the plurality of sections being capable of receiving input of multiple data types; receiving dictation audio input into at least two of the plurality of sections, wherein the dictation audio input is audio data; embedding the dictation audio input directly into each of the at least two of the plurality of sections; presenting representations indicative of the embedded dictation audio input in association with each of the at least two of the plurality of sections; and associating the dictation audio input with the particular patient, the electronic clinical document, and locations of the dictation audio input within the electronic clinical document. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
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19. One or more computer storage media having computer executable instructions embodied thereon for performing a method in a computerized healthcare system for populating an electronic clinical document having a plurality of sections, the method comprising:
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providing an electronic clinical document for a particular patient, the electronic clinical document having a plurality of sections, wherein at least one of the sections is capable of receiving dictation audio input, structured user input, free-text input, and system-generated input, and wherein the plurality of sections are displayed within a single-screen view; receiving the dictation audio input into the electronic clinical document, wherein the dictation audio input is audio data, and wherein while the dictation audio input is being received into the electronic clinical document, existing data in the electronic clinical document is locked so that read-only access is given to the existing data; receiving the free-text input into the electronic clinical document; embedding the dictation audio input directly into each of the at least two of the plurality of sections; presenting representations indicative of the embedded dictation audio input in association with each of the at least two of the plurality of sections; providing a dictation audio identifier for each of the representations; and utilizing the dictation audio identifier to associate the dictation audio input with the particular patient, the electronic clinical document, and a location of the dictation audio input within the electronic clinical document.
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Specification