AUTOMATED DATA ENTRY AND TRANSCRIPTION SYSTEM, ESPECIALLY FOR GENERATION OF MEDICAL REPORTS BY AN ATTENDING PHYSICIAN
First Claim
1. A data processing system for use in assembling reports of procedures, comprising:
- at least one data terminal for operation by a practitioner, the data terminal including a facility by which the practitioner inputs selections responsive to prompting and a facility for the operator to input at least one narrative, the selections and the narrative relating to a subject and relating to a process involving the subject;
at least one processor coupled in communication with the data terminal and with a memory including programming and at least one information database, wherein the database contains records relating to at least one of the subject and the process, wherein the processor is programmed to associate the input selections with information from the records; and
,a report generator operable to produce a report containing at least part of the narrative and variably containing portions of the information from the records based upon the input selections.
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Accused Products
Abstract
Written reports are composed using a terminal during or between patient encounters. Selections made on the terminal invoke standard text segments and a narrative comment is recorded, by dictation or otherwise. After a series of patient encounters, such as at the end of the day, automatically generated draft reports are reviewed, revised and dispatched by the practitioner or staff, in a batch process. The terminal accepting selections and comment can be a wireless Web-capable smart-phone or another terminal running an application to interface with the practitioner. The application presents selections for each of a menu of categories, for example common conditions and maladies encountered in specialized practices. The practitioner distinguishes between normal entries that populate the report with standardized comments (or optionally go unreported), versus noteworthy entries that populate the report with preferably speech-recognized text.
72 Citations
16 Claims
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1. A data processing system for use in assembling reports of procedures, comprising:
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at least one data terminal for operation by a practitioner, the data terminal including a facility by which the practitioner inputs selections responsive to prompting and a facility for the operator to input at least one narrative, the selections and the narrative relating to a subject and relating to a process involving the subject; at least one processor coupled in communication with the data terminal and with a memory including programming and at least one information database, wherein the database contains records relating to at least one of the subject and the process, wherein the processor is programmed to associate the input selections with information from the records; and
,a report generator operable to produce a report containing at least part of the narrative and variably containing portions of the information from the records based upon the input selections. - View Dependent Claims (2, 3, 4)
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5. A computerized method for composing reports of procedures involving subjects, comprising:
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providing at least one data terminal for operation by an operator, the data terminal being controlled by programming for prompting the operator to choose among input selections, and additionally accepting from the operator at least one narrative responsive to said prompting, wherein the input selections and the narrative relate to at least one of a subject and a process involving the subject; communicating choices made by the operator responsive to the prompting, and also communicating the narrative communication, to a programmed processor coupled to a database; selecting via the programmed processor a plurality of text segments for a report wherein the text segments selected by the processor are associated with said choices made by the operator and wherein at least one of the text segments is derived from the narrative; composing a report by concatenating the text segments. - View Dependent Claims (6, 7, 8, 9)
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10. A computerized system for producing reports of medical procedures involving patients'"'"' visits to attending physicians, comprising:
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at least one data input terminal provided for operation by an attending physician, the data terminal being controlled by programming to prompt the attending physician to choose among input selections applicable to a patient visit for medical services and to input at least one of a choice and a data value for the input selections; wherein the input selections include selections for categories of information to be reported about one of the patient and the visit, wherein the selections for at least some said categories include mutually exclusive selections of a normal condition for a respective selection and a noteworthy condition for said respective selection; wherein the data terminal is operable to accept from the attending physician at least one free form narrative respecting at least one said noteworthy condition; a network coupling the data terminal for communicating choices made by the operator responsive to the prompting, and also communicating the narrative communication, to a programmed processor coupled to a database; wherein at least one said programmed processor selects from a data memory at least one predetermined text segment representing at least one of said data value and an explanation of said normal condition for inclusion in a report; and wherein at least one said programmed processor combines with the predetermined text segment a free form text segment including the free form narrative respecting the noteworthy condition and generates a report from such combination. - View Dependent Claims (11, 13, 14, 15, 16)
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12. The computerized system for producing reports according to dam 11, wherein at least one said programmed processor maintains a time stamp correlating the text data to audio, and wherein the review and revision process includes a function to replay portions of the audio correlated to selected parts of the text data during said review and revision.
Specification