Electronic record management system
First Claim
1. An electronic medical record management system for generating an electronic medical document based on a specific context from among a plurality of contexts within which an event may be documented, the system comprising:
- means for providing one or more headings and a selection of available subheadings corresponding to each of the one or more headings;
means for receiving requests from one or more users to enter content under one or more of the selection of available subheadings corresponding to at least one of the one or more headings;
means for converting each of the one or more available subheadings for which a request to enter content has been received into a corresponding one of one or more selected subheadings;
means for receiving requests from the one or more users to associate at least one of a plurality of contexts with the one or more selected subheadings and headings; and
means for generating an electronic medical document including the entered content and the corresponding selected subheadings and headings that are associated with a specific context from among the plurality of contexts.
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Accused Products
Abstract
An electronic record management system utilizes semi-structured documents that contain both authenticated partial texts created by an author and pointers to audio recordings that will be processed later by transcribers. The transcribed material is held in temporary storage until reviewed and approved by the author. When approved, the transcribed text may be combined with the original authenticated partial text to produce a final authenticated document. In addition, the record management system may further include a mechanism for assigning multiple context-dependent meanings to at least a portion of the information items included in a document. The record management system therefore allows a variety of encoding schemes to be automatically overlaid on each document. This creates opportunities to re-use the information for secondary purposes, such as preparing bills (such as Medicare bills) that must conform to arbitrary sets of rules.
76 Citations
39 Claims
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1. An electronic medical record management system for generating an electronic medical document based on a specific context from among a plurality of contexts within which an event may be documented, the system comprising:
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means for providing one or more headings and a selection of available subheadings corresponding to each of the one or more headings; means for receiving requests from one or more users to enter content under one or more of the selection of available subheadings corresponding to at least one of the one or more headings; means for converting each of the one or more available subheadings for which a request to enter content has been received into a corresponding one of one or more selected subheadings; means for receiving requests from the one or more users to associate at least one of a plurality of contexts with the one or more selected subheadings and headings; and means for generating an electronic medical document including the entered content and the corresponding selected subheadings and headings that are associated with a specific context from among the plurality of contexts. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A method for managing electronic medical records by generating an electronic medical document based on a specific context from among a plurality of contexts within which an event may be documented, the method comprising:
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providing one or more headings and a selection of available subheadings corresponding to each of the one or more headings; receiving user requests to enter content under one or more of the selection of available subheadings corresponding to at least one of the one or more headings; converting each of the one or more available subheadings is for which a user request to enter content has been received into a corresponding one of one or more selected subheadings; receiving a user request to associate at least one of a plurality of contexts with the one or more selected subheadings and headings; and generating an electronic medical document including the entered content and the corresponding selected subheadings and headings that are associated with a specific context from among the plurality of contexts. - View Dependent Claims (25, 26, 27, 28)
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29. A method for managing electronic medical records by generating an electronic medical document based on at least one of a plurality of contexts within which an event may be documented, the method comprising:
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providing one or more headings and a selection of available subheadings corresponding to each of the one or more headings; receiving a user request to enter content under one or more of the selection of available subheadings corresponding to at least one of the one or more headings; converting each of the one or more available subheadings for which a user request to enter content has been received into a corresponding one of one or more selected subheadings; associating pointers with the one or more selected subheadings to metadata for linking the one or more selected subheadings to one or more coding schemes that are context specific; creating dictation insertion points; and generating an electronic medical document including the entered content and the corresponding selected subheadings, headings, and dictation insertion points that are associated with pointers corresponding to at least one of the one or more context specific coding schemes.
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30. An electronic medical record management system for generating an electronic medical document based on a specific context from among a plurality of contexts within which an event may be documented, the system comprising a server coupled to one or more workstations, wherein a computing device of the server or one of the one or more workstations:
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provides one or more headings and a selection of available subheadings corresponding to each of the one or more headings; receives input signals from one or more authors to enter content for association with one or more of the selection of available subheadings corresponding to at least one of the one or more headings; converts each of the one or more available subheadings for which an input signal to enter content has been received into a corresponding one of one or more selected subheadings to be associated with a position within a structural hierarchy; receives input signals from the one or more authors to associate one or more of a plurality of contexts with the entered content and/or selected subheadings and corresponding headings; defines outlines for presenting the content to the one or more authors in an electronic medical document; and generates the electronic medical document including the content and the associated selected subheadings and headings that are associated with a specific context from among the plurality of contexts. - View Dependent Claims (34, 35, 36, 37)
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- 31. The record management system of claim wherein the computing device further enters quantitative information into said electronic document in a way that components of the quantitative information link to a terminology lexicon and the components are embedded in the electronic document as discrete elements that are automatically tagged.
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38. An electronic medical record management system for generating an electronic medical document based on a specific context from among a plurality of contexts within which an event may be documented, the system comprising:
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means for defining snippets that constitute a semantic category; means for linking the snippets to items of an outline, the items including one or more headings existing in a plurality of contexts, and a selection of available subheadings corresponding to each of the one or more headings; means for receiving requests from an author to enter content under one or more of the selection of available subheadings corresponding to at least one of the one or more headings; means for converting each of the one or more available subheadings for which a request to enter content has been received into a corresponding one of one or more selected subheadings; means for receiving requests from the author to associate at least one of the plurality of contexts with the one or more selected subheadings and headings; means for creating links between the snippets such that a meaning of one item of the items linked to a first snippet of the snippets can be modified or extended by a second snippet of the snippets to which it is linked; and means for generating an electronic medical document with outline fragments that can be composed by pre-definition or dynamically, the electronic medical document including the entered content and the corresponding selected subheadings and headings that are associated with a specific context from among the plurality of contexts. - View Dependent Claims (39)
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Specification