ELECTRONIC PATIENT RECORD DOCUMENTATION WITH PUSH AND PULL OF DATA TO AND FROM DATABASE
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Accused Products
Abstract
A medical records software apparatus and method is described that allows a clinician, e.g., nurse or doctor, to combine entry of new patient orders, prescriptions, flowsheet observations, etc. into the documentation process or workflow. A documentation user interface is provided that pulls patient data from a database into the display. The user can select on the user interface a category of a patient record, e.g., Significant Events or Orders, view or edit prior entries in the database in these categories, and add additional documentation for that category. The documentation is written or pushed to two areas of the database, one devoted to patient documentation and a second area corresponding to the selected category, e.g., Orders. The method and apparatus improves workflow efficiency and promotes a smooth transition from the thought process of the clinician to the ordering or prescription process, without the need for changing venues or screen displays.
72 Citations
26 Claims
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1-25. -25. (canceled)
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26. An information apparatus for use with a networked database, comprising:
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(a) a computing device having a processor and a machine readable medium containing machine readable code for performing a computer implemented method and executable by the processor of the computing device, (b) wherein the computing device is configured for network communications with the networked database for accessing data from and storing data in the networked database, and (c) wherein the computer implemented method comprises the steps of, (i) providing a user interface including, (A) one or more user interface areas configured to allow for creation of a structured note representing documentation, and (B) one or more user interface areas configured to allow for selection, during the creation of the structured note, of one or more categories for which data is stored in the networked database, (ii) receiving, via the user interface provided in said step (i), a selection of one or more of the categories, (iii) accessing data that has been previously stored in the networked database, that is associated with an entity for which a structured note representing documentation is being created, and that corresponds to the one or more categories of the selection of said step (ii), (iv) presenting, during the creation of the structured note via the user interface, the data accessed from the networked database in said step (iii), (v) receiving, via the user interface provided in step (i), input for creating the structured note, the structured note including information associated with the one or more categories of the selection of said step (ii), (vi) in response to user input, storing in the networked database the structured note as a part of documentation stored in a record for the entity, and (vii) in conjunction with the storing of the structured note in said step (vi), automatically storing in the networked database, as a part of the record for the entity, information from the structured note in a second area of the record, the second area being determined based on predetermined system administrator settings and the one or more categories of the selection of said step (ii).
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Specification