System and method for facilitating clinical care

A system for documenting a clinical intervention involving a healthcare provider and a patient comprising:

• a memory for storing a documented clinical intervention.
• a window enabling access to a plurality of reference codes for documenting the clinical intervention, each of the plurality of reference codes being stored within the system and include at least one pre-defined parameter, the plurality of reference codes including:
• problem, severity, recommendation, outcome, and status;
• the problem reference code comprising a list of clinical intervention problem descriptions;
• the severity reference code comprising a table of clinical intervention severity descriptions.
• the recommendation reference code comprising a table of clinical intervention recommendation descriptions;
• the outcome reference code comprising a table of clinical intervention outcome descriptions;
• and,
• the status reference code comprising a table of clinical intervention status descriptions;
• wherein the healthcare provider selects among the pre-defined parameters to characterize the clinical intervention.