Multi-modal entry for electronic clinical documentation
AssigneeCerner Innovation, Inc.
InventorsMICHAEL A. ASH, JOHN Q. DEVERTER, PRAMOD PAGADALA
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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.
Claims26
A method in a computerized healthcare system for populating an electronic clinical document, the method comprising:
- providing an electronic clinical document 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;
- and
- receiving at least one of structured user input, free-text input, and system-generated input into the electronic clinical document.
One or more computer-readable 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:
- providing an electronic clinical document 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;
- embedding the dictation audio input into each of the at least two of the plurality of sections;
- and
- presenting graphical representations indicative of the embedded dictation audio input in association with each of the at least two of the plurality of sections.
A system for presenting an electronic clinical document, the system comprising:
- a data store component operative to store an electronic clinical document capable of receiving dictation audio input, structured user input, free-text input, and system-generated input;
- one or more receiving components operative to receive free-text input, structured user input, and system-generated input, and dictation audio input;
- an embedding component operative to embed transcribed text associated with dictation audio input;
- and
- a user interface component operative to present a graphical representation of embedded dictation audio input relevant to a patient with whom the electronic clinical document is associated and to present at least one of free-text input, structured user input, system-generated input on a common user interface.
Dependencies are inferred from the claim text.