Single field entry electronic clinical chart note entry system
OwnerPeter STANGELinventor
Life of this patent
Estimating the term…
Abstract
A system and methods including a web browser (client side) single computer screen interface or mobile device single screen interface which enables the user to electronically record the clinical findings of a patient-clinician clinical encounter to create an electronic clinical chart note by entering the findings into a Single Text Field which then displays these findings in clinical chart note format, a format which emulates the format of the paper clinical chart note, without repeated submissions and communication to the server during chart note creation. The completed clinical chart note is then sent to the server for storage and retrieval. Cumulative stored electronic clinical chart notes for each individual patient constitute that patient's EMR.
Claims35
A method for managing electronic medical records, comprising the steps of:
- receiving a clinical finding of a patient-clinician clinical encounter, wherein the clinical finding is received via a single field;
- creating an electronic clinical chart note;
- displaying the clinical finding in clinical chart note format, wherein the clinical chart note format emulates a paper clinical chart note format;
- and
- storing the electronic clinical chart note to a server,
- wherein the receiving step, creating step, displaying step, and storing step are performed on at least one particular machine, said at least one particular machine comprising at least one physical computing device.
An electronic medical records system, comprising:
- an interface that receives a clinical finding of a patient-clinician clinical encounter, wherein the clinical finding is received via a single field, wherein the interface displays the clinical finding in clinical chart note format, and wherein the clinical chart note format emulates a paper clinical chart note format;
- a server that stores an electronic clinical chart note, wherein the electronic clinical chart note is based on the clinical finding;
- and
- a particular machine, wherein the particular machine stores code for the interface and code for the server.
A computer readable medium for managing electronic medical records, comprising data that, when accessed by a machine, cause the machine to perform operations comprising:
- receiving a clinical finding of a patient-clinician clinical encounter, wherein the clinical finding is received via a single field;
- creating an electronic clinical chart note;
- displaying the clinical finding in clinical chart note format, wherein the clinical chart note format emulates a paper clinical chart note format;
- and
- storing the electronic clinical chart note to a server;
- wherein the receiving operation, creating operation, displaying operation, and storing operation are executed on at least one particular machine, said at least one particular machine comprising at least one physical computing device.
Dependencies are inferred from the claim text.