Systems and methods for clinical decision support and documentation

A computer-readable storage medium, excluding transitory signals, containing instructions that, when executed by one or more processors, perform a method for producing a medical report, the method comprising:

• receiving, via a graphical user interface on an electronic device, a selection for a patient;
• in response to receiving the selection for the patient, automatically retrieving electronic medical record data for the patient;
• receiving, via the graphical user interface, a diagnosis for the patient;
• identifying statistical medical models that correspond with the diagnosis,
• based on the diagnosis, the electronic medical record data, and the statistical medical models, generating a list of risk variables and at least some values associated the risk variables;
• based on the values associated with the risk variables, computing an outcome for at least some of the statistical medical models;
• receiving, via the graphical user interface, an instruction to generate a patient-specific risk assessment;
• based on the risk variables and the values associated with the risk variables, generating the patient-specific medical risk assessment, wherein the assessment includes:
• predictive medical information, expected length of stay, and risk of readmission for the patient.

A system for generating a medical report, the system comprising:

• one or more processors;
• a memory storing instructions for a record finder, a risk calculator, and a report generator, wherein:
• the record finder is configured to:
• retrieve medical data for a patient;
• retrieve a diagnosis for the patient or request from a user the diagnosis for the patient;
• receive medical data for the patient from a user;
• the risk calculator is configured to:
• determine risk variables associated with the diagnosis based on evidence-based medical models for the diagnosis;
• compute an associated risk value for at least some of the risk variables;
• the report generator is configured to:
• generate a patient-specific medical report for the patient based on the diagnosis and the associated risk values;
• and
• transmit a recommendation for level of care for the patient.