摘要:
This disclosure describes systems, devices, and techniques for automatically identifying missing or ambiguous information in documentation associated with a patient. For example, a system may include one or more computing devices configured to receive documentation comprising a plurality of documented items related to the patient and determine, based on at least a subset of the plurality of documented items, one or more undocumented items missing from the documentation, wherein the subset of the plurality of documented items and at least one of the one or more undocumented items define a medical concept. The one or more computing devices may also be configured to generate, based on the one or more undocumented items, a code representative of the one or more undocumented items and output the code.
摘要:
This disclosure describes systems, devices, and techniques for updating medical documentation associated with a patient. In one example, a computerized system for managing medical documentation associated with a patient may include one or more computing devices configured to receive user input responsive to a query presented via a user interface, wherein the user input addresses one or more undocumented items related to the query and determined from a plurality of documented items related to the patient. Responsive to receiving the user input, the one or more computing devices may be configured to generate updated information indicative of the user input and related to the patient, generate indicia indicative of the user input, and output, for display, the indicia.
摘要:
This disclosure describes systems, devices, and techniques for managing medical documentation associated with a patient. In one example, a computerized system for managing medical information associated with a patient may include one or more computing devices configured to identify one or more potential medical problems with the patient from encounter-related information associated with the patient, generate a list comprising the one or more potential medical problems, and output, for display, the list. The one or more computing devices may also be configured to receive an indication of selection input from a user and associated with at least one of the potential medical problems and update the list of potential medical problems according to the indication of the selection input.
摘要:
This disclosure describes systems, devices, and techniques for automatically identifying missing or ambiguous information in documentation associated with a patient. For example, a system may include one or more computing devices configured to receive documentation comprising a plurality of documented items related to the patient and determine, based on at least a subset of the plurality of documented items, one or more undocumented items missing from the documentation, wherein the subset of the plurality of documented items and at least one of the one or more undocumented items define a medical concept. The one or more computing devices may also be configured to generate, based on the one or more undocumented items, a code representative of the one or more undocumented items and output the code.
摘要:
This disclosure describes systems, devices, and techniques for automatically identifying missing or ambiguous information in documentation associated with a patient. In one example, a computerized system for updating medical documentation may include one or more computing devices configured to receive a code representative of one or more undocumented items determined from a plurality of documented items related to the patient. The one or more computing devices may be configured to generate, based on the code, query that solicits user input addressing the one or more undocumented items and output, for display, the query.