Auto-populating patient reports

Abstract

Various embodiments described herein relate to methods and apparatuses for documenting data by tracking user interactions with an interface. Users such as medical personnel or the like rely on clinical documentation to treat a patient. By automatically generating clinical documentation based on user interactions with an interface when reviewing patient data, users are not required to spend time ingenerating clinical documentation themselves.

Description

technical field [0001] Various embodiments described herein relate generally to methods and apparatus for documentation, and more particularly, but not exclusively, to methods and apparatus for automated documentation by tracking user interactions with an interface. Background technique [0002] Clinical documentation refers to information about patient care, such as when a patient is treated in a medical institution. Clinical files are used, for example, to record a patient's medical history, document a patient's current complaints, assess a patient's current status, develop a delivery plan, provide continuation of care, and for other purposes. A typical clinical document may contain information related to a patient's vital signs, labs, test results, medications, and textual information such as medical history, complaints, diagnosis, and prognosis. [0003] However, generating clinical documentation is often a time-consuming process. Furthermore, increased patient volume ...

AI Technical Summary

Problems solved by technology

However, in these EMR systems, indiscriminate copying and pasting of patient details during the generation of clinical documentation can lead to increased errors

These errors increase the likelihood of patient safety issues when clinicians act

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