Methods, systems, and computer-readable media for rapid event voice
documentation are provided herein. The rapid event voice
documentation system captures verbalized orders and actions and translates that unstructured
voice data to structured,
usable data for
documentation. The
voice data captured is tagged with
metadata including the name and role of the speaker, a time stamp indicating a time the data was spoken, and a clinical concept identified in the data captured. The
system automatically identifies orders (e.g., medications, labs and procedures, etc.), treatments, and assessments / findings that were verbalized during the rapid event to create structured data that is
usable by a
health information system and ready for documentation directly into an EHR. The system provides all of the captured data including orders, assessment documentation,
vital signs and measurements, performed procedures, and treatments, and who performed each, available for viewing and interaction in real time.